Maternal Role Attainment in Mothers with Term Neonate: A Hybrid Concept Analysis

Forough Rafii, Mona Alinejad‑Naeini, Hamid Peyrovi


Background: A review of the literature shows that there is little consensus on the practical definition  of maternal role attainment in the field of neonatal nursing care. The initial interaction between  mother and neonate most often begins in the hospital and can be influenced by neonatal nurses, so  it is necessary to clarify this concept in nursing. The purpose of this study was to show the basic  characteristics and practical definition of maternal role attainment in mothers with term neonate in a  new context.

Materials and Methods: This study used a hybrid model three‑step concept analysis:  theoretical, fieldwork, and final analysis phases. At theoretical phase, articles indexed in credential  databases were searched using keywords. Totally, 33 articles were analyzed. At fieldwork phase,  12 participants were interviewed. At final phase, the findings of the two earlier phases were analyzed.  The study lasted from August to November 2018. After determining the attributes, antecedents, and  consequences, a final definition of maternal role attainment was introduced.

Results: The concept  of maternal role attainment was defined as “a developmentally, interactive, adaptive, and committed  multi‑dimensional process based on the discovery of pregnancy, characteristics of the mother,  receiving social support, which leads to maternal identity, formation of maternal skills, resiliency,  development of newborn, improvement of mother‑newborn interactions and increased well‑being of  the mother”.

Conclusions: This study identifies the concept of maternal role attainment in nursing,  providng a good basis for evaluating and applying this concept. 


Concept formation, infant, maternal behavior, mothers, neonatal nursing

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