Clinical Implications

Topics: Neonatal intensive care unit, Nursing, Infant Pages: 15 (4535 words) Published: June 24, 2013
The aim of the assignment is to provide a critical analysis of a research article relevant to the clinical area, which is that of a neonatal unit. The article that the author has chosen to critique is a paper entitled ‘Parental Perception of Neonatal Care’ (Gavey.J, 2007).

The title of a research article is of importance as it should reflect the research question set (Edwards & Talbot, 1999). The research article examined by the author examines parent’s perception of their experience on the neonatal unit, considering their impressions of the unit and of the daily ward round. Therefore the title in this study informs the reader of its proposed contents.

The research was conducted by one person alone. The article clearly indicates the clinical area that the research was conducted in, however fails to identify any previous research undertaken by the researcher or qualifications which would have proved relevant to this study. Therefore it is difficult to ascertain the researcher’s background and thus the impact it has on this piece of research.

Parahoo (1997) identifies that the abstract should highlight the research question asked, providing the reader with sufficient information to decide whether the article is of interest. The abstract does state what the study wanted to achieve and what it did in fact discover. The author managed to outline the methodology used in this study, the aim and recommendations which are included in the abstract.

The introduction usually identifies why the research was undertaken along with the significance of conducting the study in generating knowledge for nursing practise, (Burns and Grove 1997). This area was researched, because family centred care is at the heart of neonatal nursing at the moment. Over the past decades there has been increasing interest in how parents experience that mission and subsequent care of infants in the neonatal unit. A study by (Miles 1987) using a parental stress scale showed the dimensions causing the stress was the appearance and behaviour of the infant, closely followed by the dimension parental role attraction.

Griffins (1990) identified several barriers that parents are faced with, including physical, mechanical, physiological and emotional barriers. By describing the nurse as a ‘gatekeepers’ of the infant, he identifies the nurse as the principle barriers of parenting, suggesting the need for modifying nurse’s behaviour with parents on neonatal unit.

The literature addressing these issues identifies that parents want respect, support and acknowledgement of their expertise in caring for their infants. As Bass (1991) states, parents want to be given opportunities in which they can act as normal parents. Parents are acknowledged as central to their child’s existence and therefore their values and beliefs are seen as a priority during care planning. Family centred care refers to caring for the family as one unit (Beresford, 1997). Smith (1999) describes family centred care as the “predominant theme in the philosophy of neonatal care” but that the interpretation of the principle varies from unit to unit, and nurse to nurse.

The literature review should give an oversight of previous research or writings on the topic (Ogier 1999). A literature reviews involves the scanning and critical reading of the selected literature to find out how it can be useful to the current research, (Parahoo 1997). The opinion of the researcher, that having a baby on a neonatal unit is extremely stressful, is supported by relevant supporting literature. Further literature found by the author and Lau & Morse (1998) confirm this view. Literature addressing this issue identifies that parents want a voice in the care of their child, which has lead to the implementation of Family Centred Care ( FCC). Studies that have evaluated FCC principles have shown that not only are parents more positive about their...

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