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Neonatal transitional care

Karen Lasby1, Sue Newton, April von Platen

  • 1Neonatal Transition Team, Calgary Health Region, Calgary, Alberta.

The Canadian Nurse
|January 1, 2005
PubMed

Insights

The Neonatal Transitional Care Program (NTCP) supports very low birth weight (VLBW) infants and families post-discharge. This program improves outcomes and maternal confidence while reducing healthcare resource use.

Area of Science:

  • Neonatal care
  • Pediatrics
  • Community health nursing

Background:

  • Very low birth weight (VLBW) infants face significant challenges post-hospital discharge, including medical issues and developmental delays.
  • Families caring for VLBW infants at home experience considerable stress and require specialized community support.
  • A seamless transition from hospital to home is crucial for the well-being of VLBW infants and their families.

Purpose of the Study:

  • To describe the development and evaluation of the Neonatal Transitional Care Program (NTCP).
  • To assess the effectiveness of the NTCP in supporting VLBW infants and their families.
  • To highlight the NTCP as an innovative model for neonatal care in the community.

Main Methods:

  • The NTCP, established in 1997 in the Calgary Health Region, provides four months of in-home and telephone support.
  • The program team comprises clinical nurse specialists and a dietitian.
  • Program evaluation involved assessing outcomes such as breast milk provision, healthcare resource utilization, and maternal satisfaction.

Main Results:

  • The NTCP demonstrated lengthened breast milk provision for VLBW infants.
  • Significant decreases in healthcare resource demand, particularly in emergency departments and pediatrician offices, were observed.
  • Maternal confidence and satisfaction with community support services were enhanced.

Conclusions:

  • The NTCP offers an effective, innovative model for supporting VLBW infants and their families after hospital discharge.
  • This program facilitates seamless neonatal care across the healthcare system, aligning with infant and family needs.
  • The NTCP represents a pioneering approach to community-based neonatal transitional care in North America.

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