Maternal Discharge Preparation Needs for Preterm Infants With Less Than 32 Weeks of Gestation: A Qualitative Study

IF 3.8 3区 医学 Q1 NURSING
Lingping Zhang, Xiaolu Li, Junjie He, Xiaomei Li
{"title":"Maternal Discharge Preparation Needs for Preterm Infants With Less Than 32 Weeks of Gestation: A Qualitative Study","authors":"Lingping Zhang, Xiaolu Li, Junjie He, Xiaomei Li","doi":"10.1111/jan.17054","DOIUrl":null,"url":null,"abstract":"AimsTo explore mothers' specific discharge preparation needs for preterm infants born before 32 gestational weeks, providing a foundation for developing effective discharge education programmes.DesignA qualitative descriptive design.MethodsA semi‐structured interview was conducted of 16 mothers of preterm infants less than 32 weeks gestation within 1 week post‐discharge in March–June 2024. Directed content analysis was conducted using the Integrated Theory of Health Behaviour Change framework to code, categorise, and identify themes within the interview data.ResultsMothers provided rich, practical, experience‐driven feedback regarding discharge preparedness needs. The interview resulted in three emergent themes related to the theory's constructs: maternal needs for knowledge acquisition, multifaceted social support, and adjusting learning strategies. These encompass sub‐themes such as observing infant behaviour and health status, basic care knowledge, complex medical care guidance; support from medical staff, family members, fellow parents, community healthcare providers, and Wechat platform tools; learning time arrangement, and preferred learning approaches.ConclusionThis study explored the discharge preparation needs of mothers with premature infants less than 32 weeks gestation. A nurse‐led multidisciplinary team should tailor education programmes, emphasising care knowledge, multifaceted social support, and flexible learning. Future research should assess programme effectiveness on maternal and infant outcomes.Implications for the Profession and Patient CareThe study's results provided targeted guidance for clinical nursing education, enhancing mothers' readiness for preterm infant discharge and facilitating a smoother NICU‐to‐home transition.ImpactThese findings provide important guidance for nurse‐led tailored discharge education and preparation services, thereby promoting improvements in clinical nursing practice and the development of nursing education.Reporting MethodThe COREQ checklist was used for reporting.Patient or Public ContributionFour mothers of premature infants (< 32 weeks gestation) provided feedback on the interview guide in the design phase, refining it for the target population, without joining the main study.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"26 1","pages":""},"PeriodicalIF":3.8000,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Advanced Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jan.17054","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0

Abstract

AimsTo explore mothers' specific discharge preparation needs for preterm infants born before 32 gestational weeks, providing a foundation for developing effective discharge education programmes.DesignA qualitative descriptive design.MethodsA semi‐structured interview was conducted of 16 mothers of preterm infants less than 32 weeks gestation within 1 week post‐discharge in March–June 2024. Directed content analysis was conducted using the Integrated Theory of Health Behaviour Change framework to code, categorise, and identify themes within the interview data.ResultsMothers provided rich, practical, experience‐driven feedback regarding discharge preparedness needs. The interview resulted in three emergent themes related to the theory's constructs: maternal needs for knowledge acquisition, multifaceted social support, and adjusting learning strategies. These encompass sub‐themes such as observing infant behaviour and health status, basic care knowledge, complex medical care guidance; support from medical staff, family members, fellow parents, community healthcare providers, and Wechat platform tools; learning time arrangement, and preferred learning approaches.ConclusionThis study explored the discharge preparation needs of mothers with premature infants less than 32 weeks gestation. A nurse‐led multidisciplinary team should tailor education programmes, emphasising care knowledge, multifaceted social support, and flexible learning. Future research should assess programme effectiveness on maternal and infant outcomes.Implications for the Profession and Patient CareThe study's results provided targeted guidance for clinical nursing education, enhancing mothers' readiness for preterm infant discharge and facilitating a smoother NICU‐to‐home transition.ImpactThese findings provide important guidance for nurse‐led tailored discharge education and preparation services, thereby promoting improvements in clinical nursing practice and the development of nursing education.Reporting MethodThe COREQ checklist was used for reporting.Patient or Public ContributionFour mothers of premature infants (< 32 weeks gestation) provided feedback on the interview guide in the design phase, refining it for the target population, without joining the main study.
未满32周早产儿产妇出院准备需求:一项定性研究
目的探讨32孕周前早产儿母亲的特殊出院准备需求,为制定有效的出院教育方案提供依据。设计一种定性的描述性设计。方法采用半结构化访谈法,于2024年3 - 6月对16例妊娠小于32周的早产儿母亲进行出院后1周内的访谈。使用健康行为改变综合理论框架进行定向内容分析,对访谈数据中的主题进行编码、分类和识别。结果母亲提供了丰富、实用、经验驱动的出院准备需求反馈。访谈产生了三个与理论结构相关的新兴主题:母亲对知识获取的需求,多方面的社会支持和调整学习策略。这些包括子主题,如观察婴儿行为和健康状况,基本护理知识,复杂的医疗保健指导;来自医务人员、家庭成员、同行父母、社区卫生保健提供者和微信平台工具的支持;学习时间安排和首选的学习方法。结论本研究探讨了妊娠小于32周早产儿母亲的出院准备需求。一个由护士领导的多学科团队应该量身定制教育计划,强调护理知识、多方面的社会支持和灵活的学习。今后的研究应评估方案对孕产妇和婴儿结果的有效性。该研究的结果为临床护理教育提供了有针对性的指导,提高了母亲对早产婴儿出院的准备,促进了新生儿重症监护病房到家庭的平稳过渡。影响本研究结果为护士主导的个性化出院教育和准备服务提供了重要指导,从而促进了临床护理实践的改进和护理教育的发展。报告方法采用COREQ检查表进行报告。4名早产儿母亲(<;32周妊娠期)在设计阶段对访谈指南提供反馈,在不参加主要研究的情况下,针对目标人群对其进行完善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
6.40
自引率
7.90%
发文量
369
审稿时长
3 months
期刊介绍: The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信