Findlater Carla K, Gerges Sandra, Litynsky Jacklyn, Robson Kate
DAN Women & Babies Program (CKF, SG, KR), Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Department of Pharmacy (CKF, SG), Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
J Pediatr Pharmacol Ther. 2022;27(4):300-305. doi: 10.5863/1551-6776-27.4.300. Epub 2022 May 9.
This study aims to describe the overall experience of the neonatal intensive care unit (NICU) parent at time of transition home related to discharge medication use, following implementation of a Meds to Beds program.
A descriptive, qualitative study was used to explore parent experiences around medication use during transition home. Eleven parents whose infants required medications at the time of transition home from the NICU participated in a semi-structured telephone interview post-discharge. The data were coded and analyzed for themes.
Major themes nested within the key stages of medication use in preparation for transition home from the NICU were identified: in-hospital preparation (practice early and often, Meds to Beds, and relationship with clinical pharmacist), transition home (schedule and routine, strategies for medication administration) and post-discharge (refills and long-term medication management). Strategies based on parent experiences to improve the process and ameliorate anxiety are presented.
Parents expressed how effective the Meds to Beds program was on the transition home by increasing parental confidence and knowledge around medications and reducing stress around the acquisition of medications for home. They also reported comfort in having a relationship with the NICU clinical pharmacist, providing a tailored approach to coordinating care both in hospital and during the transition home. Regardless of implementation of a Meds to Beds program, great opportunities remain to refine the transition home. Implementing the suggested improvement strategies could provide significant positive effects with respect to patient care and parental stress during the transition home.
本研究旨在描述在实施“床边用药”项目后，新生儿重症监护病房（NICU）患儿家长在出院回家时与出院用药相关的总体体验。
采用描述性定性研究方法，探讨家长在出院回家期间用药方面的体验。11名在从NICU出院回家时其婴儿需要用药的家长在出院后参加了半结构化电话访谈。对数据进行编码并分析主题。
确定了在为从NICU出院回家做准备的用药关键阶段中包含的主要主题：住院准备（尽早且频繁练习、床边用药以及与临床药剂师的关系）、出院回家（时间表和日常安排、用药管理策略）以及出院后（续药和长期用药管理）。介绍了基于家长体验的改善流程和缓解焦虑的策略。
家长们表示“床边用药”项目在出院回家过程中非常有效，它增强了家长对用药的信心和知识，减轻了在家中获取药物的压力。他们还表示与NICU临床药剂师建立关系让他们感到安心，这种关系为在医院和出院回家期间协调护理提供了量身定制的方法。无论是否实施“床边用药”项目，优化出院回家流程仍有很大机会。实施建议的改进策略可能会在出院回家期间对患者护理和家长压力产生显著的积极影响。
