Effect of COVID-19 on High-risk Neonate Home Care Program: An Audit Study

Abstract

One of the most important goals of the health system in this pandemic was to provide a home care for the high-risk neonates. The aim of this study was to audit a high-risk neonate home care program during the COVID-19 pandemic. This descriptive-analytical study was conducted with the participation of 158 high-risk neonates discharged from neonatal intensive care units of hospitals. Data collection was performed through questionnaire and a researcher-made checklist. The researcher observed and evaluated 7 areas of healthcare. The study was first performed in person, but after the COVID-19 pandemic, the researcher evaluated these cares in absentia. The results of the study showed that the mean score of in-person “conduction” was 56.7 and in-absentia conduction was 52.5 and the mean score of in-person “education” was 63.6 and in-absentia conduction was 65.6. The results showed that there was no significant difference between the in-person and in-absentia methods. Moreover, while 53.2% of caregivers performed well, 33.5% of them performed poorly. According to the results, the implementation of home care program for high-risk neonates is relatively desirable. However, some regular evaluation and review need to be conducted on instructions and implementations. Regular education of caregivers and, finally, regular in-person and in-absentia monitoring is essential. In-absentia home care during the COVID-19 pandemic was not an obstacle to the implementation of the program and it was implemented through telephone and follow-up.

Strengths, Weaknesses, Threats, and Opportunities a Pediatric Home Care Program in Covid 19 Virus Pandemic: A Qualitative Study

“…In addition, from the nurses' point of view, about 80% of physician's resist home care and it is emphasized that with an inter-professional approach and the cooperation of health team members such as nurses, physiotherapists, and occupational therapists regular visits are made to maximize the effectiveness of home care. 16,23 The researchers' experiences and the results of some other studies in Iranian cities also showed that the lack of coordination between professions is one of the main problems in home care and many nurses and doctors are reluctant to go home-visits and therefore this problem is due to lack of cooperation.…”

Penerapan Home Care Bayi Baru Lahir Usia 0-28 Hari Pasca Pandemi COVID-19

“…Namun, beberapa evaluasi dan peninjauan rutin perlu dilakukan pada instruksi dan implementasi. Perawatan di rumah selama pandemi COVID-19 dilaksanakan melalui telepon dan tindak lanjut (Ansari et al, 2021).…”

Family Attitude Toward Infant Home-Based Care Program Amid COVID-19 Pandemic in Iran: A Cross-Sectional Study

“…Another fact of the event is the increase in the demand for receiving home care, which was caused by restrictions on leaving the house, fear of going to medical centers, and hospitalization. 5…”

“…13 Then, the conformity degree of implementing the nursing care program at home for the high-risk infants with the existing standards was studied, and the impact of COVID-19 on the implementation of the program was investigated. 5 In the way of completing the findings and considering the fact that the attitude of care recipients is effective in accepting the service and improving its implementation. The present study aims to investigate the infant family (mother and father) attitude toward the infant home-based care program amid the COVID-19 epidemic.…”