Understanding preparation for preterm infant discharge from parents’ and healthcare providers’ perspectives: Challenges and opportunities

Hua, Wenzhe; Wang, Liying; Li, Chenxing; Simoni, Jane M.; Yuwen, Weichao; Jiang, Liping

doi:10.1111/jan.14676

Cited by 15 publications

(11 citation statements)

References 55 publications

(77 reference statements)

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“…In particular, participating in the care of their infant prior to the transition to the SFR was viewed as beneficial. This finding is consistent with studies of NICU discharge, which report that being more involved in care prior to discharge helps parents feel better prepared to assume care of their infant at home 21,22…”

Section: Discussionsupporting

confidence: 89%

Factors Influencing Parents' Perception of Their Infants' Transition From a 6-Bed Pod to Single Family Room in a Mixed-Room Neonatal Intensive Care Unit

Crump

Gosselin²,

D'addona³

et al. 2023

Advances in Neonatal Care

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Background: While hospitalized in the neonatal intensive care unit (NICU), infants and their families undergo multiple transitions, and these have been found to be a source of stress for families. Although mixed-room NICU designs allow for infants to benefit from different room types as their needs evolve during their stay, these can necessitate a transfer from one room type to another, which represents a transition for families. As some NICUs change to mixed-room designs, there is a need to better understand the factors impacting these particular transitions from the perception of parents. Purpose: Examine parent perceptions of factors affecting the transition from a 6-bed pod to single family room in a mixed-room design NICU. Methods: Using a qualitative descriptive design, semistructured interviews were conducted with 17 parents whose infant had transitioned from a 6-bed pod to single family room. Interviews were transcribed verbatim and then analyzed using content analysis. Results: Four categories of factors were identified: (1) framing, timing, and comprehensiveness of information provided by staff regarding the transition; (2) parents' perception of advantages and disadvantages of the new space; (3) parent's own well-being and quality of support from staff; and (4) parent's previous NICU and parenting experience. Implications for Practice: Staff should frame the information they provide about this transition in a positive way to help parents adjust. A family-centered approach should also be used to provide tailored information and support to individual families. Implications for Research: Future studies are needed into intraunit transfers including sources of support for parents, as well as staff perceptions of these transitions.

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Section: Discussionsupporting

confidence: 89%

Factors Influencing Parents' Perception of Their Infants' Transition From a 6-Bed Pod to Single Family Room in a Mixed-Room Neonatal Intensive Care Unit

Crump

Gosselin²,

D'addona³

et al. 2023

Advances in Neonatal Care

View full text Add to dashboard Cite

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“…In practice, this means providing tailored information at times that the parents deem best in the amount and format that best suits their needs. This could also involve the provision of a brochure or video, in addition to the verbal communication of information already provided by nurses, as these have been noted in NICU discharge literature to improve parents' knowledge and feelings of readiness 16,17. Topics could include information about the expectations of parents and explanations of differences between the pods and the SFRs, such as staffing ratios and any differences in equipment or monitoring system.…”

Section: Discussionmentioning

confidence: 99%

“…information tailored to their needs to support them during this key transition. 16,17 Having a nurse coordinating transitions could also facilitate parents' transitions to the SFR by ensuring that all parents have access to desired information and support. In the absence of a dedicated nurse to provide this information, a detailed procedure could also be developed in order to guide bedside nurses in when and how to approach informing parents of and supporting parents through the transition to the SFR.…”

Section: E14mentioning

confidence: 99%

Parent Perceptions of Transitioning From a 6-Bed Pod to a Single Family Room in a Mixed-Room Design NICU

Crump,

Gosselin,

D'Addona

et al. 2023

Journal of Perinatal &Amp; Neonatal Nursing

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Background: As some neonatal intensive care units (NICUs) shift toward mixed-room designs, with different room types available throughout family's stays, there is a need to better understand parent perceptions of this transition. Methods: This study used a qualitative descriptive design to describe parent perceptions of transitioning from a 6-bed pod to a single family room in a mixed-room design NICU. Purposive sampling was used to recruit 10 mothers and 7 fathers who were regularly present on the unit before and after the transition. Semistructured telephone interviews were conducted a minimum of 2 days after the transition occurred. Interviews were transcribed and then analyzed using reflexive thematic analysis. Findings: Four themes were identified: going into the unknown; approaching the finish line; becoming comfortable in the new reality and seeing the benefits; and gaining autonomy and confidence in parenting. Conclusion: These results further our understanding of the transition process from a 6-bed pod to a single-family room for parents in the NICU. Staff should be sensitized to this experience to provide tailored information and support for parents throughout the transition.

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“…Mothers who have limited access to counseling and support services are more likely to engage in inadequate coping, especially if they are ill‐informed and unable to discern between their preterm babies' immediate and ongoing needs 49 . Health professionals can ensure a smooth transition from hospital to home by enhancing the parents' knowledge and skills in preterm baby care, taking into the account personal circumstances and practical needs and preparing them for discharge 50 …”

Section: Discussionmentioning

confidence: 99%

“…49 Health professionals can ensure a smooth transition from hospital to home by enhancing the parents' knowledge and skills in preterm baby care, taking into the account personal circumstances and practical needs and preparing them for discharge. 50…”

Section: Discussionmentioning

confidence: 99%

Not being able to hug our baby before the cables: Early experiences of parents with premature babies

Gündoğdu

Mert²,

Gündüz

2022

Nursing Forum

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Background: The nursing care provided after the intensive care period and discharge can contribute to the optimal growth and development of the baby while protecting the mental health of the parents.Objective: The aim of this study is to examine in detail the experiences of parents with premature babies about having a premature baby and their experiences with the hospitalization process of their babies in the neonatal intensive care unit (NICU). Design:The methodological approach was informed by Van Manen's hermeneutic phenomenological methodology. The sample consisted of 15 parents who had a preterm baby in the NICU of a state hospital in Turkey. Results:The data obtained from this study were categorized under four themes: having a preterm baby, perception of intensive care, feelings toward nurses, emotions about discharge and home care.Conclusions: Health professionals should know what the parents' perception of being a parent and having a premature baby is.

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Understanding preparation for preterm infant discharge from parents’ and healthcare providers’ perspectives: Challenges and opportunities

Cited by 15 publications

References 55 publications

Factors Influencing Parents' Perception of Their Infants' Transition From a 6-Bed Pod to Single Family Room in a Mixed-Room Neonatal Intensive Care Unit

Factors Influencing Parents' Perception of Their Infants' Transition From a 6-Bed Pod to Single Family Room in a Mixed-Room Neonatal Intensive Care Unit

Parent Perceptions of Transitioning From a 6-Bed Pod to a Single Family Room in a Mixed-Room Design NICU

Not being able to hug our baby before the cables: Early experiences of parents with premature babies

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