2134/35204
Chloe Shaw
Chloe
Shaw
E. Suonpera
E.
Suonpera
Katie Gallagher
Katie
Gallagher
Narendra Aladangady
Narendra
Aladangady
Elizabeth Stokoe
Elizabeth
Stokoe
Neil Marlow
Neil
Marlow
Documentation in the neonatal unit: The support given to parents and their participation in their baby’s care.
Loughborough University
2018
Documentation
Family-centered care
Neonatal
Support
Participation
Nursing
Thematic analysis
Content analysis
Parents
Language, Communication and Culture not elsewhere classified
Studies in Human Society not elsewhere classified
2018-10-08 08:31:01
Journal contribution
https://repository.lboro.ac.uk/articles/journal_contribution/Documentation_in_the_neonatal_unit_The_support_given_to_parents_and_their_participation_in_their_baby_s_care_/9478064
Aims: To explore how often the participation of parents in their infants’ care and
professionals’ support for parents was documented in the clinical records and to determine how such participation and support were documented.
Background: Comprehensive documentation can facilitate collaboration between parents and
health care professionals, supporting family-centered care, yet little is known about how this is reflected in practice.
Design: A prospective, mixed methods approach was used to analyse the clinical records of
newborns.
Methods: The study was carried out in a large tertiary Neonatal Unit in the United Kingdom,
from 2013-2014. We analysed the clinical records of 24 critically ill newborns using content
analysis and thematic analysis, enabling us to determine the frequency of documented
support and participation as well as how these were documented.
Results: We identified four categories of support in the clinical records: emotional, spiritual, social and practical support. We also identified instances where parents were encouraged to participate in their infant’s care. Frequency differences in the documentation of support between infants facing a redirection of care decision and infants receiving active treatment were found. Two organisational themes were identified: task focused documentation and minimal documentation of parental role. These were grouped together under the global theme
professional accountability. The perspectives and experiences of parents were minimally
documented throughout