Negotiating Care in the Special Care Nursery: Parents' and Nurses' Perceptions of Nurse-Parent Communication.
OBJECTIVE
Nursing staff are an important source of support for parents of a hospitalized preterm infant. This study aimed to describe parents' and nurses' perceptions of communicating with each other in the context of the special care nursery.


METHODS
A qualitative descriptive design was employed. Thirty two parents with a newborn admitted to one of two special care nurseries in Queensland, Australia participated, and 12 nurses participated in semi-structured interviews. Thematic analysis was used to analyze the interviews.


RESULTS
Nurses and parents focused on similar topics, but their perceptions differed. Provision of information and enabling parenting were central to effective communication, supported by an appropriate interpersonal style by nurses. Parents described difficulties accessing or engaging nurses. Managing enforcement of policies was a specific area of difficulty for both parents and nurses.


CONCLUSIONS
The findings indicated a tension between providing family-centered care that is individualized and based on family needs and roles, and adhering to systemic nursery policies.
School of Applied Psychology, Griffith University, Mt Gravatt, QLD Australia. Electronic address: l.jones@griffith.edu.au.
Liz
L
Jones
School of Applied Psychology, Griffith University, Mt Gravatt, QLD Australia.
Tara
T
Taylor
School of Psychology, The University of Queensland, St Lucia, QLD Australia.
Bernadette
B
Watson
School of Nursing and Midwifery, Griffith University, Meadowbrook, QLD Australia.
Jennifer
J
Fenwick
School of Applied Psychology, Griffith University, Mt Gravatt, QLD Australia.
Tatjana
T
Dordic
D000328:Adult; D001291:Attitude of Health Personnel; D003142:Communication; D005260:Female; D006776:Hospitals, Pediatric; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007407:Interviews as Topic; D008297:Male; D017283:Neonatal Nursing / Q000379:methods*; D009725:Nurseries, Hospital / Q000458:organization & administration*; D009741:Nursing Staff, Hospital / Q000523:psychology; D017063:Outcome Assessment, Health Care; D010290:Parents / Q000523:psychology*; D010465:Perception; D011368:Professional-Family Relations; D036301:Qualitative Research; D011793:Queensland
Communication; Neonatal nursing; Preterm birth