Janto McMullin

Liite 7: CLIP-I keskustelurunko

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Modification from original Clinical Interview for Parents of High-Risk Infants by Meyer et al. (1993)

1. Infant’s Current Condition

“I wonder if you would tell me how your baby is doing now.”

2. Pregnancy Course

“I’d like to have you discuss a bit about your pregnancy. Let’s start with your initial reaction—What was that like? Overall, how was it for you physically? Emotionally? When did the pregnancy begin to seem real to you?”

3. Labor and Delivery

“Tell me about your labor and delivery. What were your thoughts? Feelings? Were you aware of having concerns about yourself during that time? About your baby? How did it compare with what you expected? Was your spouse (partner) with you in the labor? How that was for him?”

4. Baby’s Transition from Labor Room to the Unit

“Tell me about your baby’s transition from labor room to the neonatal intensive care unit. How did it go? What were your thoughts? Feelings? What about now, how do you feel about the transition? Was your spouse (partner) with your baby during transition? How that was for him; for you?”

5. Relationship with Baby and Feelings as a Parent:

“When did you see your baby for the first time? How did you react when you saw her/him? What is your baby like now? Do you feel your baby knows you? How do you feel about your baby? Have you had any feelings as if you are not sure your baby really belongs to you? How much you would like to take responsibility for the care of your baby during the hospitalization? Do you feel that you are now participating in and taking responsibility for your baby’s care in the way that you want? Do you feel that you would need more support or direction during the everyday care of your baby? How it is for you to go at home and leave your baby in the hospital? How does it feel to be at home now? ”

6. Relationship with Family and Social Support

“Who is in your family? What has this experience been for your spouse (partner). How has your relationship been affected? If the family has other children, you may ask. You have other children, could you tell me more about them? How have your other children reacted? What about the rest of the family; how have they reacted? Who (other family members, relatives, friends) is available to you for help and support at this time? Who could be providing most help for you right now? (The purpose of this question is more to check from whom this person can accept help.) Who provides emotional support for you? Who could provide emotional support if you felt you needed more support?

7. Reactions to the NICU Environment and Staff

“Describe your first reaction to the intensive care nursery. How have you experienced being  in the unit as a parent? From your point of view, what have been the positive aspects of the nursery? What have been the most negative aspects of the nursery? Is there something you would like to change in the care of your baby now? As a parent, do you have wishes for the staff concerning the care of your baby? What would you like the staff to change, or improve, related to the care of your baby?

 

Notes

You can read the CLIP-I(initial) text here online, or download a PDF file to print out and access offline during discussion with parents.

PDF Download

Access the PDF file for the CLIP-I(initial) here.

Download the form

Liitteet 1 & 2: Stressin ja itserauhoittamisen tunnusmerkit

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Samalla kun opimme havainnoimaan stressin merkkejä, on tärkeää myös opetella havainnoimaan vauvan omia kykyjä rauhoittaa itseään.   

Huom!

  • Tämä lomake on suunniteltu tulostettavaksi ja taiteltavaksi kahdesti niin, että siitä tulee helposti taskuun sopivan kokoinen.   
  • Lomakkeen voi myös taittaa vain kerran. Silloin siitä saa kaksipuolisen version, jonka voi esimerkiksi laminoida pitkäaikaisempaa käyttöä varten. 

PDF ladata

Siirry Stressin ja itserauhoittamisen tunnusmerkkien pdf -tiedostoon.

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Appendix 8: Repeated Observations with the Parents

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Use this form to record the following issues after repeat observations.

  1. Changes in the baby's behavior and development
  2. Changes in the comments parents are making about the baby, their feelings about their baby and their parenting role.
  3. Progress made in parent-infant interaction (speaking, touching, holding, etc.)
  4. Parents' suggestions for their baby's care.
  5. How "watching" affects the parents' care and interaction with their baby.

Notes

This form is used alongside the See Me Develop form (Appendix 5) for repeat observations.

PDF Download

Access the PDF file for Repeated Observations with Parents here.

Download the form

Appendix 6: Observation with the Parents

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How to tell the parents about the exercise?

You can tell the parents in advance that in the NICU there is training going on which involves staff practicing new ways of working with parents and families. The purpose of these practices is to strengthen the role of parents and encourage them to be the "voice" for their infant in matters
concerning his or her care. The practices are important since parents are the experts regarding their own infant and staff can learn more about how to hear from parents about their babies.

With regard to the training say to the parent(s): “We would like to arrange some time with you, where we can get to know your baby in a peaceful and quiet setting.”

When beginning to watch the baby tell the parents that…

  1. We have taken some quiet time so that we can watch your baby together and get to know him or her, and to see what he likes and what he does not like. Our observations can also be used for planning your baby’s care in the NICU.
  2. You may also say: “Would it be possible that we would be looking at your baby for a little while together? While sometimes you and sometimes I might comment about what he or she is doing (how he or she behaves, how he or she responds to treatment / care, feeding, changing diapers, etc.).”
  3. At the end, we can write a summary. Show the parent(s) the See Me Develop Form.

Notes

Use this form to review and summarize the session from your point of view with your mentor.

PDF Download

Access the PDF file for Observation with the Parents here.

Download the form

Appendix 1 & 2: Signs of Stress and Self Soothing

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While we are learning to observe and document signs of stress, we are also learning to observe signs of self soothing reflecting the baby's own capacity to alleviate stress.

Notes

  • This form is designed to be printed out and folded twice so it can be carried in a pocket as a postcard-sized booklet.
  • For a larger, more permanent double-sided form, you can also fold it once on its length and laminate it so it can be used and cleaned multiple times.

PDF Download

Access the PDF file for the Signs of Stress and Self Soothing here.

Download the form