{"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.
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.