The Work of Mothering in the NICU: A Critical Analysis of Alberta Family Integrated Care Parent Journals
Integrating parents into the care of their infants in the neonatal intensive care unit (NICU) is vital for both parents and infants. Yet, parents are often not fully involved in important decision-making and care, even when practices are family- and patient-centered. Alberta Family Integrated Care (...
Saved in:
Published in | Advances in neonatal care Vol. 22; no. 4; p. E112 |
---|---|
Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
United States
01.08.2022
|
Subjects | |
Online Access | Get more information |
Cover
Loading…
Abstract | Integrating parents into the care of their infants in the neonatal intensive care unit (NICU) is vital for both parents and infants. Yet, parents are often not fully involved in important decision-making and care, even when practices are family- and patient-centered. Alberta Family Integrated Care (FICare) is a model of care designed to support integration of parents into their infant's care.
The aim of this study was to describe and examine how mothers' work was coordinated by institutional processes when participating in Alberta FICare.
We used institutional ethnography to analyze written entries in Alberta FICare parent journals to show points of tension mothers experienced in the NICU.
We illustrated the institutional activities that intersect with parental work of being present in the NICU. We argue that the journal text and the primary discourses that mothers are tuned to organize the way they knew and thought about their infant. Managing everyday NICU rules, navigating constant and unexpected changes, and the work of feeding their infant created tension. Mothers focused on milk supply, weight gain, and transition from gavage to nipple feeds. We show how mothers' activities were coordinated by practices that prioritize progression toward discharge rather than supporting them through the roller coaster of emotions and practical challenges of being present in the NICU.
This illustration of institutional systems and processes may assist practitioners to understand the barriers mothers face when caring for their infants in the NICU. |
---|---|
AbstractList | Integrating parents into the care of their infants in the neonatal intensive care unit (NICU) is vital for both parents and infants. Yet, parents are often not fully involved in important decision-making and care, even when practices are family- and patient-centered. Alberta Family Integrated Care (FICare) is a model of care designed to support integration of parents into their infant's care.
The aim of this study was to describe and examine how mothers' work was coordinated by institutional processes when participating in Alberta FICare.
We used institutional ethnography to analyze written entries in Alberta FICare parent journals to show points of tension mothers experienced in the NICU.
We illustrated the institutional activities that intersect with parental work of being present in the NICU. We argue that the journal text and the primary discourses that mothers are tuned to organize the way they knew and thought about their infant. Managing everyday NICU rules, navigating constant and unexpected changes, and the work of feeding their infant created tension. Mothers focused on milk supply, weight gain, and transition from gavage to nipple feeds. We show how mothers' activities were coordinated by practices that prioritize progression toward discharge rather than supporting them through the roller coaster of emotions and practical challenges of being present in the NICU.
This illustration of institutional systems and processes may assist practitioners to understand the barriers mothers face when caring for their infants in the NICU. |
Author | Benzies, Karen M McNeil, Deborah Ringham, Cathy |
Author_xml | – sequence: 1 givenname: Cathy surname: Ringham fullname: Ringham, Cathy organization: Faculty of Nursing (Drs Ringham, McNeil, and Benzies), and Departments of Community Health Sciences (Drs McNeil, and Benzies) and Pediatrics (Dr Benzies), Cumming School of Medicine, University of Calgary, Alberta, Canada; and Maternal, Newborn, Child and Youth Strategic Clinical Network, Alberta Health Services, Edmonton, Alberta, Canada (Dr McNeil) – sequence: 2 givenname: Deborah surname: McNeil fullname: McNeil, Deborah – sequence: 3 givenname: Karen M surname: Benzies fullname: Benzies, Karen M |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35901471$$D View this record in MEDLINE/PubMed |
