Parent Readiness for Their Preterm Infant's Neonatal Intensive Care Unit Discharge - PubMed (original) (raw)

. 2023 Jan-Mar;37(1):68-76.

doi: 10.1097/JPN.0000000000000612. Epub 2022 Feb 9.

Rebecca M Kriz, Robin Bisgaard, Caryl L Gay, Sharon Sossaman, Jeramy Sossaman, Diana M Cormier, Priscilla Joe, Juliet K Sasinski, Jae H Kim, Carol Lin, Yao Sun

Affiliations

Parent Readiness for Their Preterm Infant's Neonatal Intensive Care Unit Discharge

Linda S Franck et al. J Perinat Neonatal Nurs. 2023 Jan-Mar.

Abstract

This study aims to examine the influence of hospital experience factors on parental discharge readiness, accounting for key background characteristics. Parents/guardians of infants 33 weeks of gestation or less at birth receiving neonatal intensive care at 6 sites were enrolled from April 2017 to August 2018. Participants completed surveys at enrollment, 3 weeks later, and at discharge. Multiple regression analysis assessed relationships between parental experience, well-being, and perceived readiness for infant discharge, adjusting for socioenvironmental, infant clinical, and parent demographic characteristics. Most (77%) of the 139 parents reported high levels of readiness for their infant's discharge and 92% reported high self-efficacy at discharge. The multiple regression model accounted for 40% of the variance in discharge readiness. Perceptions of family-centered care accounted for 12% of the variance; measures of parent well-being, anxiety, and parenting self-efficacy accounted for an additional 16% of the variance; parent characteristics accounted for an additional 9%; and infant characteristics accounted for less than 3% of the variance. Parental perceptions of the family-centeredness of the hospital experience, anxiety, and parenting self-efficacy accounted for a substantial proportion of the variance in readiness for discharge scores among parents of preterm infant. These influential perceptions are potentially modifiable by nursing-led interventions.

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