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Parental experiences of the neonatal transfer process
Caroline Fraser1, Catherine M Harrison2,3
1Leeds Centre for Newborn Care Leeds Teaching Hospitals NHS Trust, Great George Street, Leeds, UK. caroline.fraser12@nhs.net.
Insights
Parental satisfaction with neonatal transfers is high, but parents desire more involvement and better communication. Developing family-centered quality markers can enhance the neonatal transport experience.
Area of Science:
- Neonatal care
- Transport medicine
- Patient experience
Background:
- Parental feedback rates for neonatal transfer in the UK are low (9-11%).
- Current benchmarking relies solely on clinical and logistical quality markers.
- There's a need to explore parental experiences and improve feedback mechanisms.
Purpose of the Study:
- To explore parental experiences of the neonatal transfer process.
- To identify methods for increasing parental feedback rates.
- To develop family-centered quality markers for neonatal transport.
Main Methods:
- A mixed-methods study combining qualitative (group interviews, n=5) and quantitative (surveys, n=453) approaches.
- Thematic analysis was used to analyze collected data.
- Involved parents who had undergone the neonatal transfer process.
Main Results:
- Overall parental satisfaction was high (74.6%).
- Key areas for improvement include parental involvement, traveling with the baby, communication, and logistics.
- Neonatal transfers significantly impact parental mental health.
Conclusions:
- While satisfaction is high, improvements in communication, logistics, and family-centered care are needed.
- Developing parental experience quality markers could enhance neonatal transport.
- Collaborative efforts are needed to improve family-centered experiences in neonatal transfers.
Background:
Parental feedback rates of the neonatal transfer process are 9-11% in the UK. Only clinical and logistical quality markers currently exist to benchmark transport teams. The aims were to: explore parental experiences of the neonatal transfer process, determine ways to improve parental feedback rates about the transfer process and develop potential family centred transport quality markers.
Methods:
A mixed study design (qualitative and quantitative) involving parents who had experienced the neonatal transfer process using semistructured group interviews (n = 5) and a structured survey (n = 453). Thematic analysis was performed on the results.
Results:
74.6% parents were satisfied with their overall experience, 53% parents travelled with their babies, 52.6% parents felt involved in the transport process and 9% parents reported giving feedback to the transport team. The most frequently reported areas of importance included parental involvement and travelling with their baby, communication and information provision, logistics and mental health effects. Neonatal transfers were reported to have long lasting impacts on mental health by several parents.
Conclusions:
Satisfaction rates for the transfer process were high, however improvements were suggested by many respondents regarding communication, logistics and family centred care. Development of parental experience quality markers for neonatal transport may improve this.
Impact Questions:
Parental satisfaction with the neonatal transfer process in the UK is high Areas to improve upon include parents travelling with their baby and involvement in their care, communication and logistics There are mental health impacts from the transfer process alone This is the biggest published study of it's type and highlights areas for transport teams and the wider network to collaboratively work on to improve family centred experiences as well as some suggested family centred quality markers.
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