Nurses’ experiences of implementing a hospital-managed home-care programme for preterm infants and their parents

Q2 Nursing

Journal of Neonatal Nursing Pub Date : 2025-02-01 DOI:10.1016/j.jnn.2024.07.029

Siri Jacobsen Heimdal , Asgjerd Litlere Moi , Merete Røineland Benestad , Elisabeth Grov Beisland

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引用次数: 0

Abstract

Purpose

To explore the experiences of nurses in the implementation of a hospital-managed home-care programme for preterm infants and their parents.

Design and methods

A qualitative study design with semi-structured focus-group interviews was applied. The transcripts were coded and analysed using Malterud's systematic text condensation method.

Results

We identified two themes, with three and two subthemes, respectively:

•
From limitations to possibilities, with the subthemes: ‘Uncertainties regarding new procedures and routines’, ‘Patient safety first’, and ‘New ethical and professional challenges’
•
A ‘safe bridge’ between the hospital and home, with the subthemes: ‘Reassuring parental caring competencies’, and ‘Functioning as a family improved’.

Conclusion

Nurses involved in the implementation of this hospital-managed home-care service experienced a change of focus from limitations to possibilities, and the programme contributed towards providing continuity and safety between the hospital and home life for preterm infants and their parents.

Practice implications

Hospital-managed home care allows for more holistic care for the whole family when an infant is sick, and this mode of care can be a valued alternative to traditional inpatient care for preterm infants and their parents.

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护士为早产儿及其父母实施医院管理的家庭护理方案的经验

目的探讨护士在实施医院管理的早产儿及其父母家庭护理方案中的经验。设计与方法采用半结构化焦点小组访谈的定性研究设计。使用Malterud的系统文本浓缩方法对转录本进行编码和分析。结果我们确定了两个主题，分别有三个和两个副主题：•从限制到可能性，副主题：“关于新程序和常规的不确定性”，“患者安全第一”和“新的道德和专业挑战”•医院和家庭之间的“安全桥梁”，副主题：“让父母放心的照顾能力”和“作为一个家庭的功能得到改善”。结论参与实施医院管理的家庭护理服务的护士经历了从局限到可能性的转变，该方案有助于为早产儿及其父母提供医院和家庭生活之间的连续性和安全性。实践意义：当婴儿生病时，医院管理的家庭护理可以为整个家庭提供更全面的护理，这种护理模式可以成为传统的早产儿及其父母住院护理的有价值的替代方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Neonatal Nursing Nursing-Pediatrics

CiteScore

2.00

自引率

0.00%

发文量

143

期刊介绍： Aims & Scope: This is the practical, bimonthly, research-based journal for all professionals concerned with the care of neonates and their families, both in hospital and the community. It aims to support the development of the essential practice, management, education and health promotion skills required by these professionals. The JNN will provide a forum for the exchange of ideas and information between the range of professionals working in this field; promote cooperation between these professionals; facilitate partnership care with families; provide information and informed opinion; promote innovation and change in the care of neonates and their families; and provide an education resource for this important rapidly developing field.