Parental barriers to implementing family-centred care in a neonatal intensive care unit in Islamic Republic of Iran

Abstract

Background: Studies have shown short-term and long-term positive effects of family-centred care interventions on neonatal and maternal health, and developmental outcomes in neonatal intensive care units. However, some challenges and barriers limit implementation of family-centred care. Aim: To investigate parental barriers to implementing family-centred care in a neonatal intensive care unit in Islamic Republic of Iran. Methods: A conventional content analysis was conducted at a neonatal intensive care unit in Tehran, Islamic Republic of Iran from 2020 to 2021. Twenty semi-structured interviews and 9 field notes were conducted. The interview data were analysed using the Graneheim and Lundman method and the demographic data were analysed using SPSS version 21. Findings: Two themes emerged from the data analysis. The first theme was “inefficiency of playing the parental role”, with 2 main categories of “face unpleasant feelings” and “inappropriate presence and participation”. The second theme was “ineffective involvement of parents in the care”, with 3 main categories of “lack of effective communication with personnel”, “interference of parents in the treatment process”, and “given insufficient information by parents”. Conclusion: Parental barriers to the provision of family-centred care featured prominently in the study. Therefore, to improve neonatal and family health, there is a need for involvement, coordination and effective communication between the medical teams and parents to create a supportive and friendly environment in neonatal intensive care units.