ABSTRACT
PURPOSE: This report describes parenting stress experienced by mothers of preterm infants following hospital discharge. SUBJECTS: Twenty-nine mothers and their preterm infants were included in the analysis. DESIGN AND METHODS: The study was conducted using a descriptive and exploratory single group design. The analysis included 29 mothers of preterm infants, mean gestational age 33.14 weeks, mean postnatal age 78.59 days, 6 to 10 weeks after discharge. Mothers were administered the Parenting Stress Index (PSI), a 101-item questionnaire that includes a total score and Parent and Child Domains. It also includes the following 13 scales: Adaptability, Acceptability, Demandingness, Mood, Distractibility/Hyperactivity, Reinforces Parent, Depression, Attachment, Restriction of Role, Sense of Competence, Social Isolation, Relationship with Spouse, and Parent Health. PRINCIPAL RESULTS: A high rate of missing items was noted on the PSI. In particular, missing items occurred predominantly in the Child Domain. By following guidelines for scoring the PSI when items are missing, summary scores were calculated for 16 of the 29 participants. Total scores demonstrate the stress experienced by parents of preterm infants. Parent Domain scores were comparable with normative samples; however, Child Domain scores were above the 50th percentile for all child scales. CONCLUSIONS: Mothers of preterm infants experience stress that is largely attributable to the particular characteristics of low gestation infants. The PSI may provide insight into parenting stress; however, future research should examine missing items more closely.
Subject(s)
Infant, Premature/psychology , Mothers/psychology , Parenting/psychology , Stress, Psychological/etiology , Surveys and Questionnaires/standards , Adult , Female , Humans , Infant, Newborn , Male , Mother-Child Relations , Reproducibility of Results , Stress, Psychological/diagnosisABSTRACT
Staffing data (staff mix and nursing care hours) and patient outcome indicator data (falls, skin integrity, nosocomial infections, and satisfaction) from a pilot study are presented. These data provide a compelling case for developing databases and collection systems that capture standardized indicator and staffing data to address issues about the quality of nursing care. They also underscore the need for establishing benchmarks that represent targets of excellence as well as determining what constitutes adequate staffing.
