49 “You’re sad for the mom, you’re sad for the baby”: Nurses’ experiences with custody apprehensions of substance-exposed newborns
Notice bibliographique
Résumé
Abstract Background The post-partum period is a cherished time for mothers and babies; the interruption of this bonding opportunity, and the trauma and social challenges following child apprehension have been well-articulated. Few studies have captured the perspectives of providers involved in custody loss of newborns whose birthing parents who use substances. The perspectives and experiences of New Brunswick nurses involved in the care of birthing parents who use substances and their newborns during custody apprehension has not been illustrated by previous studies. Objectives This study seeks to address this gap in the literature through the exploration of newborn custody apprehensions from the perspective of the New Brunswick nursing staff who provide direct care to substance-exposed newborns or their birthing parents who use substances. The study aims to address two research questions. First, the study seeks to understand how nurses providing direct care to affected families experience the custody apprehension of substance-exposed newborns. Second, the study examines the nurses’ perceptions of barriers to providing trauma-informed care to birthing parents who use substances when their newborn is apprehended. Design/Methods The present study utilized qualitative methods to describe the experiences of nurses during a custody apprehension of a newborn. Nine nurses employed with the labour and delivery or NICU units of hospitals participated in semi-structured interviews. The interview data was subject to thematic analysis. Results The results of the analysis led to the development of six key themes, including 1) The emotional toll of caring for families undergoing a newborn custody apprehension, 2) Nurses’ desires for support for themselves and their patients, 3) Nurses’ desires for training to care for affected families, 4) Communication as a foundation component of care and inter-professional collaboration, 5) Conflict, including both intrapersonal and role conflicts, and 6) The provision of trauma informed care. The findings from this study were utilized to generate key recommendations for hospital policy and decision makers, which include the implementation of trauma-informed care training, specific to substance use disorders, in undergraduate nursing and continuing-education activities. Conclusion The present study demonstrated that nurses experience challenges, both emotionally and professionally, with custody apprehensions of substance-exposed newborns. Additionally, nurses perceive barriers to providing trauma-informed care to birthing parents who use substances when their newborn is apprehended. Barriers are evident through a lack of education and training pertaining to the provision of trauma-informed care to people who use substances.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,008 | 0,017 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,011 | 0,011 |
| Communication savante | 0,005 | 0,003 |
| Science ouverte | 0,002 | 0,007 |
| Intégrité de la recherche | 0,002 | 0,005 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».