No description available.

Bakgrund: Sjuksköterskor på neonatalavdelningar arbetar ofta i nära relation med föräldrar till för tidigt födda barn. Föräldrars delaktighet i omvårdnaden av sitt barn kan påverka förälderns psykiska hälsa, anknytning till barnet samt påverka barnets välmående och möjlighet till utveckling. Syfte: Beskriva barnsjuksköterskors upplevelser av att optimera föräldrars delaktighet i omvårdnaden av sitt för tidigt födda barn. Metod: Kvalitativ studie med induktiv ansats. Genom ett bekvämlighetsurval rekryterades åtta kvinnliga barnsjuksköterskor vid två jämförbara neonatalavdelningar i södra Sverige att delta vid semistrukturerade intervjuer. Intervjuerna bearbetades genom en kvalitativ innehållsanalys. Resultat: Studiens resultat presenteras utifrån två kategorier med nio underkategorier: 1) Svårigheter, innefattande fem underkategorier: Föräldrars olika medverkan i omvårndaden, Föräldrars reaktioner, Kommunikationssvårigheter, Relationen föräldrar-barnsjuksköterska samt Organisatoriska hinder 2) Framgångsfaktorer innefattande fyra underkategorier: Gynnad anknytning, Samspel mellan föräldrar och barn, Professionellt bemötande samt Utbildning till föräldrar och personal. Diskussion/Slutsats: Föräldrars insatser i omvårdnaden av sitt barn, barnsjuksköterskornas sätt att involvera dem och samspelet mellan båda parter leder till att föräldrars delaktighet kan optimeras eller missgynnas. Föräldrars rädslor är ett hinder för optimerad delaktighet som behöver uppmärksammas och ges utökade resurser för att hantera. Fortbildning till vårdpersonal på neonatalavdelningar skulle kunna förbättra barnsjuksköterskornas professionalitet i bemötande och omhändertagande av rädda och oförberedda föräldrar. / Background: Nurses working on neonatal wards often work closely to parents of premature born babies. Parents’ participation in the care of their baby can affect their mental health, their connection to the baby and influence the well-being and opportunities for development for the child. Aim: To describe pediatric nurses’ experiences of optimizing the participation of parents in the care of their premature born babies. Method: A qualitative study was conducted. Eight female pediatric nurses from two comparable neonatal wards in Southern Sweden were interviewed with semi-structured questions. A qualitative content analysis was conducted. Findings: The result of the study was represented by two categories and nine subcategories: 1) Challenges, containing five subcategories: Variation in parent participation, Parental reactions, Communication issues, Relationship between the parents and the pediatric nurse and Organizational obstacles 2) Factors for progress, containing four subcategories: Favored attachment, Interaction between parents and the child, Professional treatment, and Education of parents and staff. Conclusion: Parental contributions in the care of their newborn, the pediatric nurses’ ways of involving the parents and the interaction between the two can determine if the parental involvement becomes optimized or is disadvantaged. Parents fear represent one of many obstacles for optimized participation and could be given further attention and increased resources. Educating the pediatric staff could also improve the quality of care when working with parents reactions and fear in the unthought-of situation.

This dissertation attempts to understand what support from the school parents would most value when their child has been diagnosed with a learning disability. The method employed was qualitative in nature, using eight in-depth interviews with the mothers. The interviews confirmed that parents experience emotions similar to those when grieving. They also tend to feel isolated from their communities. Before embarking on a support program the school needs to recognize the depth of these emotions. The interviews also revealed that parents require timeous communication from the teacher. Parents concerns should be taken seriously or time goes by without the disability being attended to. The terminology used by professionals is often not fully understood by parents, and this causes them to feel unsure of how therapy is helping their child in the classroom and what its value is. Various guidelines are offered to support parents with regard to the above-mentioned aspects. / Educational Studies / M. Ed. (Guidance and Counselling)

This dissertation attempts to understand what support from the school parents would most value when their child has been diagnosed with a learning disability. The method employed was qualitative in nature, using eight in-depth interviews with the mothers. The interviews confirmed that parents experience emotions similar to those when grieving. They also tend to feel isolated from their communities. Before embarking on a support program the school needs to recognize the depth of these emotions. The interviews also revealed that parents require timeous communication from the teacher. Parents concerns should be taken seriously or time goes by without the disability being attended to. The terminology used by professionals is often not fully understood by parents, and this causes them to feel unsure of how therapy is helping their child in the classroom and what its value is. Various guidelines are offered to support parents with regard to the above-mentioned aspects. / Educational Studies / M. Ed. (Guidance and Counselling)