title: Coping with the neonatal intensive care unit experience: parents' strategies and views of staff support.
abstract: It is stressful for parents to have an infant in the neonatal intensive care unit (NICU). To better understand the parents' experience and the role of staff, we examined parental reports of their NICU experiences, coping strategies, and views of the ways NICU staff supported them. Between June and July 2007, we interviewed 29 current and graduate parents from the study institution's NICU. A trained researcher conducted all interviews, which were recorded and transcribed. This was a qualitative analysis of prospectively collected interview data. Parents used the following coping strategies: (1) participating in care of the child; (2) getting away from the NICU; (3) gathering information; (4) involvement of friends and family; and (5) engagement with other NICU parents. Staff can support the parents' coping strategies in the following ways: (1) facilitating participation of the parents with the infant's care; (2) emphasizing documentation of the infant's progress; (3) demonstrating affection for the infant; (4) addressing concerns that make parents hesitant to leave the NICU; (5) providing accurate, consistent clinical information; (6) limiting unscheduled nonemergency phone calls; and (7) arranging voluntarily activities or programs in which parents whose infants have similar medical conditions may interact.
authors.affiliation: Department of Neonatology, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA. vsmith1@bidmc.harvard.edu
authors.forename: Vincent C
authors.initials: VC
authors.lastname: Smith
authors.forename: Gillian K
authors.initials: GK
authors.lastname: Steelfisher
authors.forename: Carmel
authors.initials: C
authors.lastname: Salhi
authors.forename: Lisa Y
authors.initials: LY
authors.lastname: Shen
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001291:Attitude of Health Personnel; D003422:Critical Care / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D007407:Interviews as Topic; D008297:Male; D010290:Parents / Q000523:psychology*; D011368:Professional-Family Relations; D036301:Qualitative Research; D012657:Self-Help Groups; D013315:Stress, Psychological; D013997:Time Factors