Parents' and nurses' experiences of partnership in neonatal intensive care units: A qualitative review and meta‐synthesis

Anne Brødsgaard, Jette Thise Pedersen, Palle Larsen and Janne Weis

Journal of Clinical Nursing, 2019, vol. 28, issue 17-18, 3117-3139

Abstract: Aims and objectives To explore how parents and nurses experience partnership in neonatal intensive care units and to identify existing barriers and facilitators to a successful partnership. Background Family‐centred care is recommended as a frame of reference for treatment and care in neonatal intensive care units. A key element in family‐centred care is partnership. Such partnerships are characterised by complex interpersonal relationships and interactions between nurses and parents/families. Partnerships therefore appear to present a significant challenge. Design A qualitative review and meta‐synthesis. Methods Comprehensive searching in ten databases: CINAHL, PubMed (MEDLINE), EMBASE, PsycINFO, Scopus and SweMed+, OpenGrey, MedNar, Google Scholar and ProQuest Dissertations & Thesis Global. A total of 1,644 studies (after removal of duplicates) were critically assessed, and 21 studies fulfilled the inclusion criteria. A meta‐aggregation was used to synthesise the findings from the studies and was methodically quality assessed with QUARI/SUMARI and PRISMA. Findings Through a meta‐aggregative approach, two synthesised findings were developed: (a) co‐creation of mutual knowledge and (b) developing competencies and negotiating roles. The first synthesis embraced the categories: being respected and listened to, trust and sharing knowledge, and the second synthesis embraced the categories: space to learn with guidance, encouraging and enabling, being in control. In constructing the categories, findings were identified as characteristics, barriers and facilitators to application. Conclusion A successful relationship between parents and nurses can be achieved through co‐creation of mutual knowledge and development of competencies and negotiation of roles. Neonatal intensive care unit nurses are in a position where they exercise power, but they can change the culture if they are aware of what seems to facilitate or create a barrier to a partnership with parents. Relevance to clinical practice This new evidence may inform a change in policies and guidelines which could be integrated into nurses' clinical practice in neonatal intensive care units.

Date: 2019
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https://doi.org/10.1111/jocn.14920

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Persistent link: https://EconPapers.repec.org/RePEc:wly:jocnur:v:28:y:2019:i:17-18:p:3117-3139

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