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  • 1.
    Andersson Grenholm, Emelie
    et al.
    Anderstorp Health Care Centre, Västerbotten County Council, Skellefteå.
    Söderström, Pernilla
    Bureå-Skelleftehamn Health Care Centre, Västerbotten County Council, Skelleftehamn.
    Lindberg, Birgitta
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Providing Breastfeeding Support: Experiences from Child-HealthNurses2016In: International Journal of Child Health and Nutrition, ISSN 1929-4247, Vol. 5, no 4, p. 126-134Article in journal (Refereed)
    Abstract [en]

    Background: Breastfeeding problems are common during the early period but can often be prevented or overcome with adequate support. Child-health nurses meet almost all children during their first weeks of life and play an important role in promoting breastfeeding and in strengthening parents’ confidence and their belief in their own ability. It is, therefore, important to gain more knowledge about child-health nurses’ experiences. Objective: To describe child-health nurses’ experiences of providing breastfeeding support. Methods: This qualitative study is descriptive with an inductive approach. A purposive sample of eight child-health nurses recruited from district health care centers participated. Data were collected through focus group interviews and analyzed with content analysis. Results: Child-health nurses consider it to be important to provide early breastfeeding support and that early hospital discharge following birth can complicate breastfeeding. Furthermore, the introduction of infant formula and tiny tastes given to the baby can be a barrier to breastfeeding. Parents’ confidence had an effect on breastfeeding, and breastfeeding is promoted by confident parents. Trends and cultural differences have an influence on parents’ attitudes toward breastfeeding. Child-health nurses stated the importance of having a consensus breastfeeding policy. Conclusion and Recommendation: A number of factors affect breastfeeding, and breastfeeding support from child-health nurses is important in the early stages after birth. To conclude, the support must be individually tailored with a focus on the parents’ needs. There is a need for greater cooperation between the maternal care and child-health care staff in order to provide adequate and continuous breastfeeding support throughout the care chain.

  • 2.
    Fisher, Duncan
    et al.
    The Family Initiative, Heron House, Chiswick Mall, London, W4 2PR, UK.
    Khashu, Minesh
    Poole Hospital NHS Foundation Trust Poole, Dorset, BH15 2JB, UK; Bournemouth University, Bournemouth, BH1 2LT, UK.
    Adama, Esther A.
    Edith Cowan University School of Nursing and Midwifery in Perth, 270 Joondalup Drive, WA, 6027, Australia.
    Feeley, Nancy
    Centre for Nursing Research & Lady Davis Institute - Jewish General Hospital, McGill University, Montréal, Quebec, Canada.
    Garfield, Craig F.
    Departments of Pediatrics and Medical Social Sciences, Northwestern University Feinberg School of Medicine; Lurie Children's Hospital of Chicago, Chicago, IL, USA.
    Ireland, Jillian
    Poole Hospital NHS Foundation Trust Poole, Dorset, BH15 2JB, UK; Bournemouth University, Bournemouth, BH1 2LT, UK.
    Koliouli, Flora
    Centre d’Études des Rationalités et des Savoirs, Laboratoire Interdisciplinaire Solidarités, Sociétés, Territoires (LISST-CERS), University of Toulouse, 2-Jean Jaurès, 31058, Toulouse, France.
    Lindberg, Birgitta
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Nørgaard, Betty
    Department of Paediatrics, Lillebaelt Hospital, Sygehusvej 24, 6000, Kolding, Denmark.
    Provenzi, Livio
    0-3 Center for the at Risk Infant, Scientific Institute IRCCS Eugenio Medea, Via Don Luigi Monza 20, 23842, Bosisio Parini, LC, Italy.
    Thomson-Salo, Frances
    Centre for Women's Mental Health, Royal Women's Hospital, 20 Flemington Road, Carlton, 3053, Australia.
    van Teijlingen, Edwin
    Centre for Midwifery, Maternal & Perinatal Health, Faculty of Health & Social Sciences, Bournemouth House, 19 Christchurch Road, Bournemouth University, Bournemouth, BU1 3LH, UK.
    Fathers in neonatal units: Improving infant health by supporting the baby-father bond and mother-father coparenting2018In: Journal of Neonatal Nursing, ISSN 1355-1841, E-ISSN 1878-089X, Vol. 24, no 6, p. 306-312Article in journal (Refereed)
    Abstract [en]

