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. Author manuscript; available in PMC: 2016 Jan 1.
Published in final edited form as: J Pediatr Nurs. 2014 Mar 12;30(1):184–207. doi: 10.1016/j.pedn.2014.03.002

Table 2.

Summary of study themes and implications for practice

Parenting Tasks:
Theme Definition Findings Implications
Parenting tasks are an avenue to self-efficacy and confidence (Barry et al, 2010; Benzies et al., 2008; Coleman et al., 2002; Davis et al., 2009; Fagan & Palkovitz, 2011; Leerkes & Burney, 2007) Description of the ways in which parental tasks influence parents’ perception of their own competence in the parenting role Maternal PSE predicted by her prenatal sense of self-efficacy; Paternal PSE predicted by involvement in childcare tasks and social support; PSE level influences satisfaction & stress in parenting role, as well as interactions with child The work parents do in caring for their young child can improve their confidence in their ability, their perception of self-efficacy as a parent, and their connection to their child; nurses are in a position to provide anticipatory guidance and coaching
Parenting includes hands-on work, as well as the intangible work of behavior and emotion regulation (Cappa et al., 2011; Combs-Orme et al, 2002; Cipriano & Stifter, 2010; Lesane-Brown et al., 2010; Mirabile et al, 2009) The actions and behaviors parents assume in caring for their children, including teaching the child how to respond appropriately to negative emotions or provocative situations Infant care is described more than care of toddlers & preschoolers; parenting work needs to be examined through a contextualized lens (i.e. child developmental stage); findings demonstrate influence of child and parent upon one another Nurses can understand parenting goals, beliefs, & behaviors by asking about this work; nurses can encourage parents to promote emotion regulation through direct coaching, role modeling, and understanding child's temperament well enough to alter the environment
Parenting includes distribution and allocation of child care work both inside and outside the family and influences role development (Barry et al., 2010; Cowdery & Knudson-Martin, 2005; DeCaro & Worthman, 2007; Ehrenberg et al., 2001; Milkie et al., 2010; Rose & Elicker, 2012) How child care is carried out in the family, expectations maintained by family of who fulfills such roles, the work of finding/selecting parent extenders when both parents work outside the home, & how time is spent as a family Traditional conceptualization of gender roles may not fit the needs of modern families; more discussion of shared parenting since 1995; less focus on fathers as providers of child care in family (versus mothers) Doing child care tasks may create & enhance parent-child bond, therefore nurses can coach new and experienced parents in childcare tasks; nurses can ask both parents about how childcare is done in the family
Communication:
Theme Definition Findings Implications
Crying and other non-verbal means of expression are powerful means of communication within the family (Zeifman, 2001; Catherine et al., 2008) Describes the significance of information conveyed from one person to another through the act of crying and other non-verbal behavior Crying and other non-verbal communication is important and powerful within a family; infants and young children communicate & influence the parent-child relationship from an early age Nurses can help families become attuned to their child's cry and ask about their perceptions of crying; further conceptualization of crying will be helpful in areas of infant mental health & pain
Parents influence child development & behavior through communication (Barnett et al., 2012; Burchinal et al., 2008; Burnier et al., 2012; Camp et al., 2010; Garrett-Peters et al., 2008; Glascoe & Leew, 2010; Horowitz & Damato, 1999; Pesch et al., 2011) Describes how parents exert a significant influence upon child development and behavior by the nature of & amount of communicating with them. Optimal development is associated with talking to infant or child. Significance of talking in a responsive, sensitive manner not universally understood; positive socio-emotional outcomes from warm, responsive, & sensitive communication from parent to child Nurses can assist parents in promoting their child's development through discussing the importance of & modeling warm interactions, even in the context of daily, mundane activities (e.g. getting dressed, shopping for groceries)
Parenting communication can be improved through methods to increase positive communication skills (Benzies et al., 2008; Gross et al., 2009; Horowitz et al., 2001; Horowitz et al., 2013; Lakes et al., 2011; Landry et al., 2006; Leitch, 1999; Scharfe, 2011) Describes that optimal parenting communication is nurturing and responsive to the developmental stage and the needs of the child Parenting communication can be influenced through various interventions that promote and teach positive parenting communication Nurses can provide timely, relevant, experiential learning that teaches nurturing, responsive communication to strengthen parenting skills