Parents' perception of the back-transport of very-low-birth-weight infants to community hospitals

Donohue, Pamela; Hussey-Gardner, Brenda; Sulpar, Leslie J.; Fox, Renee E.; Aucott, Susan W.

doi:10.1038/jp.2009.17

Cited by 19 publications

(26 citation statements)

References 12 publications

(19 reference statements)

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“…As in most qualitative studies, interview was the preferred data collection method of the primary researchers and took place through individual, focus group, or telephone interviews with a small number of participants. An exception to the small number was Donahue, Hussey‐Gardner, Sulpar, and Aucott () primary study. In a mixed‐methods study, they collected data through telephone interviews with more than 200 mothers.…”

Section: Resultsmentioning

confidence: 99%

Parents’ experiences of neonatal transfer. A meta‐study of qualitative research 2000–2017

et al. 2018

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Transfers of critically ill neonates are frequent phenomena. Even though parents' participation is regarded as crucial in neonatal care, a transfer often means that parents and neonates are separated. A systematic review of the parents' experiences of neonatal transfer is lacking. This paper describes a meta-study addressing qualitative research about parents' experiences of neonatal transfer. Through deconstruction and reflections of theories, methods, and empirical data, the aim was to achieve a deeper understanding of theoretical, empirical, contextual, historical, and methodological issues of qualitative studies concerning parents' experiences of neonatal transfer over the course of this meta-study (2000-2017). Meta-theory and meta-method analyses showed that caring, transition, and family-centered care were main theoretical frames applied and that interviewing with a small number of participants was the preferred data collection method. The meta-data-analysis showed that transfer was a scary, unfamiliar, and threatening experience for the parents; they were losing familiar context, were separated from their neonate, and could feel their parenthood disrupted. We identified 'wavering and wandering' as a metaphoric representation of the parents' experiences. The findings add knowledge about meta-study as an approach for comprehensive qualitative research and point at the value of meta-theory and meta-method analyses.

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Section: Resultsmentioning

confidence: 99%

Parents’ experiences of neonatal transfer. A meta‐study of qualitative research 2000–2017

et al. 2018

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“…Recent data from 236 neonatal families at two East Coast hospitals found that less than 50% of families desired back-transport, because of their comfort with the caregiver team at the high-level hospital. 53 Consistent communication between the provider and family is a critical element to a smooth back-transport. 54 Most studies of back-transport suffer from the biased selection of patients chosen for back-transport, compared to those who remained at the specialty center until discharge.…”

Section: Types Of Regionalization Studies and Their Outcomesmentioning

confidence: 99%

The Regionalization of Pediatric Health Care

Myers²,

2010

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Regionalization of health care is a method to provide high quality, cost-efficient health care to the largest number of patients. Within pediatric medicine, regionalization has been undertaken in two areas: neonatal intensive care and pediatric trauma care. The supporting literature for the regionalization of these areas demonstrates the range of studies within this field: studies of neonatal intensive care primarily compare different levels of hospitals, while studies of pediatric trauma care primarily compare the impact of institutionalizing a trauma system in a single geographic region. However, neither specialty has been completely regionalized, possibly because of methodologic deficiencies in the evidence base. Research with improved study designs, controlling for differences in illness severity between different hospitals; a systems approach to regionalization studies; and measurement of parental preferences will improve the understanding of the advantages and disadvantages of regionalizing pediatric medicine and ultimately optimize the outcomes of children.

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“…Further, regionalized systems need a back-transport of patients to non-specialty hospitals after they have been stabilized and their condition improved. Parents or guardians may be reluctant to back-transport, because of their comfort and belief in the high level hospital19). However, if not supported by a re-distribution system, the referred hospital could become crowded with patients awaiting treatment.…”

Section: Regionalization Of Pediatric Emergency Carementioning

confidence: 99%

Regionalization of pediatric emergency care in Korea

Kim

2011

Korean J Pediatr

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In order to care for an ill or injured child, it is crucial that every emergency department (ED) has a minimum set of personnel and resources because the majority of children are brought to the geographically nearest ED. In addition to adequate preparation for basic pediatric emergency care, a comprehensive, specialized healthcare system should be in place for a critically-ill or injured victim. Regionalization of healthcare means a system providing high-quality and cost-effective care for victims who present with alow frequency, but critical condition, such as multiple trauma or cardiac arrest. Within the pediatric field, neonatal intensive care and pediatric trauma care are good examples of regionalization. For successful regionalized pediatric emergency care, all aspects of a pediatric emergency system, from pre-hospital field to hospital care, should be categorized and coordinated. Efforts to set up the pediatric emergency care regionalization program based on a nationwide healthcare system are urgently needed in Korea.

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Parents' perception of the back-transport of very-low-birth-weight infants to community hospitals

Cited by 19 publications

References 12 publications

Parents’ experiences of neonatal transfer. A meta‐study of qualitative research 2000–2017

Parents’ experiences of neonatal transfer. A meta‐study of qualitative research 2000–2017

The Regionalization of Pediatric Health Care

Regionalization of pediatric emergency care in Korea

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