Effects of parent-provider communication during infant hospitalization in the NICU on parents: A systematic review with meta-synthesis and narrative synthesis

Nanon H.M. Labrie*, Nicole R. van Veenendaal, Ramona A. Ludolph, Johannes C.F. Ket, Sophie R.D. van der Schoor, Anne A.M.W. van Kempen

*Corresponding author for this work

Research output: Contribution to JournalReview articleAcademicpeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)1526-1552
Number of pages27
JournalPatient Education and Counseling
Volume104
Issue number7
Early online date6 May 2021
DOIs
Publication statusPublished - Jul 2021

Bibliographical note

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.

Keywords

  • Decision-making
  • Effects
  • Empowerment
  • Family integrated care
  • Family-centred care
  • Information exchange
  • Meta-analysis
  • Meta-synthesis
  • Narrative synthesis
  • Neonatal care
  • Neonatal intensive care unit
  • Neonatologists
  • Parent-provider communication
  • Parents
  • Patient-provider relationships
  • Systematic review

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