Effectiveness of the Neonatal Discharge Program for Very Low-Birth-Weight Infants on Parental Efficacy and Psychological Distress

This pilot study aimed to (i) evaluate the effectiveness of a neonatal discharge program, (ii) identify relationships between parent and infant factors and parental efficacy and psychological distress, and (iii) identify ways to improve the neonatal discharge program. A quasiexperimental 1-group pre...

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Bibliographic Details
Published in:	The Journal of perinatal & neonatal nursing Vol. 32; no. 4; pp. E11 - E21
Main Authors:	Shandra Bos, Lakshmi, Shorey, Shefaly, Kulantaipian, Tamill Salvee, Sng, Jane S P, Tam, Wilson W S, Koh, Serena S L
Format:	Journal Article
Language:	English
Published:	United States Copyright Wolters Kluwer Health, Inc. All rights reserved 01-10-2018 Lippincott Williams & Wilkins Ovid Technologies
Subjects:	Adult Birth weight Child care Continuity of care Discharge Education, Nonprofessional - methods Education, Nonprofessional - standards Effectiveness Emotional disorders Emotional Intelligence Female Humans Infant, Newborn Infant, Premature Infant, Very Low Birth Weight Intensive Care Units, Neonatal Male Needs Assessment Neonatal care Neonatal Nursing - ethics Neonatal Nursing - methods Neonatal Nursing - standards Newborn babies Nurse's Role Nurses, Neonatal - psychology Nursing Parenting Parents & parenting Parents - psychology Patient Discharge - standards Singapore Stress, Psychological - prevention & control Singapore
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Summary:	This pilot study aimed to (i) evaluate the effectiveness of a neonatal discharge program, (ii) identify relationships between parent and infant factors and parental efficacy and psychological distress, and (iii) identify ways to improve the neonatal discharge program. A quasiexperimental 1-group pretest/posttest design was used. Through consecutive sampling, 42 participants were recruited. Data were collected using self-report questionnaires. Self-administering instruments gathered data on parental efficacy and psychological distress as well as feedback and recommendations on the intervention. A significant increase in parental efficacy and a reduction in psychological distress were observed from pre- to postdischarge intervention. Significant relationships were found between parental efficacy and infantsʼ gestational age, birth weight, gender, and participantsʼ level of education, and a significant relationship was found between psychological distress and number of children from previous pregnancies. Moreover, an Internet-based program, in addition to the face-to-face teaching, was identified as a preferred option to aid in information retention. It is important to evaluate and enhance the neonatal discharge program to suit the parents of today while providing them with informational and emotional support. Future studies should explore parental coping and the long-term effects of their infantʼs birth and the intervention.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0893-2190 1550-5073
DOI:	10.1097/JPN.0000000000000337