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Neonatal case management: a challenge for advanced practice nurses

P L Bell

    The Journal of Perinatal & Neonatal Nursing
    |September 1, 1994
    PubMed
    Summary
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    Advanced practice nurses (APNs) must adapt critical care for premature infants amid health care reform. Early home discharge for neonates, with proper follow-up, is safe, cost-effective, and beneficial for families.

    Area of Science:

    • Neonatal care
    • Healthcare reform
    • Advanced practice nursing

    Background:

    • Healthcare reform necessitates changes in critical care for premature infants.
    • Advanced practice nurses (APNs) face challenges in managing long-term needs of neonates due to shortened hospital stays.
    • The growing number of premature births requires innovative care management strategies.

    Purpose of the Study:

    • To explore the role of APNs in managing premature infants' long-term needs within home and community settings.
    • To examine the implications of shortened lengths of stay in neonatal intensive care units (NICUs).
    • To assess the safety and benefits of early discharge with home follow-up for compromised neonates.

    Main Methods:

    • Review of recent studies on early NICU discharge and home follow-up.

    Related Experiment Videos

  • Analysis of the impact of healthcare reform on neonatal critical care.
  • Case management strategies for neonates requiring long-term care at home.

    • Main Results:

    • Recent studies indicate that earlier NICU discharge with adequate home follow-up is safe and beneficial.
    • Early discharge demonstrates cost-saving potential.
    • Infant and family well-being are positively impacted by this model of care.

    Conclusions:

    • APNs play a crucial role in facilitating early discharge and managing complex neonatal needs post-discharge.
    • Further documentation is essential to ensure quality outcomes are maintained during healthcare reform.
    • The integration of home-based care management is vital for the long-term health of premature infants.