Abstract

Session presented on Saturday, July 26, 2014:

Purpose: To explore the experiences of mothers of infants with neonatal abstinence syndrome (NAS).

Methods: Qualitative description.

Results: Participants were recruited from community-based, out-patient, addiction treatment facilities in a large urban city in the southwestern region of the United States. A convenience sample of 15 Latina, substance addicted mothers of infants with NAS participated although enrollment was open to women of all ethnicities. Semi-structured, individual, interviews were conducted and the data were analyzed using qualitative content analysis. Data were first anlayzied independently followed by a discussion of the themes until a consensus was reached. Four themes were identified: a) understanding addiction, b) watching the infant withdraw, c) judging, and d) trusting the nurses. To provide further explanation, the mothers felt there was a lack of understanding concerning addiction which was particularly noted when interacting with the nurses. They shared their feelings of guilt and shame while observing their infant's withdrawal symptoms. Further, the mothers felt judged by the nurses for having used illicit drugs during pregnancy. Feeling judged interfered with the mothers' ability to trust the nurses.

Conclusion: These findings provide nurses with a better understanding of the experiences of addicted mothers and may lead to more customized nursing care for this high-risk population of mothers and their infants.

Author Details

Lisa M. Cleveland, PhD, RN, PNP-BC, IBCLC; Rebecca Bonugli, PhD, APRN, PMHCNS

Sigma Membership

Non-member

Type

Presentation

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Mothering, Substance Addiction, Neonatal Abstinence Syndrome

Conference Name

25th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Hong Kong

Conference Year

2014

Rights Holder

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All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

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"Try not to judge:" Mothers of infants with neonatal abstinence syndrome

Hong Kong

Session presented on Saturday, July 26, 2014:

Purpose: To explore the experiences of mothers of infants with neonatal abstinence syndrome (NAS).

Methods: Qualitative description.

Results: Participants were recruited from community-based, out-patient, addiction treatment facilities in a large urban city in the southwestern region of the United States. A convenience sample of 15 Latina, substance addicted mothers of infants with NAS participated although enrollment was open to women of all ethnicities. Semi-structured, individual, interviews were conducted and the data were analyzed using qualitative content analysis. Data were first anlayzied independently followed by a discussion of the themes until a consensus was reached. Four themes were identified: a) understanding addiction, b) watching the infant withdraw, c) judging, and d) trusting the nurses. To provide further explanation, the mothers felt there was a lack of understanding concerning addiction which was particularly noted when interacting with the nurses. They shared their feelings of guilt and shame while observing their infant's withdrawal symptoms. Further, the mothers felt judged by the nurses for having used illicit drugs during pregnancy. Feeling judged interfered with the mothers' ability to trust the nurses.

Conclusion: These findings provide nurses with a better understanding of the experiences of addicted mothers and may lead to more customized nursing care for this high-risk population of mothers and their infants.