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The Effect of Empowering Mothers of Infants Hospitalized at the Neonatal Intensive Care Unit on Their Participation in Neonatal Care

Fatemeh Alaee Korahroudi, Manijeh Shakibifard, Lida Nikfarid, Malihe Nasiri, Manijeh Nouriyan, Azam Shirin Abadi Farahani




Introduction: Mothers’ participation in the Neonatal Intensive Care Unit is important
in promoting neonatal care and good outcomes for neonates and their mothers. The
present study was conducted with the aim of assessing the effect of empowering
mothers of hospitalized neonates on the level of their participation in neonatal care.
Methods: This quasi-experimental single-group study with before-after design
recruited 59 mothers of neonates hospitalized at the NICU, selected according to the
study inclusion criteria. Data were collected using educational needs questionnaire
and the maternal participation checklist. The questionnaire was completed by
mothers and the participation checklist by the researcher before the intervention. The
empowerment program was then implemented over 2 to 4 days.
Results: Comparison of participants› checklist scores before and after the
implementation of the empowerment program in 3 domains of care needs, information
needs, and bonding, and attachment needs, showed significant increases in the level of
mothers› participation. The comparison of checklist participation scores showed that
the Mean (M) and Standard Deviation (SD) of scores before and after performing the
mothers› empowerment were respectively 7.61 ± 3.66 and 12.38 ± 1.31 in the care
area, 1.47 ± 0.99 and 3.13 ± 0.66 in the information area, and 4.77 ± 1.42 and 5.70 ±
0.59 in the area of attachment and dependency.
Conclusions: Implementation of the empowerment program for mothers based on
their educational needs significantly increased mothers› participation in neonatal
care. This empowerment program could be applied for a broad range of population of
mothers at the intensive care units of neonates.


Intensive Care Units, Neonatal, mothers, empowerment



Taylor PM. Neonatal-perinatal medicine: diseases of the fetus and infant. JAMA. 1988;260(17):2580-.

Gonya J, Martin E, McClead R, Nelin L, Shepherd E. Empowerment programme for parents of extremely premature infants significantly reduced length of stay and readmission rates. Acta Paediatrica. 2014;103(7):727-31.

Shah PE, Clements M, Poehlmann J. Maternal resolution of grief after preterm birth: implications for infant attachment security. Pediatrics. 2011;127(2):284-92.

Melnyk BM, Feinstein NF, Alpert-Gillis L, Fairbanks E, Crean HF, Sinkin RA, et al. Reducing premature infants' length of stay and improving parents' mental health outcomes with the Creating Opportunities for Parent Empowerment (COPE) neonatal intensive care unit program: a randomized, controlled trial. Pediatrics. 2006;118(5):e1414-e27.

Borimnejad L, Mehrnush N, Seyed-Fatemi N, Haghani H. The effect of Empowerment Program on mother-infant interaction and weight gain in preterm infants. Zahedan Journal of Research in Medical Sciences. 2012;14(9):19-23.

Chen Y, Zhang J, Bai J. Effect of an educational intervention on parental readiness for premature infant discharge from the neonatal intensive care units. Journal of advanced nursing. 2016;72(1):135-46.

Redshaw M, Hamilton KS. Family centred care? Facilities, information and support for parents in UK neonatal units. Archives of Disease in Childhood-Fetal and Neonatal Edition. 2010;95(5):F365-F8.

Lindberg B, Öhrling K. Experiences of having a prematurely born infant from the perspective of mothers in northern Sweden. International journal of circumpolar health. 2008;67(5):461-71.

Kipnis K. Harm and uncertainty in newborn intensive care. Theoretical medicine and bioethics. 2007;28(5):393-412.

Altimier L. Compassionate family care framework: a new collaborative compassionate care model for NICU families and caregivers. Newborn and Infant Nursing Reviews. 2015;15(1):33-41.

Jafari Mianaei S, Alaee Karahroudy F, Rassouli M, Zagheri Tafreshi M. The effect of Creating Opportunities for Parent Empowerment program on maternal stress, anxiety, and participation in NICU wards in Iran. Iranian journal of nursing and midwifery research. 2014;19(1):94-100.

Karbandi S, Momenizadeh A, Hydarzadeh M, Mazlom S, Hasanzadeh M. The Effect of Mother Empowerment Program on Mothers’ Attachment to their Hospitalized Premature Neonates. Evidence Based Care. 2015;5(2):7-14.

Munro BH. Statistical methods for health care research: Lippincott Williams & Wilkins; 2005.

Lubbe W. Early intervention care programme for parents of neonates. Curationis. 2005;28(3):54-63.

Schoenherr J, Vlcan L, Rubarth L. dc. title Parental Interaction in the Neonatal Intensive Care Unit (NICU).

Brett J, Staniszewska S, Newburn M, Jones N, Taylor L. A systematic mapping review of effective interventions for communicating with, supporting and providing information to parents of preterm infants. BMJ open. 2011:bmjopen-2010-000023.

Wataker H, Meberg A, Nestaas E. Neonatal family care for 24 hours per day: effects on maternal confidence and breast-feeding. The Journal of perinatal & neonatal nursing. 2012;26(4):336-42.

Steinhardt A, Hinner P, Kühn T, Roehr CC, Rüdiger M, Reichert J. Influences of a dedicated parental training program on parent–child interaction in preterm infants. Early human development. 2015;91(3):205-10.

Tooten A, Hoffenkamp HN, Hall RA, Winkel FW, Eliëns M, Vingerhoets AJ, et al. The effectiveness of video interaction guidance in parents of premature infants: A multicenter randomised controlled trial. BMC pediatrics. 2012;12(1):76.

Carvalho AEV, Linhares MBM, Padovani FHP, Martinez FE. Anxiety and depression in mothers of preterm infants and psychological intervention during hospitalization in neonatal ICU. The Spanish journal of psychology. 2009;12(01):161-70.

DOI: https://doi.org/10.22037/anm.v27i3.17121