000			02387nam a22002537a 4500
005			20250208141336.0
008			250208b ph ||||| |||| 00| 0 eng d
022			_a0361-929x
040			_cOCT
100			_aNist, Marliese Dion
243			_aThe American Journal of Maternal Child Nursing / _hMay-June 2024
245			_aBarriers and facilitators of parent presence in the neonatal intensive care unit / _cMarliese Dion Nist, Elizabeth Spurlock, and Rita Pickler
300			_aVol. 49 (3) pages 137-144 : _billustrations ; _c27 cm
500			_aAbstract Purpose: The purpose of this study was to describe system-level and personal factors influencing parent presence in the neonatal intensive care unit (NICU) and identify differences in factors by sociodemographic characteristics. Study Design and Methods: In a cross-sectional national survey study using social media recruit-ment, participants rated the frequency of 13 potential barriers and 12 potential facilitators using a 5-point Likert scale. Experiences of discrimination and parent-staff engagement were also measured. Results: Valid responses were analyzed from 152 participants. Uncomfortable facilities and home responsibilities were the most highly reported system-level and personal barriers, respectively. Encouragement to participate in caregiving and social support were the most highly reported system-level and personal facilitators, respectively. Participants reported low to moderate levels of discrimination and moderate levels of parent-staff engagement. Latent class analysis revealed three sociodemographic clusters. Differences in barriers, facilitators, discrimination, and engagement were found among clus-ters. Clinical Implications: NICU facilities are uncomfortable and may discourage parent presence. Allowing support persons to accompany parents, providing comfortable facilities, and engaging parents in caregiving may promote greater parent presence and improved parent and child outcomes. Studies of potential bias toward parents with lower education and income and effects on parent presence and infant outcomes are needed.
650			_aHealth equity
650			_aInfant
650			_aIntensive care units
650			_aNeonatal
650			_aParenting
650			_aPremature
700			_aSpurlock, Elizabeth
700			_aPickler, Rita
942			_2ddc _cCR _n0
999			_c10171 _d10171