{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T17:07:11Z","timestamp":1784394431929,"version":"3.55.0"},"reference-count":23,"publisher":"Wiley","issue":"21-22","license":[{"start":{"date-parts":[[2020,8,20]],"date-time":"2020-08-20T00:00:00Z","timestamp":1597881600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To explore parental experiences of therapeutic hypothermia (TH) in their newborn infant suffering from hypoxic ischaemic encephalopathy following perinatal asphyxia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Since more than a decade, newborn infants are treated with TH following perinatal asphyxia to reduce mortality and disabilities and to improve neurological outcome. The infants\u2019 body temperature is lowered to 33.5\u00b0C for 72\u00a0hr, and the infant is usually cared for in an open incubator. The parents are not able to hold their infant skin to skin, which risks causing emotional reactions in parents and a loss of normal parent\u2013infant bonding.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A qualitative descriptive design using semi\u2010structured interviews.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Up to 7\u00a0months after the event, interviews were conducted with 14 parents of seven infants who had received TH in a neonatal intensive care unit (NICU) in Sweden. The interviews were transcribed and analysed using framework approach. Findings were reported following the Standard for Reporting Qualitative Research (SRQR) checklist.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From the interviews, an overall theme was found: Transition through a life\u2010altering time, and three categories: (a) trepidation about prognosis, (b) transitioning into parenthood supported by the caring philosophy of family\u2010centred care (FCC) and (c) rewarming as a milestone.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Parental experiences of TH are based on the immediate emotions and stress of uncertainty of the infant's prognosis. The values of FCC in the NICU append a natural transitioning into parenthood by parental involvement in nursing care and decisions. The rewarming of the infant is seen as a restart to more or less normal circumstances from the critical period of delivery and TH.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance for clinical practice<\/jats:title><jats:p>The management of NICUs should update the awareness of and deepen knowledge about FCC. The emphasis ought to be on adequate information about TH and the values of FCC to parents in the NICU context.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.15448","type":"journal-article","created":{"date-parts":[[2020,8,7]],"date-time":"2020-08-07T00:24:01Z","timestamp":1596759841000},"page":"4194-4202","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Parental viewpoints and experiences of therapeutic hypothermia in a neonatal intensive care unit implemented with Family\u2010Centred Care"],"prefix":"10.1111","volume":"29","author":[{"given":"Sari Kokkonen","family":"Nassef","sequence":"first","affiliation":[{"name":"Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9517-0261","authenticated-orcid":false,"given":"Mats","family":"Blennow","sequence":"additional","affiliation":[{"name":"Karolinska Institutet Stockholm Sweden"},{"name":"Neonatal Intensive Care Unit Karolinska University Hospital Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4570-4047","authenticated-orcid":false,"given":"Maria","family":"Jirwe","sequence":"additional","affiliation":[{"name":"Sophiahemmet University Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,20]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-8-17"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1315788"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.srhc.2019.03.004"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.14743"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41372-018-0117-8"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0000000000000473"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0000000000000339"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-13-117"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.3402\/qhw.v8i0.20539"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003311.pub3"},{"key":"e_1_2_12_12_1","unstructured":"Karolinska University Hospital. 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Retrieved fromhttp:\/\/inuti.karolinska.se\/Inuti\/Verksamheter\/Teman\/Tema\u2010Barn\/Barn\u2010och\u2010Kvinnosjukvard\u2010verksamheter\/Sjuka\u2010nyfodda\u2010barn\/Uppdrag\u2010ledning\u2010och\u2010styrning\/Forskning\u2010och\u2010Utbildning\/Utbildningslankar\/(In Swedish)."},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/00981389.2019.1629152"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.130818"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-1234"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0883073816680747"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.2012.01429.x"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2017-313282"},{"key":"e_1_2_12_19_1","volume-title":"Qualitative research practice: A guide for social science students and researchers","author":"Ritchie J.","year":"2003"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.14063"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcps050929"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1112066"},{"key":"e_1_2_12_23_1","unstructured":"Swedish Pediatric Society. 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