Fathers' experiences in the neonatal intensive care unit: a search for control.


OBJECTIVE:This qualitative study aimed at understanding the experiences of fathers of very ill neonates in the NICU. METHODS:Sixteen fathers of very ill and/or very preterm infants who had been in the NICU for >30 days were interviewed by a male physician. Fathers were asked about their level of comfort with or concerns about staff communication regarding their infant, about accessing information, and about more general perceptions of their experience in the neonatal intensive care unit. Interviews were audiotaped and transcribed for analysis. Coding used content analysis with construction of themes by 3 researchers. RESULTS:The overarching theme for fathers was a sense of lack of control. Their world view, as a "backdrop" theme, provided context for all of the themes. Four other interrelated subthemes were identified, including information; communication, particularly with the health care team; fathers' various roles; and external activities. Fathers reported that relationships with friends/family/health care team, receiving information consistently, and receiving short written materials on common conditions were ways of giving them support. The fathers said that speaking to a male physician was a positive and useful experience. CONCLUSIONS:Fathers experience a sense of lack of control when they have an extremely ill infant in the NICU. Specific activities help fathers regain a sense of control and help them fulfill their various roles of protectors, fathers, partners, and breadwinners. Understanding these experiences helps the health care team offer targeted supports for fathers in the NICU.






Arockiasamy V,Holsti L,Albersheim S




Has Abstract


2008-02-01 00:00:00














  • Adverse childhood experiences and sexually transmitted diseases in men and women: a retrospective study.

    abstract:OBJECTIVE:Adverse childhood experiences (ACEs) may have long-term consequences on at-risk behaviors that lead to an increased risk of sexually transmitted diseases (STDs) during adulthood. Therefore, we examined the relationship between ACEs and subsequent STDs for both men and women. METHODS:A total of 9323 (4263 men...


    pub_type: 杂志文章


    authors: Hillis SD,Anda RF,Felitti VJ,Nordenberg D,Marchbanks PA

    更新日期:2000-07-01 00:00:00

  • Mental Health Services Utilization and Expenditures Among Children Enrolled in Employer-Sponsored Health Plans.

    abstract:BACKGROUND AND OBJECTIVES:Mental illness in children increases the risk of developing mental health disorders in adulthood, and reduces physical and emotional well-being across the life course. The Mental Health Parity and Addiction Equity Act (MHPAEA, 2008) aimed to improve access to mental health treatment by requiri...


    pub_type: 杂志文章


    authors: Walter AW,Yuan Y,Cabral HJ

    更新日期:2017-05-01 00:00:00

  • Outcomes of extremely premature infants related to their peak serum bilirubin concentrations and exposure to phototherapy.

    abstract:OBJECTIVES:To analyze, in extremely low birth weight infants, associations between peak bilirubin concentration and evidence of brain damage, and between peak bilirubin concentration and blindness attributable to retinopathy of prematurity. METHODS:Retrospective study of 128 infants of


    pub_type: 杂志文章


    authors: Yeo KL,Perlman M,Hao Y,Mullaney P

    更新日期:1998-12-01 00:00:00

  • Patient education for immunizations.

    abstract::Many physicians and parents consider immunizations routine; as a result, they fail to discuss this important aspect of health care. Parents should be educated about each vaccine and the role it plays in the well-being of their child. To ensure that parents will be able to give informed consent to have their child immu...


    pub_type: 杂志文章


    authors: Fulginiti VA

    更新日期:1984-11-01 00:00:00

  • Free Tax Services in Pediatric Clinics.

    abstract:OBJECTIVES:The earned income tax credit (EITC), refundable monies for America's working poor, is associated with improved child health. Yet, 20% of eligible families do not receive it. We provided free tax preparation services in clinics serving low-income families and assessed use, financial impact, and accuracy. MET...


    pub_type: 杂志文章


    authors: Marcil LE,Hole MK,Wenren LM,Schuler MS,Zuckerman BS,Vinci RJ

    更新日期:2018-06-01 00:00:00

  • Metoclopramide effect on faltering milk production by mothers of premature infants.

    abstract::Metoclopramide treatment has been shown to augment milk production by stimulating prolactin secretion in women in whom lactational insufficiency develops after a full-term pregnancy. The effect of metoclopramide therapy in 23 women who were delivered of premature infants (birth weight 1,314 +/- 115 g, gestational age ...


    pub_type: 杂志文章


    authors: Ehrenkranz RA,Ackerman BA

    更新日期:1986-10-01 00:00:00

  • Hypothalamic-pituitary-adrenal axis suppression in asthmatic school children.

