Factors Associated with Uncertainty Levels Among Migrant Mothers that had their Children Hospitalized During the Neonatal Period
DOI:
https://doi.org/10.5294/aqui.2026.26.1.5Keywords:
Uncertainty, neonatal nursing, human migration, intensive care unit, neonatal, parentsAbstract
Introduction: Neonatal hospitalization is a critical experience for mothers. Migration can increase uncertainty levels; it is for this reason that knowing this reality is of utmost importance and interest for Nursing. Objective: To describe uncertainty levels among migrant women and the associated factors. Materials and Methods: A quantitative, descriptive, cross-sectional, and correlational study with convenience sampling in which the participants were 181 Venezuelan mothers over 14 years old without acute health conditions and who had their children hospitalized. The Parents-Children Uncertainty scale was applied; this tool has adequate psychometric properties to be used in Colombia, with a Cronbach’s alpha value of 0.86. Descriptive statistics, correlational analysis and a regression model were applied for data analysis. Results: The uncertainty levels were high in 93.92 % of the cases and presented a correlation with hospitalization time (sig. 0.050) and migratory status (sig. 0.006). The following variables explained the uncertainty levels: hospitalization days (sig. 0.004); birth weight (sig. 0.016); gestational age (sig. 0.054); and number of prenatal control appointments (sig. 0.004). Searching for information outside the hospital setting reduced the uncertainty levels (sig. 0.059). Conclusion: Uncertainty levels are high among migrant mothers, and the associated factors point to the need to provide clear information, particularly in the case of mothers in irregular migratory situations and with children undergoing prolonged hospitalizations; guidelines on the use of educational resources should be offered.
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Meesters NJ, van den Bosch GE, Tataranno ML, van den Akker C, van Ganzewinkel C, Ten Barge JA, et al. Exposure to Clinical Stressors during NICU Admission in Preterm Infants. Eur J Pediatr. 2025;184(3):196. DOI: https://doi.org/10.1007/s00431-025-06018-7
Tilahun BD, Yilak G, Amena N, Abate BB, Fantahun A, Deribe L. Uncertainty Associated with Parents of Preterm Infants Hospitalised in Neonatal Intensive Care Unit among Selected Governmental Hospitals in Addis Ababa, Ethiopia, 2022: An Institution-Based Cross-Sectional Study. BMJ Open. 2024;14(2):e076749. DOI: https://doi.org/10.1136/bmjopen-2023-076749
Trajkovski S, Al-Dabbas MA, Raman S, Giannoutsos N, Langman M, Schmied V. Immigrant and Minority Parents’ Experiences in a Neonatal Intensive Care Unit: A Meta-Ethnography Review. J Clinical Nursing. 2025 Mar;34(3):737-53. DOI: https://doi.org/10.1111/jocn.17402
Clayton MF, Marleah D, Merle M. Middle Range Theory for Nursing. Theories of Uncertainty in Illness; New York: Springer Publishing Company; 2018: 49-88.
Malin KJ, Johnson TS, Brown RL, Leuthner J, Malnory M, White-Traut R, et al. Uncertainty and Perinatal Post-Traumatic Stress Disorder in the Neonatal Intensive Care Unit. Res Nurs Health. 2022; 45(6):717-732. DOI: https://doi.org/10.1002/nur.22261
Bolívar Montes LÁ, Montalvo Prieto A. Uncertainty Associated to Parents of Preterm Infants Hospitalized in Neonatal Intensive Care Units. Invest Educ Enferm. 2016;34(2):360-367. DOI:
https://doi.org/10.17533/udea.iee.v34n2a16
Bautista Espinel GO, Velandia Galvis ML, Arevalo Rangel JA, Amaya Quintero C, Bayona- Pérez N. Incertidumbre en los cuidadores de niños hospitalizados en unidades de cuidado intensivo neonatal – cuidado intensivo pediátrico (UCIN-UCIP). Cul. Cuid. [Internet]. 2019; 23(55):256-69. DOI: https://doi.org/10.14198/cuid.2019.55.22
González M, Amador C. Comportamiento de los determinantes sociales de la salud en venezolanas migrantes gestantes en Colombia. Revista Avances En Salud. 2022;5(2):43-53. DOI: https://doi.org/10.21897/25394622.2968
Calderón-Jaramillo M, Parra-Romero D, Forero-Martínez LJ, Royo M, Rivillas-García JC. Migrant Women and Sexual and Gender-Based Violence at the Colombia-Venezuela Border: A Qualitative Study. J Migration and Health. 2020;1(1):100003.
