Mutual trust in infant care: the nurses and mothers experiences

• Published in: Scandinavian journal of caring sciences 2020-09, Vol.34 (3), p.604-612
• Main Authors: Hassankhani, Hadi, Negarandeh, Reza, Abbaszadeh, Mohammad, Craig, Jenene W., Jabraeili, Mahnaz
• Format: Article
• Language: English
• Subjects: Caregiving; Child care; Ethnographic research; Families & family life; family‐centred care; Health care; Health care industry; Health services; Infants; Intensive care; Maternal and infant welfare; Mothers; mothers’ experiences; Neonatal units; Neonatology; Nurses; nurses’ experiences; Nursing; Parent participation; Trust; Vulnerability
• ISSN: 0283-9318; 1471-6712
• DOI: 10.1111/scs.12758

The relationship between healthcare providers and parents of infants in neonatal intensive care unit is based on trust and constitutes a core measure of family‐centred care and health. The aim of the present qualitative study was to explore mothers and nurses experiences of trust in one another around the caregiving of the hospitalised infant in intensive neonatal care unit. Focused ethnographic research study conducted through observations and in‐depth interviews with 20 mothers and 16 nurses in NICU of Tabriz (Iran) in 2017. Two main themes of ‘gradual and fragile trust of mother‐to‐nurse’ (subthemes: Primary trust‐mistrust, mother's trust to responsible nurse, mother trust Increase with skilful nurse performance, and vulnerability to trust) and ‘gradual and fragile trust of nurse‐to‐mother’ (subthemes: Nurse's initial assessment of trust to mother's readiness to participate, Development of trust to mother, and vulnerability of nurse's trust to mother) were obtained. The present study revealed that mutual trust between the nurse and the mother in the care of the infant was a gradual and progressive process that was achieved over time. Complexities around the care of a hospitalised infant influenced how fragile or vulnerable the trust became between nurse and mother. Findings from this research can be used in supporting increased maternal participation in infant care and improvement of family‐centred care in the neonatal intensive care unit.