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Managing the early discharge experience: taking control

W A Hall1, E M Carty

  • 1School of Nursing, University of British Columbia, Vancouver, Canada.

Journal of Advanced Nursing
|April 1, 1993
PubMed
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Women in early discharge programs actively managed their care by taking control of antenatal, intrapartal, and postpartum phases. Personal beliefs, personality, and support systems influenced their successful adaptation and confidence.

Area of Science:

  • Maternal Health
  • Nursing Research
  • Sociology of Health

Background:

  • Early discharge programs aim to optimize maternal and infant care transitions.
  • Understanding women's lived experiences is crucial for program effectiveness.

Purpose of the Study:

  • To explore and understand women's experiences within an early discharge program.
  • To identify factors influencing women's adaptation to early postpartum discharge.

Main Methods:

  • Grounded theory approach utilized.
  • Unstructured interviews conducted with eight women in an early discharge program.
  • Data analysis involved coding, comparing, and contrasting experiences.

Main Results:

  • Women actively "took control" of their care from antenatal through postpartum stages.

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  • Control was influenced by beliefs about family/home, personality (e.g., accepting help), and available support.
  • Strategies included organizing care, managing expectations, and developing self-efficacy in parenting.

    • Conclusions:

    • Women's proactive control and supportive factors are key to successful early discharge experiences.
    • Unexpected positive outcomes included increased confidence and competence.
    • Findings offer insights for healthcare professionals supporting women in early discharge programs.