    abstract:BACKGROUND AND OBJECTIVE:Hypothalamic-pituitary-adrenal axis suppression (HPAS) when treating children with corticosteroids is thought to be rare. Our objective was to determine the prevalence of and predictive factors for various degrees of HPAS. METHODS:Clinical features of HPAS, doses, adherence, asthma score, and ...


    pub_type: 杂志文章


    authors: Zöllner EW,Lombard CJ,Galal U,Hough FS,Irusen EM,Weinberg E

    更新日期:2012-12-01 00:00:00

  • The population cost-effectiveness of interventions designed to prevent childhood depression.

    abstract:BACKGROUND AND OBJECTIVES:Depression in childhood and adolescence is common and often persists into adulthood. This study assessed the population-level cost-effectiveness of a preventive intervention that screens children and adolescents for symptoms of depression in schools and the subsequent provision of a psychologi...


    pub_type: 杂志文章


    authors: Mihalopoulos C,Vos T,Pirkis J,Carter R

    更新日期:2012-03-01 00:00:00

  • Duration of protection of pentavalent rotavirus vaccination in Nicaragua.

    abstract:OBJECTIVE:To evaluate the duration of protection of pentavaent rotavirus vaccine (RV5) against rotavirus hospitalizations in Nicaragua, a developing country in Central America. METHODS:We conducted a case-control study at 4 hospitals from 2007 through 2010, including 1016 children hospitalized with laboratory-confirme...


    pub_type: 杂志文章


    authors: Patel M,Pedreira C,De Oliveira LH,Umaña J,Tate J,Lopman B,Sanchez E,Reyes M,Mercado J,Gonzalez A,Perez MC,Balmaceda A,Andrus J,Parashar U

    更新日期:2012-08-01 00:00:00

  • A multiple-source method for studying the prevalence of developmental disabilities in children: the Metropolitan Atlanta Developmental Disabilities Study.

    abstract::The Metropolitan Atlanta Developmental Disabilities Study is the first US, population-based epidemiologic study of the prevalence of mental retardation, cerebral palsy, hearing impairment, and visual impairment among school-age children. The study population consisted of children who were 10 years of age between 1985 ...


    pub_type: 杂志文章


    authors: Yeargin-Allsopp M,Murphy CC,Oakley GP,Sikes RK

    更新日期:1992-04-01 00:00:00

  • Update of newborn screening and therapy for congenital hypothyroidism.

    abstract::Unrecognized congenital hypothyroidism leads to mental retardation. Newborn screening and thyroid therapy started within 2 weeks of age can normalize cognitive development. The primary thyroid-stimulating hormone screening has become standard in many parts of the world. However, newborn thyroid screening is not yet un...


    pub_type: 杂志文章,评审


    authors: American Academy of Pediatrics.,Rose SR,Section on Endocrinology and Committee on Genetics, American Thyroid Association.,Brown RS,Public Health Committee, Lawson Wilkins Pediatric Endocrine Society.,Foley T,Kaplowitz PB,Kaye CI,Sundarar

    更新日期:2006-06-01 00:00:00

  • Safety of live viral vaccines in patients with chromosome 22q11.2 deletion syndrome (DiGeorge syndrome/velocardiofacial syndrome).

    abstract::The package inserts of live viral vaccines include immunodeficiency as a contraindication. Nevertheless, patients with mild forms of immunodeficiency may benefit from vaccination. No published guidelines exist for the administration of these vaccines specifically to patients with chromosome 22q11.2 deletion syndrome. ...


    pub_type: 杂志文章


    authors: Perez EE,Bokszczanin A,McDonald-McGinn D,Zackai EH,Sullivan KE

    更新日期:2003-10-01 00:00:00

  • Hospital-acquired urinary tract infection.

    abstract::From 16,534 admissions, 60 patients, 4 days to 15 years of age, with one or more hospital-acquired urinary tract infections were identified during a 5-year period by a prospective surveillance system. The patient charts were subsequently reviewed to characterize the population at risk for such infections and to descri...


    pub_type: 杂志文章


    authors: Lohr JA,Donowitz LG,Sadler JE 3rd

    更新日期:1989-02-01 00:00:00

  • Secondhand smoke exposure and neurobehavioral disorders among children in the United States.

    abstract:OBJECTIVES:The association between parent-reported postnatal secondhand tobacco smoke exposure in the home and neurobehavioral disorders (attention-deficit/hyperactivity disorder, learning disabilities, and conduct disorders) among children younger than 12 years in the United States was examined using the 2007 National...


