Barriers and facilitators to implementation of home phototherapy for neonatal hyperbilirubinaemia: Perspectives from healthcare professionals and parents

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-02-25 DOI:10.1016/j.midw.2025.104356

Jessie Spaan , Berthe A.M. van der Geest , Jasper V. Been , Christian V. Hulzebos , Erwin Ista

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引用次数: 0

Abstract

Background

Phototherapy for hyperbilirubinaemia in neonates is one of the most frequent causes of hospitalisation in the first week of life, accounting for up to 35 % of hospital (re)admissions. Studies suggest that phototherapy can be applied safely and effectively at home. However, in-hospital phototherapy is still the standard care in most settings.

Aim

We aimed to explore determinants of implementing home phototherapy from the perspectives of healthcare professionals and parents to inform its wider implementation.

Methods

We conducted focus group interviews with healthcare professionals involved in home phototherapy for neonatal hyperbilirubinaemia. In addition, individual interviews were performed with parents of neonates treated with home phototherapy. We used the Consolidated Framework for Implementation Research (CFIR) for identifying determinants to guide data collection and analysis.

Findings

Five focus group interviews with 21 healthcare professionals and 10 semi-structured interviews with parents (10 mothers, eight fathers) were conducted. Barriers concerned the lack of reimbursement options and the challenge to reach all the different healthcare professionals for education. Main facilitators concerned multiple relative advantages of home phototherapy experienced by healthcare professionals and parents such as keeping the family together, the low complexity of home phototherapy, the motivation of parents to perform home phototherapy, the attitude and self-efficacy among healthcare professionals, and the involvement of all key stakeholders from the beginning of the implementation process.

Conclusion

This study identified key barriers and facilitators regarding implementation of home phototherapy for neonatal hyperbilirubinaemia. Based on these findings, tailored implementation strategies can be developed.

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.