title: Experiences of mothers of infants with neonatal abstinence syndrome in the neonatal intensive care unit.
abstract: OBJECTIVE
  To describe the experiences of mothers of infants with neonatal abstinence syndrome (NAS) in the neonatal intensive care unit (NICU).
  
  
  METHODS
  Qualitative description.
  
  
  METHODS
  We recruited participants from community-based, out-patient, addiction treatment facilities in a large urban city in the southwestern region of the United States.
  
  
  METHODS
  A convenience sample of 15 Hispanic, substance addicted mothers of infants with NAS participated.
  
  
  METHODS
  We conducted semistructured, individual, interviews and analyzed the data using qualitative content analysis. First, we analyzed the data independently and then discussed the themes until a consensus was reached.
  
  
  RESULTS
  We identified four themes: (a) understanding addiction, (b) watching the infant withdraw, (c) judging, and (d) trusting the nurses. The participants felt there was a lack of understanding concerning addiction that was particularly noted when interacting with the nurses. They shared their feelings of guilt and shame when observing their infants withdrawing. The participants felt judged by the nurses for having used illicit drugs during pregnancy. Feeling judged interfered with the participants' ability to trust the nurses.
  
  
  CONCLUSIONS
  These findings provide nurses with a better understanding of the experiences of mothers who have addiction problems and may lead to more customized nursing care for this high-risk population of mothers and their infants.
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Cleveland
authors.forename: Rebecca
authors.initials: R
authors.lastname: Bonugli
mesh_terms: D000328:Adult; D003422:Critical Care / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007224:Infant Care / Q000379:methods*; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D007407:Interviews as Topic; D018811:Maternal Exposure / Q000009:adverse effects; D009034:Mother-Child Relations / Q000523:psychology*; D009357:Neonatal Abstinence Syndrome / Q000175:diagnosis* / Q000451:nursing / Q000523:psychology; D017283:Neonatal Nursing / Q000379:methods; D011247:Pregnancy; D036301:Qualitative Research; D018570:Risk Assessment; D012494:Sampling Studies; D019966:Substance-Related Disorders / Q000150:complications* / Q000523:psychology
keywords: mothering; neonatal abstinence syndrome; neonatal intensive care unit; substance addiction