TY - JOUR
T1 - Effects of parent-provider communication during infant hospitalization in the NICU on parents
T2 - A systematic review with meta-synthesis and narrative synthesis
AU - Labrie, Nanon H. M.
AU - van Veenendaal, Nicole R.
AU - Ludolph, Ramona A.
AU - Ket, Johannes C. F.
AU - van der Schoor, Sophie R. D.
AU - van Kempen, Anne A. M. W.
N1 - Funding Information: NL is funded by a personal grant awarded by the Dutch National Research council (NWO, VI.Veni.191S.032 ). NvV is supported by an unrestricted research grant provided by Nutricia® , The Netherlands. The funding sources had no involvement in the study design; the collection, analysis, and interpretation of data; the writing of the report; and the decision to submit the article for publication. Funding Information: NL is funded by a personal grant awarded by the Dutch National Research council (NWO, VI.Veni.191S.032). NvV is supported by an unrestricted research grant provided by Nutricia?, The Netherlands. The funding sources had no involvement in the study design; the collection, analysis, and interpretation of data; the writing of the report; and the decision to submit the article for publication. Publisher Copyright: © 2021 The Authors Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/7/1
Y1 - 2021/7/1
N2 - Objective: To synthesize and analyse the literature on the effects of parent-provider communication during infant hospitalization in the neonatal (intensive) care unit (NICU) on parent-related outcomes. Methods: Systematic review with meta-synthesis and narrative synthesis. Databases (PubMed, PsycINFO, Cochrane Library, CINAHL, Web of Science, Scopus) were searched in October/November 2019. Studies reporting, observing, or measuring parent-related effects of parent-provider communication in the NICU were included. Study quality was assessed using the Quality Assessment Tool for Studies with Diverse Designs. Qualitative studies were meta-synthesized using deductive and inductive thematic analysis. Quantitative studies were analysed using narrative synthesis. Results: 5586 records were identified; 77 were included, reporting on N = 6960 parents, N = 693 providers, and N = 300 NICUs. Analyses revealed five main (positive and negative) effects of parent-provider interaction on parents’ (1) coping, (2) knowledge, (3) participation, (4) parenting, and (5) satisfaction. Communication interventions appeared impactful, particularly in reducing parental stress and anxiety. Findings confirm and refine the NICU Communication Framework. Conclusions: Parent-provider communication is a crucial determinant for parental well-being and satisfaction with care, during and following infant hospitalization in the NICU. R. Practice Implications: Providers should particularly consider the impact on parents of their day-to-day interaction – the most occurring form of communication of all.
AB - Objective: To synthesize and analyse the literature on the effects of parent-provider communication during infant hospitalization in the neonatal (intensive) care unit (NICU) on parent-related outcomes. Methods: Systematic review with meta-synthesis and narrative synthesis. Databases (PubMed, PsycINFO, Cochrane Library, CINAHL, Web of Science, Scopus) were searched in October/November 2019. Studies reporting, observing, or measuring parent-related effects of parent-provider communication in the NICU were included. Study quality was assessed using the Quality Assessment Tool for Studies with Diverse Designs. Qualitative studies were meta-synthesized using deductive and inductive thematic analysis. Quantitative studies were analysed using narrative synthesis. Results: 5586 records were identified; 77 were included, reporting on N = 6960 parents, N = 693 providers, and N = 300 NICUs. Analyses revealed five main (positive and negative) effects of parent-provider interaction on parents’ (1) coping, (2) knowledge, (3) participation, (4) parenting, and (5) satisfaction. Communication interventions appeared impactful, particularly in reducing parental stress and anxiety. Findings confirm and refine the NICU Communication Framework. Conclusions: Parent-provider communication is a crucial determinant for parental well-being and satisfaction with care, during and following infant hospitalization in the NICU. R. Practice Implications: Providers should particularly consider the impact on parents of their day-to-day interaction – the most occurring form of communication of all.
KW - Decision-making
KW - Effects
KW - Empowerment
KW - Family integrated care
KW - Family-centred care
KW - Information exchange
KW - Meta-analysis
KW - Meta-synthesis
KW - Narrative synthesis
KW - Neonatal care
KW - Neonatal intensive care unit
KW - Neonatologists
KW - Parent-provider communication
KW - Parents
KW - Patient-provider relationships
KW - Systematic review
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85105777982&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/33994019
UR - http://www.scopus.com/inward/record.url?scp=85105777982&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85105777982&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.pec.2021.04.023
DO - https://doi.org/10.1016/j.pec.2021.04.023
M3 - Review article
C2 - 33994019
SN - 0738-3991
VL - 104
SP - 1526
EP - 1552
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 7
ER -
