Nurses' narratives on termination of primary nursing relationship with parents in neonatal
intensive care
Engelsk titel: Nurses' narratives on termination of primary nursing relationship with parents in neonatal
intensive care
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Författare:
Korhonen, Anne
;
Kangasniemi, Mari
Email: anne.t.korhonen@ppshp.fi
Språk: Eng
Antal referenser: 50
Dokumenttyp:
Artikel
UI-nummer: 14123950
Sammanfattning
Background
Primary nursing working model in the neonatal intensive care unit enables a long-lasting caring
relationship with the infants and their parents. Terminating this kind of relationship is seldom
discussed.
Aim
The aim of the study was to describe nurses' experiences of terminating the primary nursing
relationship with the parents in neonatal intensive care.
Methods
Qualitative design using narrative method was used because there is a little knowledge relating to
the topic. The data were collected with active interviews and analysed with narrative analysis. Seven
nurses with experience of neonatal intensive care and primary nursing were recruited by
convenience sampling. The approval was granted according to the hospital guidelines.
Results
The results gave rise to the three narratives that described the relationship between the primary
nurse and the parents as the nursing relationship ends. All narratives shared a common plot,
‘regulation of the closeness on nursing relationship', but it was manifested in different ways in each
narrative. The plot in the narratives changed on a closeness–distance axis according to how the
primary nurse regulated the nursing relationship and its termination. In the first narrative, the
regulation of the relationship promoted distance, in the second connection and in the third closeness
and connection.
Conclusions
The long-lasting nature of the primary nursing working model may allow different caring relationships
which will be revealed in terminating phase of care. This phenomenon is poorly recognised. It is
important to study the caring relationship between the primary nurse and the parents of a
hospitalised child, because the caring relationship is the core of nursing and needs to be considered
in research and supported in practice.
Published by arrangement with John Wiley & Sons.