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Published on: January 7, 2020
Preparing for post-discharge care of premature infants: Experiences of parents
Sandra Patricia Osorio Galeano1, Sandra Catalina Ochoa Marín2, Sonia Semenic3
1Universidad de Antioquia, Medellín, Colombia, sandra.osorio@udea.edu.co.
Insights
Parents experience mixed emotions of joy and fear when their premature infants are discharged from the neonatal unit. This complex discharge process highlights the need for better parental support strategies.
Area of Science:
- Neonatal care
- Parental experiences
- Qualitative research
Background:
- Discharge from neonatal intensive care units (NICUs) is a critical transition for premature infants and their families.
- Understanding parental experiences during this period is crucial for developing effective support systems.
Purpose of the Study:
- To explore and describe the experiences of parents whose premature children are being discharged from a neonatal unit.
- To identify key factors influencing the discharge process from the parents' perspective.
Main Methods:
- Qualitative study design.
- Semi-structured interviews with 10 parents of premature infants at the time of discharge.
- Grounded theory approach with open and axial coding for data analysis.
Main Results:
- Parents reported experiencing ambivalent feelings, including both joy and fear, regarding home care for their premature infant.
- The discharge process was identified as complex, with specific barriers and facilitators influencing parental readiness and confidence.
- Key themes included the emotional impact of discharge and the perceived challenges of transitioning from hospital to home care.
Conclusions:
- Neonatal discharge for premature infants is a multifaceted process marked by conflicting parental emotions.
- There is a need for healthcare professionals, particularly nurses, to implement strategies that foster early parental involvement in infant care during hospitalization.
- Enhanced support and education are essential to facilitate a smoother transition for parents caring for premature infants at home.
Objectives:
The study sought to describe the experiences of parents of premature children regarding discharge from the neonatal unit.
Methods:
This was a qualitative study, in which 10 semi-structured interviews were conducted with parents of premature infants upon discharge from the neonatal unit. Data were analyzed following principles of grounded theory; open and axial coding was performed.
Results:
The following categories emerged from the analysis of the information: feelings experienced upon discharge, and experience of the discharge as a process; the latter category clearly identified barriers and facilitators. The results highlight that the parents experience ambivalent feelings; joy is mixed with the fear of caring for a premature child at home.
Conclusions:
For parents, discharge of premature children from the neonatal unit is a complex process during which conflicting feelings are experienced. Nursing must develop strategies to involve parents early in the care of their children during the hospital stay.
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