How nurse work environments relate to the presence of parents in neonatal intensive care
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Objective: Parental presence in the neonatal intensive care unit (NICU) is essential for families, especially mothers to participate in infant care and prepare for transition from hospital to home. However, NICUs vary in their policies on parent visitation and participation. Nurses are the principal caregivers in the NICU. The nurse work environment may influence whether parents spend time with their hospitalized infants. A national dataset was used to examine the relationship between the work environment and parental presence in the NICU.
Design: Cross-sectional, observational.
Participants: A national sample of 104 NICUs, in which 6,060 nurses reported about the 15,233 infants they cared for on their last shift.
Methods: Secondary analysis was used to examine nurse survey data collected in 2008. The Practice Environment Scale of the Nursing Work Index (PES-NWI), was used to measure the work environment across five domains and as a composite measure. Analysis was conducted using Pearson correlation and bivariate regression models.
Results: Parents of 60% (SD = 9.7%) of infants were present during the shift. The PES-NWI composite score and two domains - Nurse Participation in Hospital Affairs and Manager Leadership and Support, were significant predictors of parental presence. A 1SD higher score in the composite or either subscale was associated with 2.5% more parents being present.
Conclusion: Parental presence in the NICU is significantly associated with better nurse work environments. NICUs where nurses are supported through managerial leadership and professional nursing activities are essential to a patient centered culture that facilitates parental presence.
2015 Small Grant Award "Fostering the Optimal Contribution of Nurses to Parental Engagement in Neonatal Intensive Care". Sigma Theta Tau International, Honor Society of Nursing ($5000). Sunny Hallowell, PhD (PI); Eileen Lake (Mentor).
The Sigma Theta Tau International grant application that funded this research, in whole or in part, was completed by the applicant and peer-reviewed prior to the award of the STTI grant. No further peer-review has taken place upon the completion of the STTI grant final report and its appearance in this repository.
|Review Type||None: Sigma Grant Recipient Report|
|Evidence Level||Observational Study, Other (e.g., Prevalence, Incidence)|
|Research Approach||Quantitative Research|
Intensive Care, Neonatal;
Nurse Work Environment;
Practice Environment Scale of the Nursing Work Index
|CINAHL Subject(s)||Intensive Care Units, Neonatal;
|MESH Subject(s)||Personnel Staffing and Scheduling|
|MESH Subject(s)||Personnel Staffing and Scheduling|
|Name||AcademyHealth 2016: Two presentations at the conference - Annual Research Meeting and Interdisciplinary Research Group on Nursing Issues Interest Group|
|Host||AcademyHealth: AcademyHealth is a leading national organization serving the fields of health services and policy research and the professionals who produce and use this important work. Together with our members, we offer programs and services that support the development and use of rigorous, relevant and timely evidence to increase the quality, accessibility, and value of health care, to reduce disparities, and to improve health. A trusted broker of information, AcademyHealth brings stakeholders together to address the current and future needs of an evolving health system, inform health policy, and translate evidence into action.|
|Location||Boston, Massachusetts, USA|
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Showing items related by title, author, creator and subjects.
Hallowell, Sunny G.; Lake, Eileen T. (2017-03-03)Session presented on Saturday, March 18, 2017: Research Objective: Parental presence in the neonatal intensive care unit (NICU) is essential for families, especially mothers, to be partners and active participants in the ...
Hallowell, Sunny G.; Rowgowski, Jeannette; Lake, Eileen T. (2017-09-29)This observational, cross-sectional study examined 104 NICUs where 6060 nurses reported on the characteristics of their unit and 15,233 infants they cared for on their last shift worked. Parental presence is significantly ...
Hallowell, Sunny G.; Lake, Eileen T. (2017-01-11)Objective: Parental presence in the neonatal intensive care unit (NICU) is essential for families, especially mothers to participate in infant care and prepare for transition from hospital to home. Nurses are the principal ...
Smith, Jessica G.; Morin, Karen H.; Lake, Eileen T. (2017-03-03)Session presented on Saturday, March 18, 2017: Objective: To determine whether nurse co-worker incivility is associated with modifiable features of the hospital nurse work environment, namely nurse staffing adequacy and ...
Characteristics of the nursing practice environment related to creating healthy work environments for nurses Ogata, Yasuko; Katsuyama, Kimiko; Tanaka, Sachiko; Nagano, Midori; Yumoto, Yoshie; Ikeda, Masaomi (2017-03-03)Session presented on Saturday, March 18, 2017: Nurse managers' leadership and support of nurses form an important part of the nursing practice environment, and have a significant effect on staff nurses' health and tendency ...