Introduction: Parents who have neonates in the neonatal intensive care unit (NICU) may face weeks or months of separation from their neonate. Web-camera technology is being used to lessen the separation but little is known about the impact of web-camera viewing on parents or about parental use of web-cameras. This concurrent nested mixed methods study examined the use and impact of web-camera viewing.
Methods: All parents who had a hospitalized neonate and used the web-camera to view their baby were asked to participate. Measures of stress, anxiety and bonding (three standardized measures) were administered at baseline, 1 week, and 2 weeks after initiating web-camera use. Qualitative participants were given four open-ended questions. All data were completed electronically. User statistics were analyzed from September 1, 2010 to December 31, 2012.
Results: Two hundred and twenty parents (119 mothers, 101 fathers) used the web-camera system since September 1, 2010. Mothers and fathers means were similar in the number of log-ons (LO) (95 vs. 95.6 times) and the maximum time viewed (MxV) (92 vs. 84 minutes). Although there was a wider variation in the number of minutes viewed (MV) (1812 vs. 1294 minutes), the difference was not statistically significant. Forty-two parents participated a subset of 13 parents participated in the qualitative portion. A correlation was not demonstrated between anxiety or bonding with MV. There was a correlation between Parental Stressor Scale: Neonatal Intensive Care Unit, subscale Baby, and MV and MxV all three times. Qualitative participants identified three themes: parents would rather be there in person instead of web-camera, overall positive impact on stress and anxiety, and parents still want to be with their baby to bond.
Discussion: Findings from this study highlight the complex nature of the NICU experience for parents. Mothers and fathers use the web-camera system equally even though it has been documented in the literature that fathers physically visit the NICU less than mothers, therefore web-cameras could potentially enhance paternal involvement in the NICU. Although this was a small pilot study, the findings are important for the NICUs which are implementing web-camera technology and promoting best practices of use.
|Advisor:||Green, Angela L.|
|Commitee:||Kennedy, Robert L., Lowery, Curtis L., Mitchell, Anita, Pate, Barbara L.|
|School:||University of Arkansas for Medical Sciences|
|School Location:||United States -- Arkansas|
|Source:||DAI-B 74/09(E), Dissertation Abstracts International|
|Keywords:||Anxiety, Bonding, Neonatal intensive care units, Stress, Telehealth, Web cameras|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be