Success Stories of Caring for Premature Babies From the Experiences of Indonesian nurses: A Qualitative Descriptive Study
DOI:
https://doi.org/10.35730/jk.v14i2.942Abstract
Background: Premature birth is still a crucial problem for children worldwide. In Indonesia, the 5th highest preterm birth rate country, there have been many studies conducted on the success of treating premature babies but more often research on an intervention to address a specific problem faced by premature infants and their families. Rarely, the research examines qualitatively how health workers, including nurses, take careful measures to address all the health problems of premature babies at the same time until they are successful in caring for premature babies.
Purpose: This study aims to dig deeper into the success of Indonesian nurses in caring for premature babies.
Methods: This research is a qualitative descriptive study using focus group discussions (FGD) to obtain data from 17 nurses in the nursery who have experience caring for premature babies. Data from the two FGD groups were recorded, transcribed, and analyzed using thematic analysis.
Results: Four themes were obtained which described the success of nurses in caring for premature babies, namely (1) the various feelings of nurses when caring for premature babies (2) the attitude of nurses to work (3) the support of nurses to families (4) the work output of nurses.
Conclusion: Success in caring for premature babies from a nurse's perspective is successful in returning the baby to a healthy condition and staying healthy while being treated at home without rehospitalization. The success of caring for premature babies requires cooperation between nurses and families. Nurse support for the family will enable the family to participate actively during care and be able to care for premature babies at home.References
Ali, L. M. et al. (2019) ‘Neonatal and pediatric medicine nurs’s skills regarding care of preterm infants in neonatal intensive care unit Selected in Jazan, KSA’, Neonatal and Pediatric Medicine, 5(2), pp. 1–7.
Anggari, R. S., Kurniawan, S. and Lamak, M. K. (2022) ‘Perilaku etis saat pelaksanaan prosedur invasiv: Pengalaman perawat pada perawatan bayi prematur’, Jurnal Ilmiah Kesehatan Rustida, 09(01), pp. 1–12.
De Bernardo, G. et al. (2017) ‘Supporting parents in taking care of their infants admitted to a neonatal intensive care unit: A prospective cohort pilot study’, Italian Journal of Pediatrics, 43(1), pp. 1–11. doi: 10.1186/s13052-017-0352-1.
Cao, G., Liu, J. and Liu, M. (2022) ‘Global, regional, and national incidence and mortality of neonatal preterm birth, 1990-2019’, JAMA Pediatrics, 176(8), pp. 787–796. doi: 10.1001/jamapediatrics.2022.1622.
Cupit, C. et al. (2022) ‘Managerial thinking in neonatal care: A qualitative study of place of care decision-making for preterm babies born at 27-31 weeks gestation in England’, BMJ Open, 12(6). doi: 10.1136/bmjopen-2021-059428.
Dance, A. (2020) ‘Survival of the littles’, Nature, 582, pp. 20–23.
Edmond, K. (2022) ‘Introduction to evidence for global health care interventions for preterm or low birth weight infants’, Pediatrics, 150(August), pp. 1–8. doi: 10.1542/peds.2022-057092B.
Green, J. et al. (2021) ‘The transition home of extremely premature babies: An integrative review’, Journal of Neonatal Nursing, 27(1), pp. 26–32. doi: 10.1016/j.jnn.2020.09.011.
Im, M. and Oh, J. (2021) ‘Nursing support perceived by mothers of preterm infants in a neonatal intensive care unit in South Korea’, Child Health Nursing Research, 27(2), pp. 146–159. doi: 10.4094/chnr.2021.27.2.146.
Jiménez-Palomares, M. et al. (2021) ‘The impact of a preterm baby arrival in a family: A descriptive cross-sectional pilot study’, Journal of Clinical Medicine, 10(19). doi: 10.3390/jcm10194494.
Kassabian, S. et al. (2020) ‘Building a global policy agenda to prioritize preterm birth: A qualitative analysis on factors shaping global health policymaking’, Gates Open Research, 4(65), pp. 1–19. doi: 10.12688/gatesopenres.13098.1.
Kemenppa RI (2018) Profil kesehatan anak Indonesia tahun 2018, Kementrian Pemberdayaan Perempuan dan Perlindungan Anak (KPPPA). Jakarta: Kementrian Pemberdayaan Perempuan dan Perlindungan Anak (KPPPA).
MacTier, H. et al. (2020) ‘Perinatal management of extreme preterm birth before 27 weeks of gestation: A framework for practice’, Archives of Disease in Childhood: Fetal and Neonatal Edition, 105(3), pp. F232–F239. doi: 10.1136/archdischild-2019-318402.
Maleki, M. et al. (2022) ‘Nurses’ strategies to provide emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit: A systematic review and meta-analysis’, Women’s Health, 18, pp. 1–16. doi: 10.1177/17455057221104674.
Prescott, S. and Hehman, M. C. (2017) ‘Premature infant care in the early 20th Century’, JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing, 46(4), pp. 637–646. doi: 10.1016/j.jogn.2016.09.008.
Sefidkar, R. et al. (2021) ‘A trend study of preterm infant mortality rate in developed and developing countries over 1990 to 2017’, Iranian Journal of Public Health, 50(2), pp. 369–375. doi: 10.18502/ijph.v50i2.5353.
Silva, R. M. M. da et al. (2020) ‘The vulnerabilities of premature children: Home and institutional contexts’, Revista brasileira de enfermagem, 73(Suppl 4), p. e20190218. doi: 10.1590/0034-7167-2019-0218.
Vandali, V. (2017) ‘Nursing profession: A review’, International Journal of Nursing Education and Research, 5(4), p. 444. doi: 10.5958/2454-2660.2017.00095.3.
Veronez, M. et al. (2017) ‘Experience of mothers of premature babies from birth to discharge : Notes of field journals’, Revista Gaucha de Enfermagem, 38(2), p. e60911. doi: http://dx.doi. org/10.1590/1983-1447.2017.02.60911.
Wang, L. L. et al. (2021) ‘Mothers’ experiences of neonatal intensive care: A systematic review and implications for clinical practice’, World Journal of Clinical Cases, 9(24), pp. 7062–7072. doi: 10.12998/wjcc.v9.i24.7062.
WHO (2015) WHO recommendations on interventions to improve preterm birth outcomes: Evidence base. Perancis: WHO. Available at: www.who.int/reproductivehealth.
Yanhong, L. et al. (2020) ‘Successful treatment of an ultra-prematureinfant with a gestational age of 24 weeks’, Clinical Case Report Internationa;, 4(1185).
