Abstract

Background:Neonatal nurses are challenged to • provide care for a still smaller preterm infant • help the mother through an uncertain motherhood toward a feeling of being a real mother for the preterm baby Aims: · further understand mothering when a preterm baby is admitted to the neonatal care unit · advance the nursing knowledge of family-centred care when preterm neonates need hospital care shortly after birth. Sample: Qualitative research studies (N=14) published from 2000 to 2006 in five countries on mothers' experiences of having a preterm baby in the neonatal care unit.Data analysis Method: Metasynthesis, a systematic comparison of studies; each study is translated into the other in a fashion similar to when an ethnographer is interpreting a culture. The purpose is to give an expanded understanding of the phenomenon under study. Noblit and Hare's (1988).Results: Five processes captured the mothers' experiences • from silent vigilance to advocacy • from continuously answering questions through chatting to sharing of knowledge • from their baby to my baby • a striving to be a real normal mother • the turbulent neonatal environment: from foreground to background Suggestions: Our suggestion for consistently and continuously to develop and strengthen the maternal competence while the infant is admitted to the neonatal care unit is threefold: using a care delivery plan, guided participation, and chat.

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