Unplanned postdischarge healthcare utilisation, discharge readiness, and perceived quality of teaching in mothers of neonates hospitalized in a neonatal intensive care unit: A descriptive and correlational study.

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Version: author
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Serval ID
serval:BIB_AC610316E473
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Unplanned postdischarge healthcare utilisation, discharge readiness, and perceived quality of teaching in mothers of neonates hospitalized in a neonatal intensive care unit: A descriptive and correlational study.
Journal
Australian critical care
Author(s)
Rio L., Tenthorey C., Ramelet A.S.
ISSN
1036-7314 (Print)
ISSN-L
1036-7314
Publication state
Published
Issued date
01/2021
Peer-reviewed
Oui
Volume
34
Number
1
Pages
9-14
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Discharge teaching has been positively associated with discharge readiness in various care settings and patient types. Association of discharge readiness with unplanned use of health services has not received as much attention in the neonatal intensive care unit (NICU) population, but has been negatively associated in parents of older children.
The objective of the study was to describe and assess relationships between maternal readiness for neonates' discharge, discharge teaching, and unplanned use of health services after discharge from an NICU.
Mothers from an NICU of a tertiary referral hospital in Switzerland completed the "Readiness for Hospital Discharge Scale" and the "Quality of Discharge Teaching Scale parental forms" in the 24 h preceding discharge. Telephone interviews evaluating the unplanned use of health services were conducted 28 days after discharge. Simple linear regressions and multiple regressions were used to explore the links between the readiness, perceived quality of discharge, and unplanned use of health services.
Of the 71 participants, 75% (n = 53%) felt ready for discharge when asked directly, and for 60% (n = 42) of them, the amount of discharge teaching received was equal to or higher than that needed, but with high heterogeneity in scores. For 38% of mothers (n = 27), the expected support from the medical care of their child after discharge was deemed insufficient. In the month after discharge, unplanned use of health services occurred in 46% of the participants (n = 32). Perceived quality of teaching positively predicted readiness for discharge (R <sup>2</sup> = 0.24, p = 0.0004). Unplanned use of health services correlated neither with readiness nor with perceived teaching quality.
At discharge, mothers felt mostly ready and well prepared to go home. In the month after discharge, almost half used health services in an unplanned manner. Further exploration of reasons leading to this high rate of postdischarge healthcare utilisation is warranted.
Keywords
Critical Care, Emergency, Discharge planning, Family, Intensive care, Neonatal, Parents, Transitional care
Pubmed
Web of science
Open Access
Yes
Create date
13/08/2020 13:00
Last modification date
13/03/2021 7:22
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