Danbjørg Dorthe Boe, Wagner Lis, Clemensen Jane
Research Unit of Nursing, University of Southern Denmark, Dybbølsgade 6, 5800 Nyborg, Denmark.
Research Unit of Nursing, University of Southern Denmark, Dybbølsgade 6, 5800 Nyborg, Denmark.
Midwifery. 2014 Jun;30(6):725-32. doi: 10.1016/j.midw.2013.06.006. Epub 2013 Jul 17.
the length of the postnatal hospital stay in Denmark as well as globally has been radically reduced over the past 10-20 years and this raises the challenge of finding new ways of providing observation and support to families discharged early, that they otherwise would be provided as inpatients.
this study is to identify the nursing support needs of new parents and their infants during the first seven days post partum, by drawing on the experiences of all stakeholders' in early postnatal discharge from hospital, and thereby gaining new knowledge to investigate further whether telemedicine is a viable option in providing the required support.
this article describes the first phase of a participatory design process. A qualitative approach guided the research process and the data analysis. Data were collected from participant observation, qualitative interviews with the new parents, focus groups interviews and a workshop attended by the new parents and health-care professionals.
the total number of participants in this study was 37; nineteen parents and 18 health-care professionals from one hospital and three municipalities in Denmark.
the investigation findings highlighted, amongst other aspects, the importance of individualised postnatal follow-up in which families have increased access to the health-care professionals and are provided with timely information tailored to their specific needs.
the present study underscored that the families experiencing early discharge were not provided with seamless individualised follow-up support. They requested more availability from the health-care system to respond to their concerns and questions during the postnatal period. They experienced a barrier in attempting to contact health-care professionals following hospital discharge and they asked for new ways to communicate that would eliminate that barrier and meet their needs for more individualised and timely information and guidance.
在过去10至20年里，丹麦以及全球范围内产后住院时间已大幅缩短，这带来了一项挑战，即要找到新方法，为提前出院的家庭提供原本在住院时才能得到的观察和支持。
本研究旨在通过借鉴产后早期出院所有利益相关者的经验，确定初为人父母者及其婴儿在产后头七天的护理支持需求，从而获取新知识，进一步研究远程医疗是否是提供所需支持的可行选择。
本文描述了参与式设计过程的第一阶段。采用定性方法指导研究过程和数据分析。数据通过参与观察、对初为人父母者的定性访谈、焦点小组访谈以及一次由初为人父母者和医护人员参加的研讨会收集。
本研究的参与者总数为37人，其中19名父母以及来自丹麦一家医院和三个市镇的18名医护人员。
调查结果突出了诸多方面，其中包括个性化产后随访的重要性，在此过程中，家庭能更多地接触医护人员，并能获得根据其特定需求量身定制的及时信息。
本研究强调，提前出院的家庭未得到无缝的个性化后续支持。他们要求医疗保健系统更随时能回应他们在产后期间的担忧和问题。他们在出院后试图联系医护人员时遇到障碍，他们希望有新的沟通方式来消除这一障碍，并满足他们对更个性化和及时信息及指导的需求。
