ArticlesActivities and Interactions in Level II Nurseries: A Report of an Ethnographic StudyFenwick, Jennifer RN, CM, MNgSt; Barclay, Lesley RN, CM, PhD; Schmied, Virginia RN, CM, MAHonsAuthor Information Midwife Researcher, Family Health Research, Unit University of Technology, Sydney Professor, Family Health Research, Unit University of Technology, Sydney The research on which this article is based was supported by an Australian Research Council Grant. We also wish to thank our colleagues and the mothers with whom they work, for permitting us to work with them in undertaking this research. We also acknowledge the assistance of anonymous reviewers who helped the authors strengthen the article. The Journal of Perinatal & Neonatal Nursing: June 1999 - Volume 13 - Issue 1 - p 53–65 Buy Abstract This article reports an ethnographic study that examines the context and nature of the interactions between health professionals and parents in two Australian level II nurseries: 724 observations were recorded over an 18-week period. Analysis revealed that although the presence of mothers in the nursery was high, registered nurses remain the primary caretakers of the infants. The interactions between registered nurses and mothers were found to be action- or task-oriented with communication largely being described as “instrumental.” The results of this pilot work suggest that the emphasis of clinical practice in level II nurseries remains focused on caring for the infant and teaching the mother. This is in contrast to the current body of literature that identifies the need for a family-centered approach to care that aims to support parents as they develop confidence, attach to their baby, and become skilled in providing care themselves. Copyright © 1999 by Aspen Publishers, Inc.