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Journal of Caring Sciences
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Submitted: 30 Aug 2015

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J Caring Sci. 2015;4(3):207-216 doi: 10.15171/jcs.2015.021
PMID:26464837        PMCID:PMC4591613

The Obstacles against Nurse-Family Communication in Family-Centered Care in Neonatal Intensive Care Unit: a Qualitative Study

Original Research

Zahra Hadian Shirazi 1, Farkhondeh Sharif 2 * , Mahnaz Rakhshan 3, Narjes Pishva 4, Faezeh Jahanpour 5

1 Department of Nursing, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
2 Department of Nursing, Community Based Psychiatric Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
3 Department of Nursing, Community Based Psychiatric Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
4 Department of Pediatrics, Neonatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
5 Department of Nursing, Nursing and Midwifery Faculty, Boushehr University of Medical Sciences, Boushehr, Iran



Abstract
Introduction: Communication is one of the key principles in Family-Centered Care (FCC). Studies have shown some drawbacks in communication between families and nurses. Therefore, the present study aimed to recognize the obstacles against nurse-family communication in FCC in Neonatal Intensive Care Unit (NICU). Methods: This qualitative study was conducted on 8 staff nurses in 2 NICUs affiliated to Shiraz University of Medical Sciences selected through purposive sampling. The data were collected using 8 deep semi-structured interviews and 3 observations. Then, they were analyzed through inductive content analysis. Results: Data analysis resulted in identification of 3 main categories and 7 subcategories. The first category was organizational factors with 2 subcategories of educational domain (inadequate education, lack of a system for nursing student selection, and poor professionalization) and clinical domain (difficult working conditions, lack of an efficient system for ongoing education and evaluation, and authoritarian management). The second category was familial factors with socio-cultural, psychological, and economic subcategories. The last category was the factors related to nurses with socio-cultural and psycho-physical subcategories.Conclusion: Identification of the obstacles against nurse-family communication helps managers of healthcare systems to plan and eliminate the challenges of effective communication. Besides, elimination of these factors leads to appropriate strategies in NICUs for effective application of FCC.





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