The Continuum of Care for the Neonate: A Critical Review

A continuum of care is an integrated system of care that guides and monitors patients throughout their lives as they access a variety of health services. The purpose of this literature review was to identify barriers to care throughout the continuum of care that affect the services provided to neonates. A comprehensive search of electronic databases PUBMED, EBSCOhost Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, and ScienceDirect was used to identify relevant literature. Furthermore, policy documents from organisations such as the South African National Department of Health, the South African Nursing Council, and the World Health Organisation have been sourced via websites. The review concludes that gaps exist due to a lack of neonatal care facilities, neonatal infrastructure and supplies, and staff shortages despite increased demand for neonatal care. Additionally, institutional issues and policies should be reviewed, as they may contribute to an efficient continuum of neonatal care. Moreover, training specialised healthcare workers is critical to ensuring that neonates receive quality care.