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Parental experiences of providing skin-to-skin care to their newborn infant--part 2: a qualitative meta-synthesis.

Anderzén-Carlsson A, Lamy ZC, Tingvall M, Eriksson M - Int J Qual Stud Health Well-being (2014)

Bottom Line: SSC induces many benefits for newborn infants and their parents.The results show that SSC can be interpreted not only as a family-including and important health care intervention but also in terms of actually becoming a parent.The descriptions of providing SSC are similar to what has previously been described as the natural process of becoming a mother or a father.

View Article: PubMed Central - PubMed

Affiliation: Centre for Health Care Sciences, Örebro University Hospital, Örebro, Sweden; School of Health and Medical Sciences, Örebro University, Örebro, Sweden; agneta.anderzen-karlsson@orebroll.se.

ABSTRACT

Aim: To synthesize and interpret qualitative research findings focusing on parental experiences of skin-to-skin care (SSC) for newborn infants.

Background: SSC induces many benefits for newborn infants and their parents. Three meta-analyses have been conducted on physiological outcomes, but no previous qualitative meta-synthesis on parental experiences of SSC has been identified.

Design: The present meta-synthesis was guided by the methodology described by Paterson and co-workers.

Data sources: Four databases were searched, without year or language limitations, up until December 2013. Manual searches were also performed. The searches and subsequent quality appraisal resulted in the inclusion of 29 original qualitative papers from 9 countries, reporting experiences from 401 mothers and 94 fathers.

Review methods: The meta-synthesis entails a meta-data analysis, analysis of meta-method, and meta-theory in the included primary studies. Based on the three analyses, the meta-synthesis represents a new interpretation of a phenomenon. The results of the meta-data analysis have been presented as a qualitative systematic review in a separate paper.

Results: When synthesizing and interpreting the findings from the included analyses, a theoretical model of Becoming a parent under unfamiliar circumstances emerged. Providing SSC seems to be a restorative as well as an energy-draining experience. A supportive environment has been described as facilitating the restorative experience, whereas obstacles in the environment seem to make the provision of SSC energy-draining for parents. When the process is experienced as positive, it facilitates the growth of parental self-esteem and makes the parents ready to assume full responsibility for their child.

Conclusion: The results show that SSC can be interpreted not only as a family-including and important health care intervention but also in terms of actually becoming a parent. The process of becoming a parent in this specific situation is influenced by external factors in three different levels; family and friends, community, and society at large. The descriptions of providing SSC are similar to what has previously been described as the natural process of becoming a mother or a father.

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A model of “Becoming a parent under unfamiliar circumstances.”
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Figure 0001: A model of “Becoming a parent under unfamiliar circumstances.”

Mentions: Becoming a parent under unfamiliar circumstances is a theoretical model based on the meta-synthesis of the results from the 29 papers on parents’ experiences of providing SSC to their newborn infant. Providing SSC was seen as both a restorative and an energy-draining experience. The premature birth with subsequent NICU care, or a post-delivery phase that differed from a previous experience, formed the base for the interpretation of the circumstances being unfamiliar for the parents. The process of becoming a parent through the SSC was influenced by external factors from three different societal levels: family and friends, community, and society at large. A supportive environment was described as facilitating the restorative experience, whereas obstacles in this environment seemed to make the provision of SSC energy-draining for parents. When the process was experienced as positive, it facilitated the growth of parental self-esteem and made the parents ready to assume full responsibility for their child. These patterns lead to our theoretical model, as illustrated in Fig. 1. The findings showed a similar pattern to what previous researchers have described as central features in their theories of becoming a mother or father. These underpinnings for the model will be further highlighted in the Discussion section.


Parental experiences of providing skin-to-skin care to their newborn infant--part 2: a qualitative meta-synthesis.

Anderzén-Carlsson A, Lamy ZC, Tingvall M, Eriksson M - Int J Qual Stud Health Well-being (2014)

A model of “Becoming a parent under unfamiliar circumstances.”
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4197398&req=5

Figure 0001: A model of “Becoming a parent under unfamiliar circumstances.”
Mentions: Becoming a parent under unfamiliar circumstances is a theoretical model based on the meta-synthesis of the results from the 29 papers on parents’ experiences of providing SSC to their newborn infant. Providing SSC was seen as both a restorative and an energy-draining experience. The premature birth with subsequent NICU care, or a post-delivery phase that differed from a previous experience, formed the base for the interpretation of the circumstances being unfamiliar for the parents. The process of becoming a parent through the SSC was influenced by external factors from three different societal levels: family and friends, community, and society at large. A supportive environment was described as facilitating the restorative experience, whereas obstacles in this environment seemed to make the provision of SSC energy-draining for parents. When the process was experienced as positive, it facilitated the growth of parental self-esteem and made the parents ready to assume full responsibility for their child. These patterns lead to our theoretical model, as illustrated in Fig. 1. The findings showed a similar pattern to what previous researchers have described as central features in their theories of becoming a mother or father. These underpinnings for the model will be further highlighted in the Discussion section.

Bottom Line: SSC induces many benefits for newborn infants and their parents.The results show that SSC can be interpreted not only as a family-including and important health care intervention but also in terms of actually becoming a parent.The descriptions of providing SSC are similar to what has previously been described as the natural process of becoming a mother or a father.

View Article: PubMed Central - PubMed

Affiliation: Centre for Health Care Sciences, Örebro University Hospital, Örebro, Sweden; School of Health and Medical Sciences, Örebro University, Örebro, Sweden; agneta.anderzen-karlsson@orebroll.se.

ABSTRACT

Aim: To synthesize and interpret qualitative research findings focusing on parental experiences of skin-to-skin care (SSC) for newborn infants.

Background: SSC induces many benefits for newborn infants and their parents. Three meta-analyses have been conducted on physiological outcomes, but no previous qualitative meta-synthesis on parental experiences of SSC has been identified.

Design: The present meta-synthesis was guided by the methodology described by Paterson and co-workers.

Data sources: Four databases were searched, without year or language limitations, up until December 2013. Manual searches were also performed. The searches and subsequent quality appraisal resulted in the inclusion of 29 original qualitative papers from 9 countries, reporting experiences from 401 mothers and 94 fathers.

Review methods: The meta-synthesis entails a meta-data analysis, analysis of meta-method, and meta-theory in the included primary studies. Based on the three analyses, the meta-synthesis represents a new interpretation of a phenomenon. The results of the meta-data analysis have been presented as a qualitative systematic review in a separate paper.

Results: When synthesizing and interpreting the findings from the included analyses, a theoretical model of Becoming a parent under unfamiliar circumstances emerged. Providing SSC seems to be a restorative as well as an energy-draining experience. A supportive environment has been described as facilitating the restorative experience, whereas obstacles in the environment seem to make the provision of SSC energy-draining for parents. When the process is experienced as positive, it facilitates the growth of parental self-esteem and makes the parents ready to assume full responsibility for their child.

Conclusion: The results show that SSC can be interpreted not only as a family-including and important health care intervention but also in terms of actually becoming a parent. The process of becoming a parent in this specific situation is influenced by external factors in three different levels; family and friends, community, and society at large. The descriptions of providing SSC are similar to what has previously been described as the natural process of becoming a mother or a father.

Show MeSH