Cnossen Maryse C, Spaan Jessie, Fleischmann Maria S, van der Geest Berthe A M, Ista Erwin, Hulzebos Christian V, Been Jasper V, van der Vliet-Torij Hanneke W Harmsen
Research Center Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, The Netherlands.
Division of Neonatology, Department of Neonatal and Pediatric Intensive Care, Erasmus MC Sophia Children's Hospital, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Pediatr Res. 2024 Dec 13. doi: 10.1038/s41390-024-03754-8.
Neonatal hyperbilirubinemia is a leading cause of hospitalization during the first week of life. Recent research suggest that phototherapy, the standard treatment, can be safely and effectively administered at home. Some Dutch hospitals have already adopted home-based phototherapy. The TREAT Jaundice@home study aims to contribute to its broader implementation across the Netherlands. Understanding the perspectives, perceptions, and needs of healthcare professionals is essential for facilitating this implementation.
This cross-sectional survey targeted pediatricians, midwives, and maternity care assistants with and without prior experience with phototherapy at home. The 82-item questionnaire covered respondent background, experience, interests, motivation, responsibilities, logistics, collaboration, knowledge, indications and contraindications, financial aspects, and implementation readiness.
The study included responses from 16 pediatricians, 90 community midwives, and 514 maternity care assistants. Findings indicate a positive reception of phototherapy at home, regardless of prior experience. The majority expressed satisfaction, recognized potential benefits, and/or demonstrated a willingness to adopt this innovation. Key challenges identified include the need for information, the lack of guidelines, coordination and collaboration issues, and concerns about financial compensation.
Phototherapy at home is well-received by healthcare professionals. Addressing the identified challenges is imperative for successful implementation, ultimately benefiting neonates, their families, and healthcare systems.
Phototherapy at home is well-received and perceived as beneficial by healthcare professionals with and without prior experience Key challenges include the need for better knowledge and guidelines, coordination and collaboration issues among healthcare professionals, and concerns about financial compensation Addressing these challenges through comprehensive information, standardized protocols, improved collaboration, and adequate financial compensation is essential to successfully implement phototherapy at home on a larger scale.
新生儿高胆红素血症是出生后第一周住院的主要原因。近期研究表明，作为标准治疗方法的光疗可以在家中安全有效地进行。一些荷兰医院已经采用了家庭光疗。“在家治疗黄疸”研究旨在推动其在荷兰更广泛的实施。了解医疗保健专业人员的观点、看法和需求对于促进这一实施至关重要。
这项横断面调查针对有或没有家庭光疗经验的儿科医生、助产士和产妇护理助理。这份包含82个条目的问卷涵盖了受访者的背景、经验、兴趣、动机、职责、后勤、协作、知识、适应症和禁忌症、财务方面以及实施准备情况。
该研究纳入了16名儿科医生、90名社区助产士和514名产妇护理助理的回复。结果表明，无论之前有无经验，家庭光疗都受到了积极的接受。大多数人表示满意，认识到潜在益处，和/或表现出采用这一创新方法的意愿。确定的主要挑战包括需要信息、缺乏指南、协调与协作问题以及对经济补偿的担忧。
家庭光疗受到医疗保健专业人员的欢迎。应对已确定的挑战对于成功实施至关重要，最终将使新生儿、其家庭和医疗保健系统受益。
家庭光疗受到有或没有先前经验的医疗保健专业人员的欢迎，并被认为有益。主要挑战包括需要更好的知识和指南、医疗保健专业人员之间的协调与协作问题以及对经济补偿的担忧。通过全面的信息、标准化的方案、改进的协作和适当的经济补偿来应对这些挑战，对于在更大规模上成功实施家庭光疗至关重要。
