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.
Int J Environ Res Public Health. 2022 Apr 4;19(7):4309. doi: 10.3390/ijerph19074309.
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.
目前针对预防早产儿短期和长期不良后果,并涵盖整个护理连续体的项目较少。“过渡到家庭(TtH)”模式就是这样一个项目,它在住院期间和出院后为早产儿家庭提供结构化的、个性化的支持。本研究收集并分析了家长对在住院期间和出院后接受 TtH 护理模式下的跨专业团队支持的看法。本研究采用定性探索性设计,对 39 名家长进行了半结构化访谈,并进行了主题分析。从这一分析中,确定了三个主要主题:(1)TtH 和连续护理的相关性;(2)增强家长的自主权和自信心;(3)对跨专业合作的看法。在这些主题中,确定的最相关方面是连续护理和指定一名医疗保健专业人员来锚定整个护理连续体。情感支持辅以非医疗方法,以及基于优势和以家庭资源为导向的沟通,也被认为是关键方面。持续的、以家庭为中心的护理和组织良好的跨专业合作促进了早产儿家庭的幸福。如果在该研究中确定的方面得到应用,将为受影响的家庭带来从医院到家庭的平稳过渡。