Evidence map›Paper›PMID 34282668›Full record

ArticleNursing ethics2022

Establishing a trusting nurse-immigrant mother relationship in the neonatal unit.

Nina Margrethe Kynø, Ingrid Hanssen

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Article in Nursing ethics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Nina Margrethe KynøLovisenberg Diaconal University College, Norway; Oslo University Hospital, Norway.ORCID https://orcid.org/0000-0002-3046-3554
Ingrid HanssenLovisenberg Diaconal University College, Norway.ORCID https://orcid.org/0000-0002-1720-8911

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the neonatal intensive care unit, immigrant parents may experience even greater anxiety than other parents, particularly if they and the nurses do not share a common language.

aimTo explore the complex issues of trust and the nurse-mother relationship in neonatal intensive care units when they do not share a common language. DESIGN AND

methodsThis study has a qualitative design. Individual semi-structured in-depth interviews and two focus group interviews were conducted with eight immigrant mothers and eight neonatal intensive care unit nurses, respectively. Data analysis was based on Braun and Clarke's thematic analytic method. ETHICAL CONSIDERATIONS: Approval was obtained from the hospital's Scientific Committee and the Data Protection Officer. Interviewees were informed in their native language about confidentiality and they signed an informed consent form.

resultsTrust was a focus for mothers and nurses alike. The mothers held that they were satisfied that their infants received the very best care. They seemed to find the nurses' care and compassion unexpected and said they felt empowered by learning how to care for their infant. The nurses discussed the mother's vulnerability, dependency on their actions, attitudes and behaviour. DISCUSSION: Lack of a common language created a challenge. Both parties depended on non-verbal communication and eye contact. The nurses found that being compassionate, competent and knowledgeable were important trust-building factors. The mothers were relieved to find that they were welcome, could feel safe and their infants were well cared for.

conclusionThe parents of an infant admitted to the neonatal intensive care unit have no choice but to trust the treatment and care their infant receives. Maternal vulnerability challenges the nurse's awareness of the asymmetric distribution of power and ability to establish a trusting relationship with the mother. This is particularly important when mother and nurse do not share a verbal language. The nurses worked purposefully to gain trust.

Indexed as

Emigrants and ImmigrantsMothersFemaleHumansInfantInfant, NewbornIntensive Care Units, NeonatalQualitative ResearchTrustClinical ethicsempirical approachesethics and children in careexistentialistneonatal carequalitative research

Identifiers

PMID34282668
PMCPMC8866739

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