Fathers’ perceptions of the barriers and facilitators to their involvement with their newborn hospitalised in the neonatal intensive care unit
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Aims and objectives. To explore what fathers perceive to be facilitators or barriers to their involvement with their infants. Background. Fathers make unique and important contributions to the development of their infants. Fathers of infants in the neonatal intensive care unit often feel that they have a limited role to play in their infant’s care, and surveys suggest that they are not typically involved in infant caregiving. Paradoxically, qualitative studies have found that fathers do want to be involved, and their lack of involvement is an important source of stress. Design. Qualitative descriptive. Methods. Eighteen fathers of infants, in the neonatal intensive care unit for at least one week, were interviewed and asked to describe what they perceived to be the barriers and facilitators to their involvement. Interviews were audio taped and transcribed, and the data was content analysed. Results. Three major categories of barriers/facilitators were identified: (1) infant factors (size and health status, twin birth and infant feedback), (2) interpersonal factors (the rewards of and attitudes and beliefs regarding fatherhood; family management; previous experiences) and (3) neonatal intensive care unit environmental factors (physical and social). These factors could often be a barrier or facilitator to involvement depending on the context. Conclusions. This study provides insights into what factors influence involvement, and how nursing staff can support involvement and best meet fathers’ needs. Relevance to clinical practice. Nurses should explore the forms of involvement that a father desires, as well as the demands on their time, and determine what might be done to promote involvement. Fathers should be assisted to maximise the time that they do have with the infant. Nurses must provide clear and consistent information about whether and when caregiving is advisable, and they can explain and demonstrate how fathers can care for their infant.
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Sharing information lowers parental stress and helps health care providers spot educational needs.
“Information sharing has been found to reduce parental stress and assist the health care provider identify educational needs (Burger King, & Tallet, 2015;Feeley et al. 2012).”
From Transition from hospital to home: Parents’ perception of their preparation and readiness for discharge with their preterm infant (2018) · cites this paper as Feeley et al. 2012
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- Authors
- Feeley, N., Waitzer, E., Sherrard, K., Boisvert, L., & Zelkowitz, P.
- Affiliations
- Jewish General Hospital (CA)
- Corresponding author
- Feeley, Nancy
- Venue
- Journal of Clinical Nursing
- Publisher
- Wiley
- Published
- 2012-11-27
- Volume
- 22
- Issue
- 3-4
- Pages
- 521-530
- ISSN
- 0962-1067 (ISSN-L)
- 1365-2702
- OpenAlex
- W2123513235
- Cited by
- 127
- References
- 45
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 7 · 2023: 14 · 2022: 9 · 2021: 12 · 2020: 13 · 2019: 14 · 2018: 11 · 2017: 14 · 2016: 14 · 2015: 6 · 2014: 4 · 2013: 2
- FWCI
- 3.35
- Type
- journal article
- Language
- en
- Open access
- Licence
- Locations
- Journal of Clinical Nursing (publishedVersion)
- PubMed (publishedVersion)
- eScholarship@McGill (McGill) (submittedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Health Sciences › Health Professions › Radiological and Ultrasound Technology › Family and Patient Care in Intensive Care Units
- Social Sciences › Demography › Family Dynamics and Relationships
- Keywords
- father involvement, fathers, neonatal intensive care unit, barriers to participation, fatherhood, twin births, family management, nursing staff support, father-infant bonding
- MeSH terms
- Adult, Father-Child Relations, Fathers, Humans, Infant, Newborn, Intensive Care Units, Neonatal, Male, Nursing Staff, Hospital
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