BookMark | eNpNT81OwzAYixCI_cAbIPS9QEe-9C_hVlUMisbgsInjlLbJGujSKc0OfXuKAAkfbB9sS56Rc9tZRcgN0gVSkd5l63xB_0Pw6IxMMQ6TgArECZn1_QelyBljl2QSxoJilOKUNJtGwXvnPqHT8NL5Rjlj92AsjBbWRb69hwxyZ7ypZAuZle3Qm_47nbWlcl7CUh5MO0Bhvdo76VUNuXQK3kayHp67kxtL_RW50KOo61-dk-3yYZM_BavXxyLPVkGFPPFBJdKEVQw1jSQVJYpap4IKyZFxRqVOdBoji1mllBjvIach13wspUlUY8zYnNz-7B5P5UHVu6MzB-mG3d9l9gUAKVbm |
ContentType | Journal Article |
Copyright | Copyright © 2022 by The National Association of Neonatal Nurses. |
Copyright_xml | – notice: Copyright © 2022 by The National Association of Neonatal Nurses. |
DBID | CGR CUY CVF ECM EIF NPM |
DOI | 10.1097/ANC.0000000000000984 |
DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) |
DatabaseTitleList | MEDLINE |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | no_fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1536-0911 |
ExternalDocumentID | 35901471 |
Genre | Journal Article |
GeographicLocations | Alberta |
GeographicLocations_xml | – name: Alberta |
GroupedDBID | --- .Z2 0R~ 3T~ 5GY 5VS AAAAV AAHPQ AAIQE AAMTA AARTV AASCR AAUEB AAYEP ABASU ABBUW ABDIG ABILE ABJNI ABPPZ ABVCZ ABXVJ ABZAD ACDDN ACEWG ACGFS ACHQT ACIFK ACILI ACJBD ACJIL ACTHT ACWDW ACWRI ACXJB ACXNZ ADEGP ADGGA ADHPY ADRCX ADTGS AENEX AFDTB AFMFG AFSOK AFYGQ AHQNM AHVBC AHWXW AINUH AJEOO AJIOK AJNWD AJZMW ALBXT ALMA_UNASSIGNED_HOLDINGS ALMTX AMJPA AMKUR AMNEI AOHHW ATPOU AWKKM BQLVK C45 CGR CS3 CUY CVF DIWNM E.X EBS ECM EEVPB EIF EX3 F5P FCALG FL- GNXGY GQDEL HLJTE HYJ HZ~ IKREB IN~ IPNFZ IYOWL JF7 KD2 L-C LK2 MMDCI MPPUT NPM N~6 O9- OBZCC OFFRU OGKNY OHCKH OKBHI OLL OLW OPUJH OROCO OUVZD OVD OVDLW OVDNE OVOZU OXXIT P2P QMB RIG RLZ S4S TEORI TSPGW V2I W3M WG1 WOQ WOW X3V X3W |
ID | FETCH-LOGICAL-c186t-c9762c21f04a09b19df7909a812820af6f751252cee915318038f8976764d1522 |
IngestDate | Sat Sep 28 08:10:38 EDT 2024 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 4 |
Language | English |
License | Copyright © 2022 by The National Association of Neonatal Nurses. |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c186t-c9762c21f04a09b19df7909a812820af6f751252cee915318038f8976764d1522 |
PMID | 35901471 |
ParticipantIDs | pubmed_primary_35901471 |
PublicationCentury | 2000 |
PublicationDate | 2022-Aug-01 |
PublicationDateYYYYMMDD | 2022-08-01 |
PublicationDate_xml | – month: 08 year: 2022 text: 2022-Aug-01 day: 01 |
PublicationDecade | 2020 |
PublicationPlace | United States |
PublicationPlace_xml | – name: United States |
PublicationTitle | Advances in neonatal care |
PublicationTitleAlternate | Adv Neonatal Care |
PublicationYear | 2022 |
SSID | ssj0018222 |
Score | 2.3252788 |
Snippet | Integrating parents into the care of their infants in the neonatal intensive care unit (NICU) is vital for both parents and infants. Yet, parents are often not... |
SourceID | pubmed |
SourceType | Index Database |
StartPage | E112 |
SubjectTerms | Alberta Delivery of Health Care, Integrated Female Humans Infant Infant, Newborn Infant, Premature Intensive Care Units, Neonatal Mothers - psychology Parents - psychology Periodicals as Topic |
Title | The Work of Mothering in the NICU: A Critical Analysis of Alberta Family Integrated Care Parent Journals |
URI | https://www.ncbi.nlm.nih.gov/pubmed/35901471 |
Volume | 22 |
hasFullText | |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3PT8IwFG5AE8LF-Pu36cHrdB2lW70tRAMmcDCQcCNdtyoHB4l44eSf7uvasgXRqByaZYVl9Pvy-PZ43ytC16mCpReSeCSSLY_SNPFEFinPl0nGfJFEGdFu5P6AdUf0cdwe12oflaql90VyI5cbfSX_QRXOAa7aJfsHZFcXhRNwDPjCCAjD-GuMdba7qGOZGSvf86pysdcZWd-5286g2oEk1s2tFsLtfNFzbSPSwpIEyrJo22T16ltVw8ambKAopM0znX3XPUZEWUX7BHdh7dfaYFjWGUuXcrZRbpULyPLl1MSrwpxmU7Q2GQHPsa4UDn5LXABlHmgQUo2wQVBhEq2Ey3tiaqi_xHHTHzgedEx_SffiZju5CrTz1wLblrbQUrOZy8-za9213VQd1cNIR8iBzvbYf6G0eHJ2Sx7ebrqdJmq4S6w9mBQCZbiLdixSODY02UO1LN9Hjb6tnThAL8AWrNmCZwqv2IKnOYZDrNlyh2PsuIIdV_S7LVew4QouuYI1V7DhCnZcOUSjh_thp-vZfTY8SSK28CRI0kAGRPlU-DwhPFUh97kA7Qf6UCimQpCF7QD0FAd8SeS3IhXBh0JGU9B_wRHaymd5doIwSynlRFJJeUIFBzkoRBgKGAIWyoSdomOzRpO5aaYycat39u3MOWqWVLtA2wq-SXYJUnCRXBV4fQI-_VkB |
link.rule.ids | 786 |
linkProvider | National Library of Medicine |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=The+Work+of+Mothering+in+the+NICU%3A+A+Critical+Analysis+of+Alberta+Family+Integrated+Care+Parent+Journals&rft.jtitle=Advances+in+neonatal+care&rft.au=Ringham%2C+Cathy&rft.au=McNeil%2C+Deborah&rft.au=Benzies%2C+Karen+M&rft.date=2022-08-01&rft.eissn=1536-0911&rft.volume=22&rft.issue=4&rft.spage=E112&rft_id=info:doi/10.1097%2FANC.0000000000000984&rft_id=info%3Apmid%2F35901471&rft_id=info%3Apmid%2F35901471&rft.externalDocID=35901471 |