Nursing Science Professional Practice & Quality, Children's National Hospital, Washington, District of Columbia; and School of Medicine & Health Sciences, The George Washington University, Washington, District of Columbia.
Adv Neonatal Care. 2022 Dec 1;22(6):550-559. doi: 10.1097/ANC.0000000000000980. Epub 2022 May 19.
Black infants in the United States have the highest incidence of both infant mortality (IM) and preterm birth among all racial/ethnic groups. The IM disparity for Black preterm infants often occurs after neonatal intensive care unit (NICU) discharge, when parents become the primary caregivers. The revised Kenner Transition Model (KTM) is situation specific and comprised 5 interrelated domains of parental need after NICU discharge that have not been previously applied to the transition from NICU to home of Black infants.
This study's purpose was to explore the conceptual fit of parental readiness to care for their Black preterm infants after NICU discharge with the revised KTM.
A qualitative descriptive research approach was used for this single-site study of NICU parents of Black preterm infants. Qualitative analysis of 10 parents' perceptions before NICU discharge was via semantic content analysis; data were organized into categories aligned with the KTM. The Transition Questionnaire (TQ), an adjunct to the KTM, provided self- report quantitative data.
All parents endorsed the "Information Needs," "Stress and Coping," and "Professional Support" domains of the KTM. Parent TQ responses indicated perceptions of moderate to high levels of home transition readiness after NICU discharge.
The domains of the revised KTM were affirmed by parents of Black preterm infants in this study via coded interview and TQ responses. Additional study exploring the clinical assessment of transition readiness with theoretical grounding in diverse NICU families is warranted.
https://journals.lww.com/advancesinneonatalcare/Pages/videogallery.aspx .
在美国，黑种婴儿的婴儿死亡率（IM）和早产率均为所有种族/民族中最高。黑种早产儿的 IM 差异通常发生在新生儿重症监护病房（NICU）出院后，此时父母成为主要照顾者。修订后的肯纳过渡模型（KTM）是特定情境的，由 NICU 出院后父母的 5 个相互关联的需求领域组成，这些领域以前没有应用于从 NICU 过渡到黑种婴儿的家庭。
本研究的目的是探讨父母在 NICU 出院后照顾黑种早产儿的准备情况与修订后的 KTM 的概念契合度。
这是一项单站点研究，采用定性描述性研究方法，研究对象为 NICU 黑种早产儿的父母。在 NICU 出院前，通过语义内容分析对 10 位父母的感知进行定性分析；数据按照与 KTM 一致的类别进行组织。KTM 的补充工具——过渡问卷（TQ）提供了自我报告的定量数据。
所有父母都认可 KTM 的“信息需求”、“压力和应对”以及“专业支持”领域。家长 TQ 反应表明，他们对 NICU 出院后家庭过渡的准备程度有中等至高度的认知。
本研究中，黑种早产儿的父母通过编码访谈和 TQ 反应肯定了修订后的 KTM 领域。需要进一步研究，以理论为基础，在不同的 NICU 家庭中评估过渡准备情况。
https://journals.lww.com/advancesinneonatalcare/Pages/videogallery.aspx。