    The Family Initiative's International Neonatal Fathers Working Group, whose members are the authors of this paper, has reviewed the literature on engaging fathers in neonatal units, with the aim of making recommendations for improving experience of fathers as well as health outcomes in neonatal practice. We believe that supporting the father-baby bond and supporting co-parenting between the mother and the father benefits the health of the baby, for example, through improved weight gain and oxygen saturation and enhanced rates of breastfeeding. We find, however, that despite much interest in engaging with parents as full partners in the care of their baby, engaging fathers remains sub-optimal. Fathers typically describe the opportunity to bond with their babies, particularly skin-to-skin care, in glowing terms of gratitude, happiness and love. These sensations are underpinned by hormonal and neurobiological changes that take place in fathers when they care for their babies, as also happens with mothers. Fathers, however, are subject to different social expectations from mothers and this shapes how they respond to the situation and how neonatal staff treats them. Fathers are more likely to be considered responsible for earning, they are often considered to be less competent at caring than mothers and they are expected to be “the strong one”, providing support to mothers but not expecting it in return. Our review ends with 12 practical recommendations for neonatal teams to focus on: (1) assess the needs of mother and father individually, (2) consider individual needs and wants in family care plans, (3) ensure complete flexibility of access to the neonatal unit for fathers, (4) gear parenting education towards co-parenting, (5) actively promote father-baby bonding, (6) be attentive to fathers hiding their stress, (7) inform fathers directly not just via the mother, (8) facilitate peer-to-peer communication for fathers, (9) differentiate and analyse by gender in service evaluations, (10) train staff to work with fathers and to support co-parenting, (11) develop a father-friendly audit tool for neonatal units, and (12) organise an international consultation to update guidelines for neonatal care, including those of UNICEF.

  • 3.
    Jobe, Ingela
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Lindberg, Birgitta
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Nordmark, Sofi
    Luleå University of Technology, Department of Health Sciences, Nursing Care. Health Department, Norrbotten Region, Luleå.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    The care‐planning conference: Exploring aspects of person-centered interactions2018In: Nursing Open, E-ISSN 2054-1058, Vol. 5, no 2, p. 120-130Article in journal (Refereed)
    Abstract [en]

    Aim

    The aim of this study was to describe the care-planning conference from the participants' and researchers' perspectives, focusing on exploring aspects of person-centred interactions.

    Design

    A single-instrumental, qualitative case study design was used describing a care-planning conference taking place in the home of an older woman and her daughter.

    Methods

    Data collection consisted of observation and digital recording of the care-planning conference and individual interviews with all the participants before and after the conference. Data were analysed in several phases: first, a narrative description followed by a general description and, thereafter, qualitative content analysis.

    Results

    The findings revealed that the care-planning conference conducted had no clear purpose and did not fulfil all parts of the planning process. Three themes emerged related to aspects of person-centred interactions. The theme “expectations meet reality” showed different expectations, and participants could not really connect during the conference. The theme “navigate without a map” revealed health professionals' lack of knowledge about the care-planning process. The theme “lose the forest for the trees” described that the conference was conducted only as part of the health professionals' duties. Management and healthcare professionals cannot automatically assume that they are delivering person-centred care. Healthcare professionals need to be sensitive to the context, use the knowledge and tools available and continuously evaluate and reassess the work carried out.

  • 4.
    Lindberg, Birgitta
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Access to videoconferencing in providing support to parents of preterm infants: Ascertaining parental views2013In: Journal of Neonatal Nursing, ISSN 1355-1841, E-ISSN 1878-089X, Vol. 19, no 5, p. 259-265Article in journal (Refereed)
    Abstract [en]

    Having continued hospital support, even after returning home, in the form of videoconferencing between their home and neonatal intensive care unit (NICU), is of great importance for parents of preterm born infants. It is essential to elicit parents' views before providing videoconferencing access to parents. Therefore, the aim of this study was to ascertain the views of parents of preterm infants toward the use of real-time videoconferencing between their home and the NICU. Twelve parents, who participated in the study, were interviewed. Thematic content analysis of their interview texts was carried out. The analysis revealed three categories: willing to try; addition to the conventional care; might facilitate taking the step to go home. The theme identified from content analysis was ‘grabbing the chance to get extra support’. Parents view videoconferencing facility as a possible chance to get extra support. It appears to be one among several other ways to support families after returning home with their preterm infants.

  • 5.
    Lindberg, Birgitta
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Activity: Mother's experiences of having a preterm infant: a review2005Conference paper (Other (popular science, discussion, etc.))
  • 6.
    Lindberg, Birgitta
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Activity: Videoconferencing to support families with prematurely born infants2012Conference paper (Other (popular science, discussion, etc.))
  • 7.
    Lindberg, Birgitta
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Betydelsen av livsåskådningssamtal: belyst från pappors upplevelse att få ett barn som är fött för tidigt2007Conference paper (Other (popular science, discussion, etc.))
  • 8.
    Lindberg, Birgitta
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Betydelsen av livsåskådningssamtal: Belyst från pappors upplevelse att få ett barn som är fött för tidigt2006Conference paper (Other (popular science, discussion, etc.))
  • 9.
    Lindberg, Birgitta
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Mödrars upplevelse av att få ett barn som är för tidigt fött2005Conference paper (Other (popular science, discussion, etc.))
  • 10.
    Lindberg, Birgitta
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Möten mellan föräldrar som har fått ett barn som är för tidigt fött och vårdpersonal diskuterat ur ett etiskt perspektiv2008Conference paper (Other (popular science, discussion, etc.))
  • 11.
    Lindberg, Birgitta
    Luleå University of Technology, Department of Health Sciences, Nursing Care.