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Updated: Feb 3, 2026

Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography
Published on: January 27, 2023
Neonatal Intensive Care Unit discharge preparedness among families with limited english proficiency
Evelyn Obregon1, Camilia R Martin2,3, Ivan D Frantz Iii2,3
1Department of Neonatology, Beth Israel Deaconess Medical Center, Boston, MA, USA. eobregon@bidmc.harvard.edu.
Objective:
We compared the Neonatal Intensive Care Unit discharge preparedness of families with and without Limited English Proficiency (LEP).
Study Design:
We performed a retrospective analysis of discharged families. Each family's discharge preparation was self-assessed on the day of discharge, and the discharging nurse assessed the family's overall emotional and technical discharge preparedness all on 9-point Likert scales. Families were considered not prepared for discharge if they rated themselves or the nurse rated their preparedness as <7 on the Likert scale.
Results:
Among 1307 discharged families, 90 had LEP. The odds of being prepared for discharge were the same for both groups (aOR = 0.62, 95% CI: 0.27-1.41; p = 0.258). In multivariable analyses, families with LEP were less likely to be prepared with technical baby care skills (aOR = 0.32, 95% CI: 0.13-0.81).
Conclusion:
Families with LEP are at higher risk and may require special attention when preparing for NICU discharge.
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