Parents' perception of the back-transport of very-low-birth-weight infants to community hospitals

Pamela Kimzey Donohue, B. Hussey-Gardner, L. J. Sulpar, R. Fox, Susan W Aucott

Research output: Contribution to journalArticle

Abstract

Objective: To characterize parents' perception of back-transport of very-low-birth-weight (VLBW) infants from a regional referral neonatal intensive care unit (RR-NICU) to a community hospital (CH) for convalescent care. Study Design: Mixed methods utilizing parental interview and medical record review. Result: Overall, 20% of parents selected the CH to which their child was transferred. Less than half of the parents wanted the transfer. Psychological comfort with the RR-NICU was the most frequently reported reason for opposing transfer. At the time of home discharge, most parents were satisfied with the transfer and felt prepared to care for their infant at home. Conclusion: Parents want their infants closer to home, but are worried about the unknown. They are willing to forfeit autonomy in decision-making regarding the site of convalescent care. Parents need better preparation for transfer. Including them in an advisory group that reviews transfer policies could ameliorate the transition.

Original languageEnglish (US)
Pages (from-to)575-581
Number of pages7
JournalJournal of perinatology : official journal of the California Perinatal Association
Volume29
Issue number8
DOIs
StatePublished - 2009

Fingerprint

Very Low Birth Weight Infant
Community Hospital
Parents
Neonatal Intensive Care Units
Referral and Consultation
Infant Care
Medical Records
Decision Making
Interviews
Psychology

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

Cite this

@article{236899fcea004d32a7cce392c635bddf,
title = "Parents' perception of the back-transport of very-low-birth-weight infants to community hospitals",
abstract = "Objective: To characterize parents' perception of back-transport of very-low-birth-weight (VLBW) infants from a regional referral neonatal intensive care unit (RR-NICU) to a community hospital (CH) for convalescent care. Study Design: Mixed methods utilizing parental interview and medical record review. Result: Overall, 20{\%} of parents selected the CH to which their child was transferred. Less than half of the parents wanted the transfer. Psychological comfort with the RR-NICU was the most frequently reported reason for opposing transfer. At the time of home discharge, most parents were satisfied with the transfer and felt prepared to care for their infant at home. Conclusion: Parents want their infants closer to home, but are worried about the unknown. They are willing to forfeit autonomy in decision-making regarding the site of convalescent care. Parents need better preparation for transfer. Including them in an advisory group that reviews transfer policies could ameliorate the transition.",
author = "Donohue, {Pamela Kimzey} and B. Hussey-Gardner and Sulpar, {L. J.} and R. Fox and Aucott, {Susan W}",
year = "2009",
doi = "10.1038/jp.2009.17",
language = "English (US)",
volume = "29",
pages = "575--581",
journal = "Journal of Perinatology",
issn = "0743-8346",
publisher = "Nature Publishing Group",
number = "8",

}

TY - JOUR

T1 - Parents' perception of the back-transport of very-low-birth-weight infants to community hospitals

AU - Donohue, Pamela Kimzey

AU - Hussey-Gardner, B.

AU - Sulpar, L. J.

AU - Fox, R.

AU - Aucott, Susan W

PY - 2009

Y1 - 2009

N2 - Objective: To characterize parents' perception of back-transport of very-low-birth-weight (VLBW) infants from a regional referral neonatal intensive care unit (RR-NICU) to a community hospital (CH) for convalescent care. Study Design: Mixed methods utilizing parental interview and medical record review. Result: Overall, 20% of parents selected the CH to which their child was transferred. Less than half of the parents wanted the transfer. Psychological comfort with the RR-NICU was the most frequently reported reason for opposing transfer. At the time of home discharge, most parents were satisfied with the transfer and felt prepared to care for their infant at home. Conclusion: Parents want their infants closer to home, but are worried about the unknown. They are willing to forfeit autonomy in decision-making regarding the site of convalescent care. Parents need better preparation for transfer. Including them in an advisory group that reviews transfer policies could ameliorate the transition.

AB - Objective: To characterize parents' perception of back-transport of very-low-birth-weight (VLBW) infants from a regional referral neonatal intensive care unit (RR-NICU) to a community hospital (CH) for convalescent care. Study Design: Mixed methods utilizing parental interview and medical record review. Result: Overall, 20% of parents selected the CH to which their child was transferred. Less than half of the parents wanted the transfer. Psychological comfort with the RR-NICU was the most frequently reported reason for opposing transfer. At the time of home discharge, most parents were satisfied with the transfer and felt prepared to care for their infant at home. Conclusion: Parents want their infants closer to home, but are worried about the unknown. They are willing to forfeit autonomy in decision-making regarding the site of convalescent care. Parents need better preparation for transfer. Including them in an advisory group that reviews transfer policies could ameliorate the transition.

UR - http://www.scopus.com/inward/record.url?scp=68349096380&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=68349096380&partnerID=8YFLogxK

U2 - 10.1038/jp.2009.17

DO - 10.1038/jp.2009.17

M3 - Article

VL - 29

SP - 575

EP - 581

JO - Journal of Perinatology

JF - Journal of Perinatology

SN - 0743-8346

IS - 8

ER -