Cited by 74Infant Development and Preterm CareFamily and Patient Care in Intensive Care UnitsMaternal and Neonatal Healthcare

Are families prepared for discharge from the NICU?

Smith, V C, Young, S, Pursley, D M, McCormick, M C, Zupancic, J A F·2009·Journal of Perinatology

Abstract

Objective (1) Quantify and compare the family's and the nurse's perception regarding the family's discharge preparedness. (2) Determine which elements contribute to a family's discharge preparedness. Study design We studied the families of all the infants discharged from a neonatal intensive care unit after a minimum of a 2-week admission. The families rated their overall discharge preparedness with a 9-point Likert scale on the day of discharge. Independently, the discharging nurse evaluated the family's discharge preparedness. Families were considered discharge 'prepared' if they rated themselves and the nurse rated their technical and emotional preparedness as >or=7 on the Likert scale. Result We had 867 (58%) family-nurse pairs who completed the survey. Most families (87%) were prepared for discharge as assessed by the concordant questionnaire (Likert scores of >or=7 by the parent and the nurse). In multivariate analysis, confidence in their child's health and maturity (odds ratios, OR=2.5 95% confidence interval, CI (1.2, 5.3)), their readiness for their infants to come home (OR=2.9 95% CI (1.0, 8.3)), and selecting a pediatrician (OR=4.2 95% CI (1.6, 11.0)) were statistically significant. Conclusion Assistance with pediatrician selection and home preparation may improve the percentage of families prepared for discharge.

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Crossref · 10.1038/jp.2009.58

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Authors
Smith, V. C., Young, S., Pursley, D. M., McCormick, M. C., & Zupancic, J. A. F.
Affiliations
Beth Israel Deaconess Medical Center (US)
Corresponding author
Smith, V C
Venue
Journal of Perinatology
Published
2009-05-21
Volume
29
Issue
9
Pages
623-629
ISSN
  • 0743-8346 (ISSN-L)
  • 1476-5543
OpenAlex
W2131833375
Cited by
74
References
1
Citations by year
2026: 4 · 2025: 5 · 2024: 3 · 2023: 3 · 2022: 6 · 2021: 5 · 2020: 6 · 2019: 7 · 2018: 2 · 2017: 4 · 2016: 9 · 2015: 5 · 2014: 1 · 2013: 6 · 2012: 3
FWCI
2.25
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Perinatology (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Agency for Healthcare Research and Quality (T32HS000063)
  • U.S. Public Health Service (2T 76MC 00001-47)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
  • Health Sciences › Health Professions › Radiological and Ultrasound Technology › Family and Patient Care in Intensive Care Units
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
Keywords
neonatal intensive care unit discharge, parental attitudes, nurses' perceptions, home preparation
MeSH terms
Adaptation, Psychological, Adolescent, Adult, Data Collection, Female, Humans, Infant, Newborn, Infant, Premature, Intensive Care Units, Neonatal, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Nurses, Parents, Patient Discharge, Caregivers, Young Adult

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