Enhancing Parents’ Well-Being after Preterm Birth—A Qualitative Evaluation of the “Transition to Home” Model of Care

International Journal of Environmental Research and Public Health

Eva Cignacco¹  Natascha Schuetz Haemmerli¹  Kai-Uwe Schmitt¹  Liliane Stoffel²  Jeannine Khan³  Mathias Nelle⁴  Tilman Humpl⁵ 

[1] Department of Health Professions, Bern University of Applied Sciences, 3008 Bern, Switzerland;Department of Paediatrics, Inselspital, Bern University Hospital, University of Bern, 3010 Bern, Switzerland;Kantonale Schule für Berufsbildung, 5001 Aarau, Switzerland;Mathias Nelle, Children’s Hospital, Kreiskliniken Böblingen, 71302 Böblingen, Germany;Tilman Humpl, Department of Paediatrics, St. Elisabethen-Krankenhaus, Kliniken des Landeskreises Lörrach, 79539 Lörrach, Germany;

关键词: preterm infant;    parents;    transitional care;    early intervention;    home visiting;    qualitative research;   

DOI  :  10.3390/ijerph19074309

来源: DOAJ

【 摘 要 】

There are few programs available aimed at preventing short- and long-term negative consequences after preterm birth and covering the entire care continuum. The “Transition to Home (TtH)” model is such a program, offering structured, individual support for families with preterm infants before and after hospital discharge. This study gathers and examines the parents’ views of receiving support from an interprofessional team under the TtH model of care during hospitalization and after discharge. Using a qualitative explorative design, 39 semi-structured interviews with parents were analyzed thematically. From this analysis, three main themes were identified: (1) TtH and the relevance of continuity of care; (2) Enhancement of parents’ autonomy and self-confidence; (3) Perception of interprofessional collaboration. Within these themes, the most relevant aspects identified were continuity of care and the appointment of a designated health care professional to anchor the entire care continuum. Emotional support complemented by non-medical approaches, along with strength-based and family resource-oriented communication, also emerged as key aspects. Continuous, family-centered care and well-organized interprofessional collaboration promote the well-being of the family after a premature birth. If the aspects identified in this study are applied, the transition from hospital to home will be smoothened for the benefit of affected families.

【 授权许可】

Unknown