Are fathers supported by neonatal teams?: An exploration of the literature
Introduction
For parents, the neonatal intensive care unit (NICU) is a stressful and anxious place. Parents find themselves in the middle of complex equipment and highly technical machinery, each with its own sound or alarm (Sloan et al., 2008, O'Brien and Warren, 2014). Few parents expect to find their child admitted on to a neonatal intensive care unit. If this does happen it can often result in the family spending weeks or months in the unfamiliar hospital environment. There have been copious amounts of research exploring the experience of mothers in the NICU environment this is merely an example of available literature (Flacking et al., 2007, Baum et al., 2012, Hall et al., 2013, Finlayson et al., 2014). This research has proved beneficial and has assisted in helping practitioners gain an insight into how mothers can be supported. More recently, research exploring the experience of fathers has been completed (Carter et al., 2005, Lindberg et al., 2007, Arockiasamy et al., 2008, Hollywood and Hollywood, 2011, Deeney et al., 2012 . Lee et al., 2012, O'Brien and Warren, 2014). This research has found similar outcomes to the previous work with mothers. One key finding was, that lack of control, was experienced by both mothers and fathers. However this appeared more prevalent for the fathers (Wigert et al., 2006, Arockiasamy et al., 2008, Deeney et al., 2012).
Section snippets
Background research
Obtaining data about the parent's experience can provide insight into their needs during the time spent on the NICU. The findings from research into parental experience can direct the level of support required. It also has the opportunity to assess if the current information provided by neonatal teams is appropriate and given at the correct time (Howell and Graham, 2011, Burton, 2013). The Parents of Premature Babies project POPPY (NCT and Poppy Steering Group, 2009) conducted an
Work constraints
Lindberg et al. reported in 2007 that father's felt unable to be involved in the care and decision-making for their baby. This was linked to the work constraints experienced by many fathers. Legally, fathers are entitled to one and, in some cases, two weeks paternity leave; however this does not differ if their infant is born prematurely (HM Revenue & Customs, 2015). As a result of this, fathers are often left with having to make the difficult decision of whether to take their paternity leave
Why it is important to support fathers' involvement?
It has been found that when fathers receive consistent and adequate information they become more knowledgeable, which enabled them to feel more secure. This has the potential to lead to an increased likelihood of fathers being involved in the long term care of their infant (Fegran et al., 2008). The literature implies that when fathers are excluded from being involved in their infants care, they develop feelings of uncertainty, distress and a lack of control (Deeney et al., 2012, Fegran et al.,
What can the neonatal team do to support fathers?
There are benefits to neonatal staff evaluating the father's emotional needs and level of family support, in order to direct the level of care required by the team. O'Brien and Warren (2014) highlight that if fathers were to be evaluated by the neonatal team on admission to the neonatal unit this could identify their emotional needs, and assess any lack of family support available to them thus signposting the team to those parents requiring additional support networks. This is further supported
Conclusion
Research into fathers experience has vastly improved within the last ten years however reports are still evidencing that fathers continue to feel unequal and experience a lack of control in the NICU (Provenzi and Santoro, 2015). Fathers experience unique challenges and the literature has suggested these to include; inequality, problems with information sharing and work constraints. Various service improvements have the potential to improve the father's’ experience which may in effect increase
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