Transition from the neonatal intensive care unit to home: A concept analysis
Abstract
Background A successful transition from the neonatal intensive care unit to home is fundamental for the long-term health and well-being of preterm infants; however, the process parents' experience during their transition home is poorly understood. An improved understanding of this concept will allow nurses to offer families comprehensive and collaborative discharge preparation. Purpose To describe the defining attributes, antecedents, and consequences for the concept of transition in the context of the neonatal intensive care unit to home. Methods Databases, MEDLINE, CINAHL, PsycINFO, and EMBASE were searched for articles containing "transition" in combination with "neonatal intensive care unit" or variants of these terms. The Walker and Avant method was used for this concept analysis. Results The defining attributes of transition in the context of the neonatal intensive care unit to home are "mix of emotions," "uncertainty," and "coming into parenthood." The principal antecedent is "hospital discharge preparation" and consequences include "feeding and medical needs," "family life changes," and "parental confidence." Implications for practice Gradually increasing parents' participation in their infant's care and forming a partnership and collaborative plan with families will help ease the uncertainty parents experience during their transition home. Implications for research Further investigation is needed to determine how best to provide emotional support for parents during t…
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A successful transition from the NICU to home is fundamental for the long-term health and well-being of preterm infants.
“A successful transition from the NICU to home is fundamental for the long-term health and well-being of preterm infants.”
From Scoping review of interventions to support families with preterm infants post-NICU discharge (2022) · cites this paper as Shillington & McNeil, 2021
The transition from NICU hospitalization to home is a process full of a myriad of emotions and uncertainties.
“Additionally, the transition from NICU hospitalization to home is a process full of a myriad of emotions and uncertainties (Shillington & McNeil, 2021).”
From Scoping review of interventions to support families with preterm infants post-NICU discharge (2022) · cites this paper as Shillington & McNeil, 2021
Cites
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Parent perspectives on readiness for discharge home after neonatal intensive care unit admission
Berman, L., Raval, M. V., Ottosen, M., Mackow, A. K., Cho, M., & Goldin, A. B. (2019) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2018.08.086 · Cited by 95 · see citing works
Garfield, C. F., Lee, Y., & Kim, H. N. (2014) · Journal of Perinatal & Neonatal Nursing · doi:10.1097/jpn.0000000000000021 · Cited by 67 · cited 2× · see citing works
“11 The 3 attributes that appeared most frequently in the literature review regarding transition in the context of NICU to home are (1) mix of emotions, (2) uncertainty, and (3) coming into parenthood (see Table 1).”
BackgroundLife After Discharge: What Parents of Preterm Infants Say About Their Transition to Home
Boykova, M. (2016) · Newborn and Infant Nursing Reviews · doi:10.1053/j.nainr.2016.03.002 · Cited by 60 · see citing works
Caring for a Preterm Infant at Home: A Mother's Perspective
Phillips-Pula, L., Pickler, R., McGrath, J. M., Brown, L. F., & Dusing, S. C. (2013) · Journal of Perinatal & Neonatal Nursing · doi:10.1097/jpn.0b013e3182a983be · Cited by 57 · see citing works
Hospital-to-home transition of mothers of preterm infants
Griffin, J. B., & Pickler, R. H. (2011) · MCN: The American Journal of Maternal/Child Nursing · doi:10.1097/nmc.0b013e31821770b8 · Cited by 49 · see citing works
Preparing for post-discharge care of premature infants: Experiences of parents
de Antioquia, U., Osorio Galeano, S. P., Ochoa Marín, S. C., de Antioquia, U., Semenic, S., & McGill University (2017) · Investigación y Educación en Enfermería · doi:10.17533/udea.iee.v35n1a12 · Cited by 35 · see citing works
Preparing for NICU Discharge: Mothers’ Concerns
Raines, D. A. (2013) · Neonatal Network · doi:10.1891/0730-0832.32.6.399 · Cited by 24 · see citing works
Toly, V. B., Blanchette, J. E., Alhamed, A., & Musil, C. M. (2019) · Neonatal Network · doi:10.1891/0730-0832.38.2.69 · Cited by 17 · see citing works
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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
Hua, W., Zhou, J., Wang, L., Li, C., Zheng, Q., Yuwen, W., & Jiang, L. (2023) · Australian Critical Care · doi:10.1016/j.aucc.2022.10.007 · Cited by 30 · see citing works
- Authors
- Shillington, J., & McNeil, D.
- Affiliations
- Alberta Health Services (CA)
- Corresponding author
- Shillington, Jessica
- ORCID
- McNeil, Deborah
- Venue
- Advances in Neonatal Care
- Published
- 2021-03-04
- Volume
- 21
- Issue
- 5
- Pages
- 399-406
- ISSN
- 1536-0903 (ISSN-L)
- OpenAlex
- W3133569913
- Cited by
- 27
- References
- 9
- Citations by year
- 2026: 8 · 2025: 6 · 2024: 6 · 2023: 3 · 2022: 3 · 2021: 1
- FWCI
- 3.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Advances in Neonatal Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Neonatal Respiratory Health Research
- Keywords
- transition to home, neonatal intensive care unit, preterm infants, parental experiences, hospital discharge preparation, parental confidence, uncertainty, family-centered care, emotional support for parents, post-discharge follow-up
- MeSH terms
- Humans, Infant, Infant, Newborn, Infant, Premature, Intensive Care Units, Neonatal, Parents, Patient Discharge, Qualitative Research
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