Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Kensington, New South Wales, Australia.
Karitane, Kensington, New South Wales, Australia.
J Clin Nurs. 2024 Mar;33(3):1122-1133. doi: 10.1111/jocn.16927. Epub 2023 Nov 14.
To investigate clients' perspectives about outcomes of a telehealth residential unit (RU) program for families experiencing complex early parenting issues, and to explore facilitators and barriers to positive client outcomes.
Qualitative study using semi-structured interviews.
Semi-structured interviews were conducted with mothers (n = 18) admitted to a telehealth RU program. Interview transcripts were analysed using thematic analysis.
Mothers reported short-term improvements in their child's presenting issues (e.g. feeding to sleep, night-time waking, co-sleeping), increased confidence and increased partner involvement. According to participants, program outcomes were facilitated by a positive parent-clinician relationship, the accessibility of clinicians and being able to take part in the program from their own home. Barriers included difficulties with technical equipment and connecting with the clinician overnight, and challenges with implementing strategies in the longer term.
This nurse-led telehealth program was viewed positively by parents and the study identified a number of areas for improvement.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Telehealth early parenting programs provide an important way for parents to receive support with early child sleep, settling and feeding issues. Clinicians working in this area should focus on the development of positive parent-nurse relationships, enhancing communication and availability for parents during overnight periods and supporting parents to develop early parenting skills that will be applicable across the early childhood period.
The study is the first to address client experiences of a telehealth RU program. Facilitators and barriers identified will inform service improvements to the program going forward, and similar telehealth programs for families; to ensure benefits and service outcomes are maximised for parents for such a crucial service.
The Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines for qualitative research were followed.
调查客户对经历复杂早期育儿问题的家庭的远程医疗住院单位（RU）项目的结果的看法，并探讨促进客户积极结果的因素和障碍。
使用半结构化访谈的定性研究。
对入住远程医疗 RU 项目的母亲（n=18）进行了半结构化访谈。使用主题分析对访谈记录进行了分析。
母亲们报告说，他们孩子的主要问题（例如，喂奶入睡、夜间醒来、同睡）得到了短期改善，信心增强，伴侣参与度提高。根据参与者的说法，项目结果是通过积极的家长与临床医生的关系、临床医生的可及性以及能够从自己家中参加项目来促进的。障碍包括技术设备的困难以及与临床医生夜间连接的困难，以及在更长时间内实施策略的挑战。
这项由护士领导的远程医疗项目受到了父母的好评，研究确定了一些需要改进的领域。
对专业人员和/或患者护理的影响：远程医疗早期育儿计划为父母提供了一个重要途径，可以获得有关幼儿睡眠、安置和喂养问题的支持。在该领域工作的临床医生应专注于建立积极的家长与护士的关系，加强沟通，并在夜间为父母提供支持，并帮助父母培养适用于整个幼儿期的早期育儿技能。
该研究首次探讨了远程医疗 RU 项目的客户体验。确定的促进因素和障碍将为该项目的未来改进以及类似的家庭远程医疗计划提供信息，以确保此类重要服务为父母带来最大的利益和服务成果。
遵循了定性研究的统一报告标准（COREQ）指南。
