Safe start at home: what parents of newborns need after early discharge from hospital - a focus group study.

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State: Public
Version: author
Serval ID
serval:BIB_1DF3A39E9F11
Type
Article: article from journal or magazin.
Collection
Publications
Title
Safe start at home: what parents of newborns need after early discharge from hospital - a focus group study.
Journal
BMC health services research
Author(s)
Kurth E., Krähenbühl K., Eicher M., Rodmann S., Fölmli L., Conzelmann C., Zemp E.
ISSN
1472-6963 (Electronic)
ISSN-L
1472-6963
Publication state
Published
Issued date
08/03/2016
Volume
16
Pages
82
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
The length of postpartum hospital stay is decreasing internationally. Earlier hospital discharge of mothers and newborns decreases postnatal care or transfers it to the outpatient setting. This study aimed to investigate the experiences of new parents and examine their views on care following early hospital discharge.
Six focus group discussions with new parents (n = 24) were conducted. A stratified sampling scheme of German and Turkish-speaking groups was employed. A 'playful design' method was used to facilitate participants communication wherein they used blocks and figurines to visualize their perspectives on care models The visualized constructions of care models were photographed and discussions were audio-recorded and transcribed verbatim. Text and visual data was thematically analyzed by a multi-professional group and findings were validated by the focus group participants.
Following discharge, mothers reported feeling physically strained during recuperating from birth and initiating breastfeeding. The combined requirements of infant and self-care needs resulted in a significant need for practical and medical support. Families reported challenges in accessing postnatal care services and lacking inter-professional coordination. The visualized models of ideal care comprised access to a package of postnatal care including monitoring, treating and caring for the health of the mother and newborn. This included home visits from qualified midwives, access to a 24-h helpline, and domestic support for household tasks. Participants suggested that improving inter-professional networks, implementing supervisors or a centralized coordinating center could help to remedy the current fragmented care.
After hospital discharge, new parents need practical support, monitoring and care. Such support is important for the health and wellbeing of the mother and child. Integrated care services including professional home visits and a 24-hour help line may help meet the needs of new families.

Keywords
Adult, Breast Feeding, Emotional Adjustment, Female, Focus Groups, Hotlines, House Calls/trends, Humans, Infant, Newborn, Male, Midwifery, Parents/psychology, Patient Discharge/trends, Postnatal Care/methods, Postnatal Care/trends, Pregnancy, Qualitative Research, Self Care/methods, Self Care/psychology, Social Support, Switzerland/epidemiology
Pubmed
Open Access
Yes
Create date
01/02/2017 11:34
Last modification date
20/08/2019 13:54
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