Unpacking a Health Paradox Among Preterm Infants: Insights from Providers' Perception

• In Event: Constructing the "Healthy" Child

Abstract

The goal of this research is to examine the varying perspectives, or frames, of providers regarding decision-making in the NICU, which includes how they view neonates and their families, their roles as providers, and the way their frames possibly impact the care they give to the infants. In this research, we conduct in-depth interviews with 34 NICU providers and professionals that provide their services in the NICU, including doctors, nurse practitioners, nurses, and various therapists (i.e. respiratory, physical, occupational). Within the NICU, a common stereotype exists that White boy babies are the sickest babies among White girls, Black boys, and Black girls, named the “Wimpy White Boy Syndrome” (WWBS). For our research, we examine and understand the frames that were created from this belief and how it continues to be perpetuated among providers. We research how this internalized belief impacts babies’ care and whether providers view it as evidence-based or anecdotal in practice. Through interviews, we provide better understanding of providers’ thoughts and beliefs surrounding WWBS and how it impacts the care they provide to their patients.

While most of the providers agree with the WWBS and believe it is factual, they also provide explanations for NICU infants’ outcomes that counter that belief such as healthier moms having healthier babies. Research shows the healthier moms would be White women; thus, contradicting their belief of WWBS. Providers’ frames surrounding WWBS and families lend themselves to a possible disparity in care for infants in the NICU.

Authors

• Brittany Nicole Stewart, Houston Christian University

• Mieke Beth Thomeer, The University of Alabama at Birmingham

• Elizabeth Helene Baker, University of Alabama at Birmingham

• Verna M. Keith, University of Alabama at Birmingham

• Shane Gillum Pitts, University of Alabama at Birmingham