Cargando…

Parental perception of neonatal transfers from level 3 to level 2 neonatal intensive care units in Calgary, Alberta: qualitative findings

BACKGROUND: Retro-transfers from level 3 to 2 NICUs in Alberta’s regionalization of neonatal care system are essential to ensure the proper utilization of level 3 NICUs for complex neonatal cases. Parents often experience distress that relates to the transfer of their neonates to another hospital. L...

Descripción completa

Detalles Bibliográficos
Autores principales: Dosani, Aliyah, Murthy, Prashanth, Kassam, Shafana, Rai, Baldeep, Lodha, Abhay K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8449487/
https://www.ncbi.nlm.nih.gov/pubmed/34535124
http://dx.doi.org/10.1186/s12913-021-06967-3
_version_ 1784569429406777344
author Dosani, Aliyah
Murthy, Prashanth
Kassam, Shafana
Rai, Baldeep
Lodha, Abhay K.
author_facet Dosani, Aliyah
Murthy, Prashanth
Kassam, Shafana
Rai, Baldeep
Lodha, Abhay K.
author_sort Dosani, Aliyah
collection PubMed
description BACKGROUND: Retro-transfers from level 3 to 2 NICUs in Alberta’s regionalization of neonatal care system are essential to ensure the proper utilization of level 3 NICUs for complex neonatal cases. Parents often experience distress that relates to the transfer of their neonates to another hospital. Limited information is available regarding parental perceptions of distress during transfers for neonates requiring care between NICUs in the current Canadian context. The objective of this study was to investigate: 1) what caused parents distress and could be changed about the transfer process and 2) the supports that were available to help ease parental distress during the transfer process. METHODS: Parents of singleton infants retro-transferred from level 3 to 2 NICUs in Calgary, Alberta between January 1, 2016, and December 31, 2017, were invited to participate in the study. Questionnaires were self-administered by one parent per family. A thematic deductive approach was employed by the researchers to analyze the qualitative data. RESULTS: Our response rate was 39.1% (n = 140). We found three themes for causes of parental distress and supports available to ease parental distress during the transfer, including communication between staff members and parents, details about the transfer process, and the care received throughout and shortly after the transfer process. CONCLUSION: Parents should receive at least 24 h of notice, regular transfer updates, employ anticipatory preparation strategies, and foster more open communication between parents and health care professionals to help ensure parental satisfaction.
format Online
Article
Text
id pubmed-8449487
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-84494872021-09-20 Parental perception of neonatal transfers from level 3 to level 2 neonatal intensive care units in Calgary, Alberta: qualitative findings Dosani, Aliyah Murthy, Prashanth Kassam, Shafana Rai, Baldeep Lodha, Abhay K. BMC Health Serv Res Research BACKGROUND: Retro-transfers from level 3 to 2 NICUs in Alberta’s regionalization of neonatal care system are essential to ensure the proper utilization of level 3 NICUs for complex neonatal cases. Parents often experience distress that relates to the transfer of their neonates to another hospital. Limited information is available regarding parental perceptions of distress during transfers for neonates requiring care between NICUs in the current Canadian context. The objective of this study was to investigate: 1) what caused parents distress and could be changed about the transfer process and 2) the supports that were available to help ease parental distress during the transfer process. METHODS: Parents of singleton infants retro-transferred from level 3 to 2 NICUs in Calgary, Alberta between January 1, 2016, and December 31, 2017, were invited to participate in the study. Questionnaires were self-administered by one parent per family. A thematic deductive approach was employed by the researchers to analyze the qualitative data. RESULTS: Our response rate was 39.1% (n = 140). We found three themes for causes of parental distress and supports available to ease parental distress during the transfer, including communication between staff members and parents, details about the transfer process, and the care received throughout and shortly after the transfer process. CONCLUSION: Parents should receive at least 24 h of notice, regular transfer updates, employ anticipatory preparation strategies, and foster more open communication between parents and health care professionals to help ensure parental satisfaction. BioMed Central 2021-09-17 /pmc/articles/PMC8449487/ /pubmed/34535124 http://dx.doi.org/10.1186/s12913-021-06967-3 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Dosani, Aliyah
Murthy, Prashanth
Kassam, Shafana
Rai, Baldeep
Lodha, Abhay K.
Parental perception of neonatal transfers from level 3 to level 2 neonatal intensive care units in Calgary, Alberta: qualitative findings
title Parental perception of neonatal transfers from level 3 to level 2 neonatal intensive care units in Calgary, Alberta: qualitative findings
title_full Parental perception of neonatal transfers from level 3 to level 2 neonatal intensive care units in Calgary, Alberta: qualitative findings
title_fullStr Parental perception of neonatal transfers from level 3 to level 2 neonatal intensive care units in Calgary, Alberta: qualitative findings
title_full_unstemmed Parental perception of neonatal transfers from level 3 to level 2 neonatal intensive care units in Calgary, Alberta: qualitative findings
title_short Parental perception of neonatal transfers from level 3 to level 2 neonatal intensive care units in Calgary, Alberta: qualitative findings
title_sort parental perception of neonatal transfers from level 3 to level 2 neonatal intensive care units in calgary, alberta: qualitative findings
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8449487/
https://www.ncbi.nlm.nih.gov/pubmed/34535124
http://dx.doi.org/10.1186/s12913-021-06967-3
work_keys_str_mv AT dosanialiyah parentalperceptionofneonataltransfersfromlevel3tolevel2neonatalintensivecareunitsincalgaryalbertaqualitativefindings
AT murthyprashanth parentalperceptionofneonataltransfersfromlevel3tolevel2neonatalintensivecareunitsincalgaryalbertaqualitativefindings
AT kassamshafana parentalperceptionofneonataltransfersfromlevel3tolevel2neonatalintensivecareunitsincalgaryalbertaqualitativefindings
AT raibaldeep parentalperceptionofneonataltransfersfromlevel3tolevel2neonatalintensivecareunitsincalgaryalbertaqualitativefindings
AT lodhaabhayk parentalperceptionofneonataltransfersfromlevel3tolevel2neonatalintensivecareunitsincalgaryalbertaqualitativefindings