Parents’ experiences of caring for preterm infants after discharge with grandmothers as their main support

Esther Abena Adama, Sara Bayes and Deborah Sundin

Journal of Clinical Nursing, 2018, vol. 27, issue 17-18, 3377-3386

Abstract: Aims and objectives To explore parents of preterm infants’ experiences of caring for their preterm infants with the grandmother as their primary support after discharge. Background Preterm delivery is the major cause of high neonatal mortality in sub‐Saharan Africa. There is poor neonatal health outcome in the Ghanaian community with some illnesses culturally classified as not‐for‐hospital. In the community, grandmothers or older women provide support for new parents and decide treatment options for sick infants. However, there is paucity of research on how parents of preterm infants experience this support in the Ghanaian community. Method Qualitative narrative inquiry methodology was used. Face‐to‐face interviews using semi‐structured interview guide were used to collect data from 21 mothers and nine fathers. Participant observation and field notes were used to complement interview data. Thematic content analysis of data within the three‐dimensional narrative space was employed. Analysis focussed on the relationship of time, place, person and cultural practices affecting the care of preterm infants in the community. Results Three themes emerged from the data, namely (i) Grandmother's prescriptions, (ii) Fighting for the well‐being of the infant and (iii) Being in a confused state. Cultural practices mainly initiated by grandmothers resulted in adverse health problems for preterm infants and disruption in parents’ mental health. Conclusion As grandmothers perform their traditional role of supporting new parents to care for preterm infants after discharge, they give both positive and negative advice which can adversely affect the health of vulnerable preterm infants in the community. Relevance to clinical practice Grandmothers are the main support providers of parents of preterm infants after neonatal unit discharge. Nurses should identify and include grandmothers in predischarge education in order to equip them to render appropriate support to parents and preterm infants.

Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

Downloads: (external link)
https://doi.org/10.1111/jocn.13868

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:wly:jocnur:v:27:y:2018:i:17-18:p:3377-3386

Access Statistics for this article

More articles in Journal of Clinical Nursing from John Wiley & Sons
Bibliographic data for series maintained by Wiley Content Delivery ().