Parent experiences of a remote patient monitoring program enabling early discharge from the neonatal intensive care unit with nasogastric tube feeding

• Published in: Journal of neonatal-perinatal medicine Vol. 16; no. 2; p. 301
• Main Authors: Caruso, C G, Warren, J B, Carney, P A
• Format: Journal Article
• Language: English
• Published: Netherlands 01-01-2023
• Subjects: Enteral Nutrition; Humans; Infant; Infant, Newborn; Intensive Care Units, Neonatal; Intubation, Gastrointestinal; Parents; Patient Discharge; remote patient monitoring; home nasogastric tube feeding; parent perspectives; qualitative interviews; Early NICU discharge
• ISSN: 1878-4429
• DOI: 10.3233/NPM-221181

This exploratory study examined parents' experiences with "Growing at Home" (G@H), a remote patient monitoring program for stable infants discharged from the Neonatal Intensive Care Unit (NICU) with continued need for nasogastric tube feeding.
We used classical content analysis to identify and refine emergent themes from 13 semi-structured key informant interviews.
The primary emergent theme was the desire to return to normalcy, which was expressed as a primary motivator for participating in G@H. Parents reported G@H assisted them in transitioning from the NICU's highly medicalized setting to establishing a new normal with incorporation of their infant into their lives and families. Parental preparation is important, as some parents experienced challenges that indicate the program may not be suitable for all families.
Parental experiences offer insight into benefits and challenges of early discharge from the NICU and highlight opportunities to support families beginning in the NICU and as they transition home.