https://doi.org/10.1016/j.jmh.2020.100003
Mira A, Bastías R. Maternidad, migración y prematuridad: experiencias en una unidad de neonatología. CadBras Ter Ocup [Internet]. 2021;29:e2946. DOI: https://doi.org/10.1590/2526-8910.ctoao2232
McAuliffe M, Triandafyllidou A. Informe sobre las migraciones en el mundo 2022. Organización Internacional Para Las Migraciones. Organización Internacional para las Migraciones (OIM); 2021. https://publications.iom.int/system/files/pdf/WMR-2022-ES_0.pdf
Philipsborn RP, Sorscher EA, Sexson W, Evans H. Born on U.S. Soil: Access to Healthcare for Neonates of Non-Citizens. Matern Child Health J. 2021;25:9-14. DOI: https://doi.org/10.1007/s10995-020-03020-3
Zarth MD, Fernández PA, Baggio MA, Zilly A, Gamarra CJ, Silva RM. Cross-Cultural Nursing Care for Immigrant Women during Pregnancy and Childbirth: Experiences and Vulnerabilities. Revista Gaucha de enfermagem. 2024;45:e20230161. DOI: https://doi.org/10.1590/1983-1447.2024.20230161.pt
Fernández-Niño JA, Rojas-Botero ML, Bojorquez-Chapela I, Giraldo-Gartner V, Sobczyk RA, AcostaReyes J, et al. Situación de salud de gestantes migrantes venezolanas en el Caribe colombiano: primer reporte para una respuesta rápida en Salud Pública. Rev UnivInd Santander Salud. 2019;51(3):208-219. DOI:
https://doi.org/10.18273/revsal.v51n3-2019004
Organización Internacional del Trabajo (OIT). Mujeres Refugiadas y migrantes de Venezuela en Colombia: ¿Quiénes son y qué barreras enfrentan para su integración socioeconómica? 2024. https://www.ilo.org/sites/default/files/2024-08/Informe_Barreras_Colombia.pdf
Suarez-Acuña CE, Carvajal-Carrascal G, Serrano-Gómez ME. Psychometric Properties of the Parent’s Perception Uncertainty in Illness Scale, Spanish Version. Enferm Intensiva (Engl Ed). 2018;(4):149-157. DOI: https://doi.org/10.1016/j.enfi.2017.12.002
Jaramillo Arbeláez PE, Botero Bernal B, Arroyo Romero AM, Yepez Pantoja ED, Cossio Ospina MI. Fundamentos bioéticos que utilizan los comités de ética para la evaluación de investigaciones en seres humanos, en Antioquia. Rev. latinoam. bioet [Internet]. 2021;21(2):75-91. DOI: https://doi.org/10.18359/rlbi.5268
American Psychological Association. Developing Adolescents: A Reference for Professionals; 2002, https://www.apa.org/topics/teens/developing-adolescents-professionalsreference
Congreso de la República de Colombia. Ley 1098 de 2006. Código de Infancia y Adolescencia. Diario Oficial No. 46.446, 8 de noviembre de 2006.
