Parental role conflict: the nursing diagnosis in mothers of hospitalized newborns

Carmona, Elenice Valentim; Vale, Ianê Nogueira do; Ohara, Conceição Vieira da Silva; Abrão, Ana Cristina Freitas de Vilhena

doi:10.1590/S0104-11692013000200014

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Original Article • Rev. Latino-Am. Enfermagem 21 (2) • Mar-Apr 2013 • https://doi.org/10.1590/S0104-11692013000200014 linkcopy

Parental role conflict: the nursing diagnosis in mothers of hospitalized newborns¹

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstracts

OBJECTIVE: To verify if mothers of newborns hospitalized recognize the defining characteristics of "parental role conflict" as representative of that experience.

METHODS: A cross-sectional and descriptive study, developed in a neonatal unit of a public teaching hospital in the state of São Paulo. The sample consisted of 100 women who assigned scores of 1 to 5 to the defining characteristics of the diagnosis, where 1 meant "not at all characteristic" and 5 meant "completely characteristic of what I am experiencing."

RESULT: Of the total sample, 96 women self-identified with the diagnosis. The most prevalent defining characteristics were: "anxiety," "mother expresses concern(s) in relation to changes in maternal role"; "verbalizes feelings of frustration," "reports concern about family" and "fear". Women who were with their children less often during hospitalization had a higher number of defining characteristics.

CONCLUSION: There was a high prevalence of the defining characteristics of the studied diagnosis, suggesting the relevance of the topic and the need for further studies to be developed in the neonatal unit.

Mother-Child Relations; Mothers; Infant, Newborn; Nursing Diagnosis; Neonatal Nursing

Defining Characteristics present *	N
Anxiety	78
Mother reports concern about changes in parental role	64
Mother reports feelings of frustration	53
Mother reports concern about family (e.g., functioning, communication, health)	52
Fear	51
Mother reports feeling of inadequacy to provide for child's needs (e.g., physical, emotional)	47
Demonstrates disruption in caretaking routines	36
Mother reports concern about perceived loss of control over decisions relating to child	34
Reports feelings of guilt	27
Mother reluctant to participate in usual caretaking activities, even with encouragement and support	20

Maternal and neonatal variables		N	p-value
Mothers
	Age (years) *	27.4 ã 6.2	0.59
	Marital status: with partner ?	75	0.39
	Education: High School ?	44	0.24
	Performance of remunerated activity	45	0.06
	Responsibility for the care of other family members	46	0.28
	Transportation allowance to visit NB ?	75	0.12
	Absence of immediate contact with NB in the delivery room	72	1.0
	First child hospitalized ?	70	0.23
	Parity: Two or more births	43	0.93
	Frequency of visit less than days of hospitalization of the child ?	65	0.0046
Newborns
	Days of hospitalization on the day of the interview ?	17	-
	Baby receiving intermediate care	61	0.77
	Birthweight <2000g	55	0,63
	Prematurity	69	1.00

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Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[TFN01t01] * Values 3, 4 or 5 attributed on Likert Scale.

Parental role conflict: the nursing diagnosis in mothers of hospitalized newborns1

Abstracts

Parental role conflict: the nursing diagnosis in mothers of hospitalized newborns¹