Are families prepared for discharge from the NICU?
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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Discharge planning is considered by health professionals to start at the bedside soon after NICU admission.
“Health professionals agree that discharge planning commences at the bedside after admission to the NICU (Smith, Young, Pursley, McCormaick, & Zupancic, 2009).”
From Transition from hospital to home: Parents’ perception of their preparation and readiness for discharge with their preterm infant (2018) · cites this paper as Smith, Young, Pursley, McCormaick, & Zupancic, 2009
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Beck, A. F., Edwards, E. M., Horbar, J. D., Howell, E. A., McCormick, M. C., & Pursley, D. M. (2020) · Pediatric Research · doi:10.1038/s41390-019-0513-6 · Cited by 224 · see citing works
Self-citationSmith, V. C., Hwang, S. S., Dukhovny, D., Young, S., & Pursley, D. M. (2013) · Journal of Perinatology · doi:10.1038/jp.2013.23 · Cited by 141 · see citing works
Self-citationAydon, L., Hauck, Y., Murdoch, J., Siu, D., & Sharp, M. (2018) · Journal of Clinical Nursing · doi:10.1111/jocn.13883 · Cited by 139 · see citing works
Scoping review of interventions to support families with preterm infants post-NICU discharge
Griffith, T., Singh, A., Naber, M., Hummel, P., Bartholomew, C., Amin, S., White-Traut, R., & Garfield, L. (2022) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2022.08.014 · Cited by 76 · see citing works
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Parents’ Perceptions Regarding Readiness for Their Infant’s Discharge from the NICU
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Parents' views on preparation to care for extremely premature infants at home
Petty, J., Whiting, L., Green, J., & Fowler, C. (2018) · Nursing Children and Young People · doi:10.7748/ncyp.2018.e1084 · Cited by 37 · see citing works
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Preparing for NICU Discharge: Mothers’ Concerns
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Supporting Families as They Transition Home
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Self-citation
- 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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