Departamento Nacional de Planeación (DNP), Observatorio Colombiano de Migración desde Venezuela (OMV) y Agencia de los Estados Unidos para el Desarrollo Internacional (USAID). Informe Todas Somos Dignas: Caracterización de la situación de las mujeres migrantes de Venezuela en Colombia con énfasis en autonomía económica y violencias basadas en género; 2023. https://colaboracion.dnp.gov.co/CDT/Justicia%20Seguridad%20y%20Gobierno/Gobierno/OMV/INFORME%20MUJERES%20MIGRANTES%20-%20TODAS%20SOMOS%20DIGNAS.pdf
Nurhidayah I, Nurhaeni N, Allenidekania A, Gayatri D, Rustina Y. Uncertainty of Parents Due to Having Children with Cancer: A Concept Analysis. Belitung Nurs J. 2023;26;9(3):218-226. DOI: https://doi.org/10.33546/bnj.2612
Rambod M, Pasyar N, Mazarei Z, Soltanian M. The Predictive Roles of Parental Stress and Intolerance of Uncertainty on Psychological Well-Being of Parents with a Newborn in Neonatal Intensive Care Unit: A Hierarchical Linear Regression Analysis. BMC Pediatr. 2023;23:607. DOI: https://doi.org/10.1186/s12887-023-04420-4
Chen C, Okawa S, Okubo R, Nakagawa S, Tabuchi T. Risk Factors for Mother-to-Infant Bonding Difficulties and Maternal Anger/Rejection towards the Infant in a Japanese Longitudinal Study. Asian J Psychiatr. 2023;89:103778. DOI: https:/doi.org/10.1016/j.ajp.2023.103778
Vega-Gutiérrez MM, Fernández-Niño JA, Rojas-Botero ML. Determinantes del peso al nacer en hijos de mujeres venezolanas migrantes irregulares en Barranquilla y Riohacha. Rev Salud Pública (Bogotá). 2020;22(4):400-406. DOI: https://doi.org/10.15446/rsap.v22n4.87572
Guarnizo-Herreño CC, Wehby GL. Health of Infants Born to Venezuelan Refugees in Colombia. J Immigr Minor Health. 2021;23:222-231. DOI: https://doi.org/10.1007/s10903-020-01114-2
Weigel MM, Armijos RX. Maternal Care and Pregnancy Outcomes of Venezuelan and Colombian Refugees. J Immigr Minor Health. 2023;25(1):86-95. DOI: https://doi.org/10.1007/s10903-022-01370-4
Weigel MM, Armijos RX. Obstetrical Complications in Venezuelan Refugee and Migrant Women: Analysis of Ecuadorian National Hospital Discharge Data, 2018-2021. J Immigr Minor Health. 2024;26(5):830-840. DOI: https://doi.org/10.1007/s10903-024-01600-x
Organización Mundial de la Salud y Organización Panamericana de la Salud. Reporte de Salud y Migración en las Américas; 2025. https://www.paho.org/sites/default/files/2025-01/sitrep-migracion-salud-oct-2024.pdf
Agarwal-Harding P, Ruscitti B, Shepard DS. Harker A, Bowser D. Disparities in Healthcare-Seeking Behaviors and Associated Costs between Venezuelan Migrants and Colombians Residing in Colombia. Int J Equity Health. 2024;23:202. DOI: https://doi.org/10.1186/s12939-024-02289-y
Pérez-Sánchez M, Immordino P, Romano G, Giordano A, García-Gil C, Morales F. Access of Migrant Women to Sexual and Reproductive Health Services: A Systematic Review. Midwifery. 2024;139:104167. DOI: https://doi.org/10.1016/j.midw.2024.104167
Bahamondes L, Laporte M, Margatho D, Amorim HSF, Brasil C, Charles CM, et al. Maternal Health among Venezuelan Women Migrants at the Border of Brazil. BMC Public Health. 2020;20:1771. DOI: https://doi.org/10.1186/s12889-020-09912-x
Lawn JE, Ohuma EO, Bradley E, Suárez Idueta L, Hazel E, Okwaraji YB, et al. Small Babies, Big Risks: Global Estimates of Prevalence and Mortality for Vulnerable Newborns to Accelerate Change and Improve Counting. The Lancet. 2023;401(10389):1707-1719. DOI: https://doi.org/10.1016/S0140-6736(23)00522-6
Eriksson E, Lundqvist P, Jönsson L. Fathers’ Experiences Six Months After their Preterm Infant’s Discharge from the NICU. Compr Child AdolescNurs. 2024;47(4):245-254. DOI: https://doi.org/10.1080/24694193.2024.2406209
Choi D, Shin H. The Effect of illness Uncertainty and Self-Efficacy on the Perception of Shared Decision-Making among Parents of Infants in the Neonatal Intensive Care Unit. NursCrit Care. 2025; 30(3):e13154. DOI: https://doi.org/10.1111/nicc.13154
Ribeiro GF, Pedroso MR de O, Pampolim G, Santos DF, Leite FMC. Apoio social percebido por puérperas e seus fatores associados. Rev. enferm. UERJ [Internet]. 2022;30(1):e69128. DOI: https://doi.org/10.12957/reuerj.2022.69128
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