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Experiences of mothers with substance dependence: Informing the development of parenting support
Author(s) -
Fowler Cathrine,
Reid Sharon,
Minnis Jeannie,
Day Carolyn
Publication year - 2014
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/jocn.12560
Subject(s) - feeling , focus group , thematic analysis , psychology , alienation , mainstream , qualitative research , developmental psychology , social psychology , philosophy , social science , theology , marketing , sociology , political science , law , business
Aims and objectives To understand the experiences of women with a history of substance dependence when they attempted to gain parenting support. Background Becoming a mother provides a window of opportunity to support women with a substance dependence make changes to their lives and the way they will parent their infants and young children. Yet there are many barriers and a constant fear of the removal of their children from their care. Design Focus groups were conducted using a qualitative interpretive descriptive approach to enable exploration of the women's experiences as mothers with infants and young children. Method A series of three focus groups were facilitated with three to six women per group. Thirteen women who were substance dependent participated in this study. Semi‐structured interviews guided the collection of data. Thematic content analysis was used to work with the data. Results Four themes were identified: (1) feelings of guilt, (2) judged by others, (3) normalising and (4) support and learning to be a mother. Conclusion The mothers expressed alienation from mainstream health services. Providing parenting and child health services, which avoid mothers feeling judged by the staff and other mothers, is an important step to enabling these women to appropriately and sensitively care for their infants and young children. Relevance to clinical practice Midwives and nurses working with mothers and their infants and young children are well positioned to support women who are or have experienced substance dependence. Working with this group of mothers requires the development of a therapeutic relationship to provide optimum support, education and, if necessary, intervention.