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Multidisciplinary Team Perceptions on Preparing Newborns for Discharge From a Rooming-in Unit: A Qualitative Study
Thaís Emanuele da Conceição1, Adriana Duarte Rocha2, Cristina Lumia3
1Department of Public Health, Anna Nery School of Nursing Universidade Federal do Rio de Janeiro Rio de Janeiro Brasil.
Healthcare teams perceive newborn discharge as physician-led, with limited interdisciplinary input. Strengthening collaboration and standardizing procedures are crucial for effective maternal-infant care transitions.
Area of Science:
- Healthcare Management
- Maternal-Infant Health
- Qualitative Research
Background:
- Rooming-in care, recommended by WHO, promotes bonding and breastfeeding.
- Newborn discharge is complex, influenced by team dynamics and communication.
- Evidence on multidisciplinary team perspectives in rooming-in discharge is limited.
Purpose of the Study:
- To explore multidisciplinary team perspectives on newborn discharge preparation in rooming-in settings.
- To identify Brazilian healthcare professionals' experiences to improve hospital-to-home care transitions.
- To enhance understanding of discharge processes for mother-infant dyads.
Main Methods:
- Qualitative study conducted in Brazil (Jan-Oct 2020).
- Nineteen healthcare professionals participated.
- Semi-structured interviews analyzed using inductive thematic analysis.
Main Results:
- Three themes emerged: discharge responsibility, leadership/information sharing, and hospital-to-home transition.
- Breastfeeding was a notable sub-theme.
- Discharge perceived as physician-led with insufficient interdisciplinary involvement.
Conclusions:
- The discharge process lacks robust interdisciplinary collaboration and standardized parental education.
- There is a need for improved communication and shared decision-making among healthcare teams.
- Standardized protocols are essential for comprehensive maternal-infant discharge counseling.
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