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Development of a post discharge telecare program for premature infants in Covid 19 era: Protocol for a mixed methods
Namnabati Mahboobeh1, Shamsi Atefeh2, Ehteshami Asghar3
1Professor of Nursing, Department of Pediatric and Neonates, Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Insights
Developing a post-discharge telecare program is crucial for premature infants transitioning home during the COVID-19 pandemic. This study outlines a mixed-methods approach to create and evaluate an effective telecare strategy for enhanced infant and parent support.
Area of Science:
- Neonatal care
- Public health
- Telemedicine
Background:
- Post-discharge care for premature infants is vital for a safe transition home.
- The COVID-19 pandemic created significant challenges for routine hospital care termination and parental support.
- Telecare presents a feasible solution for ongoing care and support of premature infants.
Purpose of the Study:
- To develop a comprehensive post-discharge telecare program for premature infants in Iran during the COVID-19 era.
- To identify and address the specific needs and challenges faced by infants and parents after hospital discharge.
- To evaluate the effectiveness of the developed telecare program.
Main Methods:
- An exploratory mixed-methods study utilizing qualitative and quantitative approaches in three phases.
- Phase 1: Qualitative deep semi-structured interviews with parents, physicians, and nurses to identify needs and strategies.
- Phase 2: Modified Delphi method with experts to prioritize needs and finalize the telecare program.
- Phase 3: Semi-experimental study to implement and evaluate the telecare program's effectiveness.
Main Results:
- The study will provide evidence-based insights into promoting premature infant health post-discharge.
- A structured program integrating qualitative and quantitative findings will be developed.
- The effectiveness of the telecare strategy in the COVID-19 context will be assessed.
Conclusions:
- The developed telecare program is expected to enhance the knowledge and skills of healthcare providers, particularly nurses.
- Empowering healthcare teams will facilitate the provision of continuous, high-quality telecare for premature infants.
- This initiative aims to improve health outcomes for premature infants and their families during and after hospitalization.
Background:
Post-discharge care of premature infants is an important goal that can provide a safe transition for these infants from the hospital to the home setting, especially who has undergone significant changes during Covid19. Most premature infants experience complications because of routine hospital care termination after discharge because of limitations and barriers that Covid can create for the infant and the parents. It is necessary to develop a program that provides ongoing care for these infants. Telecare is one feasible option that can be used to implement this program. The study aims to develop a post-discharge telecare program for premature infants in the Covid era in Iran.
Material And Methods:
This is an exploratory mixed-methods study that will be conducted by Qualitative-quantitative methods in three consecutive phases at Isfahan University of Medical Sciences in January 2022. In the first phase, a qualitative study will be conducted to identify and determine the needs and strategies in the Covid 19 era to promote premature infant care after discharge. The data will be collected through deep semi-structured interviews. Participants (parents, physicians, and nurses) will be selected by purposive sampling methods, and the conventional content analysis method will be used for data analysis. In the second phase, the identified infants' and parents' needs as an initial draft of the program will be prioritized and confirmed by the modified Delphi method and a panel of experts. The final program will be developed in this phase. In the quantitative third phase, the confirmed program will be implemented as a semi-experimental study that uses a telecare strategy. Finally, we will evaluate the effectiveness of this telecare program.
Result:
A program that uses qualitative and quantitative methods can provide evidence for promoting premature infant health after hospital discharge in Covid 19 era.
Conclusion:
We anticipate that this program will promote knowledge and empower health team members, especially nurses, to provide ongoing telecare for premature infants.
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