ArticleAdvances in neonatal care : official journal of the National Association of Neonatal Nurses2021
Patterns of Parenting Confidence Among Infants With Medical Complexity: A Mixed-Methods Analysis.
Article in Advances in neonatal care : official journal of the National Association of Neonatal Nurses, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.
- Impact of parent education programmes on confidence and self-efficacy in parents of preterm infants: a systematic review.BMJ paediatrics open · 2026Pooled it
- The impacts of caring for children with inherited metabolic diseases for families: a cross-sectional study.Orphanet journal of rare diseases · 2026Article
- Using mHealth to Support Queensland Mothers and Children From Birth to Two Years: A Longitudinal Study of Connecting2u.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025Article
- Parental Self-Efficacy in Managing Pediatrics' Medications and Treatments in Jordan: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2025Article
- Parents' Experiences With an Early Behavioral Intervention, H-HOPE, in the NICU and at Home: A Qualitative Study.Advances in neonatal care : official journal of the National Association of Neonatal Nurses · 2025Article
- Family-Centered Care for LGBTQ+ Parents of Infants in the Neonatal Intensive Care Unit: An Integrative Review.Children (Basel, Switzerland) · 2024Review
- Heartbreak and Loneliness Due to Family Separations and Limited Visiting during COVID-19: A Qualitative Study.International journal of environmental research and public health · 2023Article
- Parenting self-efficacy instruments for parents of infants and toddlers: A review.International journal of nursing studies advances · 2022Review
- Parents' pandemic NICU experience in the United States: a qualitative study.BMC pediatrics · 2021Article
- Parenting Self-Efficacy in Fathers of Medically Complex Infants: A Longitudinal Study.Journal of neonatal nursing : JNN · 2021Article
- Behavioral Observation of Infants With Life-Threatening or Life-Limiting Illness in the Neonatal Intensive Care Unit.Nursing researchArticle
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundParenting confidence is an important factor in fostering optimal health and development of infants with medical complexity. However, our understanding of how parents of medically complex infants describe development of confidence is limited. The purpose of this mixed-methods study was to describe the nature and development of parenting confidence.
methodsA mixed-method design was used to examine how parents described their level of confidence. Ten parents of infants with medical complexity. Quantitative measures provided patterns of confidence and qualitative data focused on parent descriptions of confidence. Parents completed online surveys at 3 time points: (1) study enrollment, (2) infant discharge from hospital, and (3) 3 months after discharge. Parents were purposively sampled, using their confidence patterns, for qualitative phone interviews.
resultsOur analysis of quantitative findings revealed 3 confidence patterns: (1) increasing, (2) stable, and (3) varying. Parents described their confidence as either (1) a state of being confident or (2) how they behaved in the parenting role. Parents felt both certain and uncertain in their level of confidence and described confidence as being situationally dependent. IMPLICATIONS FOR PRACTICE: Parenting confidence needs to be cultivated through encouragement and repeated exposure to parenting behaviors. Nurses are well-suited to help identify parents with low confidence to support parents so that they can develop confidence. IMPLICATIONS FOR RESEARCH: Because there is variability in parent confidence during this critical early period of life, future research should consider a larger cohort of parents that compares confidence in diverse parent groups (ie, married vs living together couples, same-sex couples, and single parents). Research should also examine effective strategies to promote confidence and associated long-term health and developmental outcomes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.