# Maternal stress in the Neonatal Intensive Care Unit: A concept analysis

## TL;DR

This paper defines maternal stress in the NICU and identifies its key features, causes, and effects to better understand how mothers experience stress during their infants' care.

## Contribution

The study introduces a clear conceptual framework for maternal stress in the NICU with specific attributes, antecedents, and consequences.

## Key findings

- Three attributes of maternal stress were identified: earnest feelings for the infant, stuck feeling, and vague anxiety about the future.
- Six antecedents and four consequences of maternal stress in the NICU were defined through concept analysis.
- The NICU environment can be both a source of stress and a space for maternal reflection and support.

## Abstract

This study aimed to provide a clear definition of the concept of maternal stress in the neonatal intensive care unit (NICU), which has been inconsistently described in previous studies. It also aimed to identify the essential attributes, antecedents, and consequences of maternal stress through concept analysis.

Rodgers' concept analysis method was used. A search was conducted using the web version of the Central Journal of Medicine, PubMed, PsycINFO, and CINAHL, yielding 223 hits. Of these, 32 were selected for the analysis.

Three attributes of maternal stress in the NICU were identified: “Earnest feelings for my infant,” “Stuck feeling,” and “Vague anxiety about the future.” Six antecedents and four consequences were identified.

The results of this study indicated that mothers felt a sincere desire for their infants, as well as a vague sense of helplessness due to circumstances beyond their control, and anxiety about the future. These findings suggest that while the NICU environment can be a source of stress for mothers, it may also serve as a supportive space and an opportunity for them to reflect on their role as mothers.