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从父母和医护人员的角度了解早产儿出院所需做的准备:挑战与机遇
Author(s) -
Hua Wenzhe,
Wang Liying,
Li Chenxing,
Simoni Jane M.,
Yuwen Weichao,
Jiang Liping
Publication year - 2021
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.14676
Subject(s) - context (archaeology) , health care , psychological intervention , nursing , neonatal intensive care unit , qualitative research , medicine , hospital discharge , psychology , pediatrics , sociology , paleontology , social science , intensive care medicine , economics , biology , economic growth
Aim To describe the facilitating/inhibiting factors of preparation for preterm infant discharge and recommendations for increasing discharge readiness from parents’ and healthcare providers’ perspectives based on Meleis's Transitions Theory. Design A qualitative cross‐sectional descriptive design. Methods We selected a purposive sample of 17 parents (9 fathers and 8 mothers) and 13 healthcare providers (10 nurses and 3 clinicians) from the neonatal intensive care unit of a tertiary hospital in Eastern China. Data were collected between May ‐July 2018. Data from audio‐recorded semi‐structured individual interviews were coded with content analysis both inductively and deductively. Results The analyses yielded four themes: personal conditions, community conditions, nursing therapeutics, and patterns of response. Parents and healthcare providers had unique opinions about the themes. Conclusion Meleis's Transitions Theory seems to be an applicable and practicable framework for understanding the discharge preparation of parents with preterm infants and may be used to help healthcare providers to develop appropriate interventions on discharge preparation practice. Impact To address the lack of discharge readiness of preterm infants in China and countries with a similar clinical context, healthcare providers should help parents play a more active role to promote their engagement in discharge preparation. In a wider global community, healthcare providers should consider parents’ personal conditions and their practical needs in performing discharge preparation.