Collaboration challenges faced by nurses when premature infants are discharged

Voie, Mona Pauline; Tunby, Jorunn; Strømsvik, Nina

doi:10.7748/ncyp.2018.e960

Cited by 10 publications

(9 citation statements)

References 40 publications

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“…Another barrier may be lack of collaboration between neonatal staff and community-based health professionals. Voie et al (2018) explored the collaboration challenges faced by these two professional groups when preparing premature infants for transition home and the culture of cooperation. Different expectations and lack of communication between them were highlighted and responsibilities and interactions between roles were not clearly defined.…”

Section: Role Of Neonatal Nurses In Transitionmentioning

confidence: 99%

The transition home of extremely premature babies: An integrative review

Green

Fowler

Petty

et al. 2021

Journal of Neonatal Nursing

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Taking a premature baby home after an often-protracted period on the neonatal unit can be stressful for parents and they are often confronted with an unexpected reality. The transition to motherhood and parenthood has occurred in the neonatal unit, under the watchful eye of neonatal nurses. When the baby goes home, parents are expected to take on the full-time caregiving role of a baby who may require around the clock care with medications, home oxygen, feeding issues and monitoring. The level of preparation for the transition home of the premature baby can impact on how the family survives and thrives. It is not surprising that parents may find this challenging because the growth and development trajectory of extremely premature babies can be markedly different from a term infant requiring tailored support to meet. This article is an integrative review of the literature focusing on parents' experience of transitioning home from a neonatal unit with a premature baby. Six themes were identified, and an analysis is presented: namely, transition, unique needs of premature babies, discharge preparation and readiness, discharge learning content, maternal mental health and the role of the neonatal nurse in transition.

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Section: Role Of Neonatal Nurses In Transitionmentioning

confidence: 99%

The transition home of extremely premature babies: An integrative review

Green

Fowler

Petty

et al. 2021

Journal of Neonatal Nursing

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“…A scoring system has been developed to guide empirical antifungal therapy for patients colo nized with Candida spp. using a Candida score [17,18,19,20,21,22].…”

Section: Discussionmentioning

confidence: 99%

Systemic Candidosis Diagnostic Test with Candida Score and Monocyte Count in Premature Infants with Late-Onset Sepsis: Research in Low Resources Country

Ratridewi

Amalia

Huwae

et al. 2023

Russian Journal of Infection and Immunity

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Abstract Introduction: Candida is the cause of most systemic fungal infections that plays a role in the pathophysiology of sepsis in newborns, especially in premature infants with late-onset sepsis. The candida score can be used to assess the occurrence of systemic candidosis where a candida score 2.5 can accurately identify patients who are at high risk for candidiasis infection. Monocytes also play an important role in preventing candida invasion. Materials and methods: This study used a cross sectional research design. Data was collected from premature infants with late-onset sepsis being suspected of systemic candidosis in neonatology inpatient ward. It was submitted from the period of November-December 2021. It takes a minimum of 31 samples to meet the criteria to process and analyze the data. The data obtained were processed and analyzed using the Receiver Operating Characteristic (ROC) method to obtain the Area Under Curve (AUC) value. Based on the AUC curve, the search for the most optimal intersection is carried out to obtain the sensitivity and specificity values. Results: Of the 31 research subjects, the number of subjects with positive PCR results was 27 (76.93%) while negative were 4 respondents (12.9%). The mean value of PCR density in the positive group of subjects was 76.93 and the range was 40.23 122.78. Meanwhile, in the group of subjects who were negative, the PCR density value was 0. The results of the candida score diagnostic test showed that the sensitivity obtained was 81%. Higher sensitivity and specificity 70% were found in the combined examination of candida scores and monocyte counts according to cut-off compared with separate examinations. Conclusions: The combined examination of candida score and monocyte count can be used as a diagnostic test for systemic candidosis in premature infants with late-onset sepsis, and could be used to consider the initiation of empirical antifungal therapy, either prophylactically or therapeutically, especially in limited laboratory facilities in Indonesia.

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“…The additional benefit integrating PHNs within the NICU interprofessional team would be the anticipatory guidance and continuity of care that these nurses could provide as parents transition home from the NICU; an important ingredient in achieving healthy growth and development post-NICU. However, NICU and public health nursing collaboration remains relatively unexplored and could be a promising avenue of future research [ 48 , 49 ]. Expanding the interprofessional team can also support the lack of time perceived as a barrier to providing adequate care to more complex families in the NICU including adolescent parents.…”

Section: Discussionmentioning

confidence: 99%

Providers’ perspectives of the neonatal intensive care unit context and care provision for adolescent parents: an interpretive description

Orr

Ballantyne

González

et al. 2023

BMC Pregnancy Childbirth

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Background The neonatal intensive care unit (NICU) is a complex care environment, with the NICU patient population among the most vulnerable in a hospital setting. Adolescent parents are a unique group within the broader NICU parent population and admission of their infant to the NICU contributes to an already complex situation as adolescent pregnancy and parenting is often associated with a range of psychosocial challenges. How the NICU care context influences care provision for adolescent parents is a significant gap in the NICU parenting and support discourse. Therefore, this study aimed to explore health and social care providers’ perspectives of the NICU care context and how providers perceive the context as influencing the experiences of adolescent parents in the NICU. Methods This was a qualitative, interpretive description study design. In-depth interviews were conducted with providers, including nurses and social workers, caring for adolescent parents in the NICU. Data was collected between December 2019 and November 2020. Data were analyzed concurrently with data collection. Constant comparison, analytic memos, and iterative diagramming techniques were used to challenge developing analytic patterns. Results Providers (n = 23) described how the unit context influenced care provision as well as experiences for adolescent parents. We learned that having a baby in the NICU was perceived by providers as a traumatic experience for parents – impacting attachment, parenting confidence and competence, and mental health. Environmental factors – such as privacy and time – and perceptions that adolescent parents are treated differently in the NICU were also seen as influencing this overall experience. Conclusions Providers involved in the care of adolescent parents in the neonatal intensive care unit described the distinctiveness of this group within the broader parent population and how quality of care may be impacted by contextual factors as well as experiences of age-related stigma. Further understanding of NICU experiences from the parents’ perspectives are warranted. Findings highlight opportunities for strengthened interprofessional collaboration and trauma- and violence-informed care strategies within the neonatal intensive care environment to mitigate the potential negative influence of this experience and improve care for adolescent parents.

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Collaboration challenges faced by nurses when premature infants are discharged

Abstract: There is a need of clear guidelines about the discharge process from the NICU. This issue must be given further attention.

Cited by 10 publications

References 40 publications

The transition home of extremely premature babies: An integrative review

The transition home of extremely premature babies: An integrative review

Systemic Candidosis Diagnostic Test with Candida Score and Monocyte Count in Premature Infants with Late-Onset Sepsis: Research in Low Resources Country

Providers’ perspectives of the neonatal intensive care unit context and care provision for adolescent parents: an interpretive description

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