    pub_type: 杂志文章


    authors: Kabir Z,Connolly GN,Alpert HR

    更新日期:2011-08-01 00:00:00

  • Cardiovascular risk screening before starting stimulant medications and prescribing practices of canadian physicians: impact of the Health Canada advisory.

    abstract:OBJECTIVE:In May 2006, Health Canada released a statement advising against the use of stimulant medications for patients with cardiac disease after isolated reports of sudden death. The objectives of this study were to determine whether the Health Canada advisory has had an impact on cardiovascular screening of all chi...


    pub_type: 杂志文章


    authors: Conway J,Wong KK,O'Connell C,Warren AE

    更新日期:2008-10-01 00:00:00

  • Safety of withdrawing inhaled nitric oxide therapy in persistent pulmonary hypertension of the newborn.

    abstract:OBJECTIVE:Because of case reports describing hypoxemia on withdrawal of inhaled nitric oxide (I-NO), we prospectively examined this safety issue in newborns with persistent pulmonary hypertension who were classified as treatment successes or failures during a course of I-NO therapy. METHODS:Randomized, placebo-control...


    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验


    authors: Davidson D,Barefield ES,Kattwinkel J,Dudell G,Damask M,Straube R,Rhines J,Chang CT

    更新日期:1999-08-01 00:00:00

  • Primary varicella and herpes zoster among HIV-infected children from 1989 to 2006.

    abstract:OBJECTIVES:The primary objective of this study was to determine the incidence of herpes zoster in perinatally HIV-infected children. Secondary objectives included assessing the impact of highly active antiretroviral therapy and varicella zoster virus immunization on primary varicella and herpes zoster incidence and ide...


    pub_type: 杂志文章


    authors: Wood SM,Shah SS,Steenhoff AP,Rutstein RM

    更新日期:2008-01-01 00:00:00

  • Effectiveness and cost-effectiveness of letters, automated telephone messages, or both for underimmunized children in a health maintenance organization.

    abstract:BACKGROUND:Immunization rates have improved in the United States, but are still far from the national 90% goal for the year 2000. There is scant evidence about the effectiveness and costs of automated telephone messages to improve immunization rates among privately insured children. OBJECTIVE:To evaluate the effective...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Lieu TA,Capra AM,Makol J,Black SB,Shinefield HR

    更新日期:1998-04-01 00:00:00

  • Physician health and wellness.

    abstract::Physician health and wellness is a critical issue gaining national attention because of the high prevalence of physician burnout. Pediatricians and pediatric trainees experience burnout at levels equivalent to other medical specialties, highlighting a need for more effective efforts to promote health and well-being in...


    pub_type: 杂志文章


    authors: McClafferty H,Brown OW,Section on Integrative Medicine.,Committee on Practice And Ambulatory Medicine.,Section on Integrative Medicine.

    更新日期:2014-10-01 00:00:00

  • American Academy of Pediatrics: Medical conditions affecting sports participation.

    abstract::Children and adolescents with medical conditions present special issues with respect to participation in athletic activities. The pediatrician can play an important role in determining whether a child with a health condition should participate in certain sports by assessing the child's health status, suggesting approp...


    pub_type: 指南,杂志文章


    authors: Committee on Sports Medicine and Fitness.

    更新日期:2001-05-01 00:00:00

  • External Validation of the PediBIRN Clinical Prediction Rule for Abusive Head Trauma.

    abstract:BACKGROUND AND OBJECTIVES:A 4-variable abusive head trauma (AHT) clinical prediction rule (CPR) for use in the PICU was derived and validated for children <3 years of age by the Pediatric Brain Injury Research Network (PediBIRN). We aimed to externally validate PediBIRN as designed (PICU only) as well as using broader ...


    pub_type: 杂志文章,多中心研究


    authors: Pfeiffer H,Smith A,Kemp AM,Cowley LE,Cheek JA,Dalziel SR,Borland ML,O'Brien S,Bonisch M,Neutze J,Oakley E,Crowe L,Hearps SJC,Lyttle MD,Bressan S,Babl FE,Paediatric Research in Emergency Department International Collaborat

    更新日期:2018-05-01 00:00:00

  • Effects of waterbed flotation on premature infants: A pilot study.

    abstract::Two types of waterbeds were developed to impart compensatory vestibular-proprioceptive stimulation to premature infants. Twenty-one infants ranging in gestational age from 27 to 34 weeks and birthweights from 1,050 to 1,920 gm were included in this pilot study. Assignment to experimental and control groups was made by...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Korner AF,Kraemer HC,Haffner ME,Cosper LM

