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Discharge planning and guidance for preterm newborns: a best practice implementation project.
Karina Faria de Souza1,2,3, Denise Gomes Miyazato1, Bárbara Barros Pereira Lobo1
1University Hospital, University of São Paulo, São Paulo, SP, Brazil.
JBI Evidence Implementation
|June 25, 2026
Summary
Improving discharge planning for preterm infants enhances family readiness and reduces neonatal risks. This study enhanced guidance and practices, though sustained improvements require ongoing attention.
Area of Science:
- Neonatal care
- Evidence-based practice
- Healthcare quality improvement
Background:
- Prematurity is a major cause of neonatal morbidity and mortality, with significant long-term health risks.
- Inadequate discharge planning can negatively impact family readiness and infant health outcomes.
- Existing guidelines for preterm infant discharge often have gaps between evidence and clinical practice.
Purpose of the Study:
- To enhance discharge planning and family guidance for preterm newborns.
- To evaluate compliance with evidence-based discharge criteria.
- To standardize documentation and unify discharge information for families.
Main Methods:
- A quasi-experimental before-and-after study using the JBI Evidence Implementation Framework.
- Involved clinical audits, barrier/enabler assessment, and multimodal implementation strategies.
- Utilized an Institutional Care Guideline, family-friendly booklet, flowcharts, and digital dissemination.
Main Results:
- No statistically significant differences were observed between baseline and follow-up audits.
- Two discharge criteria were fully met at baseline; compliance improved for four of nine audited criteria.
- Multimodal strategies, including educational materials and digital dissemination, supported the changes.
Conclusions:
- The project successfully improved discharge practices and family guidance for preterm infants.
- Multidisciplinary collaboration was key to enhancing the discharge process.
- Sustaining these improvements necessitates continuous focus and effort.
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