‘Don't put the parent out’: parents' perspectives of being present during an inter‐hospital transfer

Masterson, Kate; Brenner, Maria

doi:10.1111/jocn.13183

Cited by 2 publications

(2 citation statements)

References 27 publications

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“…What differs in our study is that an increase in the number of hospital transfers predicted the likelihood of lower breastfeeding rates on discharge. Interhospital transfer is a known stressor for parents 15 and practice variations across neonatal units may contribute to such stress. Practice variations observed included different access policies, 16 lack of health professional knowledge of breastfeeding, variable availability of lactation support, 13,17 exposure to multiple carers and inconsistent and conflicting advice 18 .…”

Section: Discussionmentioning

confidence: 99%

Influence of patterns of neonatal transfers on breastfeeding outcomes

Sinclair

Spence

Galea

et al. 2021

J Paediatrics Child Health

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Aim: To investigate/evaluate the impact of hospital transfers on breastfeeding outcomes for infants requiring neonatal intensive care and to explore approaches to supporting lactation and breastfeeding. Methods: A national study of two cohorts of infants admitted to the nine neonatal intensive care units (NICUs) in New South Wales (NSW) Australia using data sourced from a prospectively collected NICUS data collection. Results: A total of 7829 infants were admitted to the nine NICUs in NSW for two 18-month cohorts (2012/2013 and 2015/2016) and were included in the study. These infants experienced 17 238 transfers to 107 different hospitals during the study period. Multiple transfers and low gestational age were independently associated with lower breastfeeding rates at hospital discharge across both cohorts. Extremely preterm infants and those with the greatest number of hospital transfers are least likely to be breastfed at time of discharge. Breastfeeding rates remained unchanged over time. The level of lactation support varied across NICUs. Conclusion:This study highlights the challenges of establishing and maintaining breastfeeding for infants requiring intensive care who have had multiple hospital transfers for continuing or specialist care. There is wide variation in lactation support across facilities. The importance of a consistent approach, education programmes and the provision of appropriate lactation support is emphasised.

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Section: Discussionmentioning

confidence: 99%

Influence of patterns of neonatal transfers on breastfeeding outcomes

Sinclair

Spence

Galea

et al. 2021

J Paediatrics Child Health

View full text Add to dashboard Cite

show abstract

“…The theory further classifies facilitators and inhibitors as personal, interpersonal, organizational, communal and societal (Chao et al, 2020). Studies are emerging showing that not only the patient suffers during multiple transitions, but also the family members as well (Karlsson et al, 2020; Masterson & Brenner, 2016; Oh et al, 2015). A recent qualitative study identified discharge facilitators after TBI rehabilitation such as adequate patient health, access to healthcare services, availability of family caregiver, attachment to home, commitment to loved one, possibility of transitional phase (e.g.…”

Section: Introductionmentioning

confidence: 99%

Facilitators and inhibitors of traumatic brain injury transfers: A fieldwork investigation

2023

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AimIntensified healthcare specialization has increased the need for patient transfers. We aimed to describe in‐hospital and interhospital patient transfer decisions during the traumatic brain injury (TBI) trajectory from a nursing perspective.DesignEthnographic fieldwork.MethodsWe used participant observation and interviews at three sites representing the acute, subacute and stable stages of the TBI trajectory. Deductive analysis was applied supported by transition theory.ResultsDuring the acute stage (neurointensive care), transfer decisions were facilitated by physicians assisted by critical care nurses, in the subacute stage (highly specialized rehabilitation), transfer decisions were collaborative among in‐house healthcare professionals, community staff and family, and during the stable stage (municipal rehabilitation), transfer decisions were made by non‐clinical staff. Most of the resources allocated during the trajectory went towards highly specialized rehabilitation, whereas more resources are needed during the end of the trajectory.No Patient or Public ContributionPatients and the public were not involved in this study .

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‘Don't put the parent out’: parents' perspectives of being present during an inter‐hospital transfer

Abstract: There is a need to maximise the facilitation of parental presence in an Irish context through the introduction of guidelines to support staff involved in the transfer of an acutely ill child.

Cited by 2 publications

References 27 publications

Influence of patterns of neonatal transfers on breastfeeding outcomes

Influence of patterns of neonatal transfers on breastfeeding outcomes

Facilitators and inhibitors of traumatic brain injury transfers: A fieldwork investigation

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