    更新日期:1975-09-01 00:00:00

  • Association of center volume with mortality and complications in pediatric heart surgery.

    abstract:OBJECTIVE:Previous analyses have suggested center volume is associated with outcome in children undergoing heart surgery. However, data are limited regarding potential mediating factors, including the relationship of center volume with postoperative complications and mortality in those who suffer a complication. We exa...


    pub_type: 杂志文章,多中心研究


    authors: Pasquali SK,Li JS,Burstein DS,Sheng S,O'Brien SM,Jacobs ML,Jaquiss RD,Peterson ED,Gaynor JW,Jacobs JP

    更新日期:2012-02-01 00:00:00

  • Regulation of arginine vasopressin in enuretic children under fluid restriction.

    abstract:BACKGROUND:Treatment of primary nocturnal enuresis using 1-deamino-8-D-arginine-vasopressin is based on the hypothesis that antidiuretic hormone (arginine vasopressin [AVP]) secretion is insufficient during the night. Persisting doubts about the theoretical background of this treatment and first results pointing to a d...


    pub_type: 杂志文章


    authors: Eggert P,Müller-Schlüter K,Müller D

    更新日期:1999-02-01 00:00:00

  • Exemptions From Mandatory Immunization After Legally Mandated Parental Counseling.

    abstract:BACKGROUND:The success of health care provider counseling-based interventions to address vaccine hesitancy is not clear. In 2011, Washington State implemented Senate Bill 5005 (SB5005), requiring counseling and a signed form from a licensed health care provider to obtain an exemption. Evaluating the impact of a counsel...


    pub_type: 杂志文章


    authors: Omer SB,Allen K,Chang DH,Guterman LB,Bednarczyk RA,Jordan A,Buttenheim A,Jones M,Hannan C,deHart MP,Salmon DA

    更新日期:2018-01-01 00:00:00

  • Immunoglobulin subclass antibodies to varicella-zoster virus.

    abstract::Commercially available mouse monoclonal antibodies to human IgG subclass (IgG1 to IgG4) were applied to an enzyme-linked immunosorbent assay to measure IgG subclass-specific antibodies to varicella-zoster virus in children naturally infected with varicella-zoster virus and in varicella vaccine recipients. In children ...


    pub_type: 杂志文章


    authors: Asano Y,Hiroishi Y,Itakura N,Hirose S,Kajita Y,Nagai T,Yazaki T,Takahashi M

    更新日期:1987-12-01 00:00:00

  • Pediatric and adolescent tuberculosis in the United States, 2008-2010.

    abstract:OBJECTIVE:We examined heterogeneity among children and adolescents diagnosed with tuberculosis (TB) in the United States, and we investigated potential international TB exposure risk. METHODS:We analyzed demographic and clinical characteristics by origin of birth for persons <18 years with verified case of incident TB...


    pub_type: 杂志文章


    authors: Winston CA,Menzies HJ

    更新日期:2012-12-01 00:00:00

  • Impact of protease inhibitor-containing combination antiretroviral therapies on height and weight growth in HIV-infected children.

    abstract:OBJECTIVE:To examine beneficial or detrimental effects of protease inhibitor (PI)-containing antiretroviral regimens on height and weight growth in children with human immunodeficiency virus (HIV) infection. METHODS:A prospective cohort study was conducted of 906 HIV-infected children, from pediatric research clinics ...


    pub_type: 杂志文章


    authors: Buchacz K,Cervia JS,Lindsey JC,Hughes MD,Seage GR 3rd,Dankner WM,Oleske JM,Moye J

    更新日期:2001-10-01 00:00:00

  • Verapamil: an effective calcium blocking agent for pediatric patients.

    abstract::Verapamil is a slow-channel calcium-blocking agent that has been released recently by the Food and Drug Administration for treatment of cardiac dysrhythmias in all age groups. Its primary action is to slow conduction in the atrioventricular node, thereby abolishing those types of supraventricular tachycardia using the...


    pub_type: 杂志文章,评审


    authors: Porter CJ,Garson A Jr,Gillette PC

    更新日期:1983-05-01 00:00:00

  • Efficacy of bidirectional fiber-optic phototherapy for neonatal hyperbilirubinemia.

    abstract:OBJECTIVE:To evaluate the efficacy of fiber-optic phototherapy using the standard Ohmeda Biliblanket, a large version, double standard Biliblankets, and conventional phototherapy using daylight fluorescent lamps in full-term, healthy infants with nonhemolytic hyperbilirubinemia. METHODS:Full-term, healthy infants with...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Tan KL

    更新日期:1997-05-01 00:00:00