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Enhancing Parents’ Well-Being after Preterm Birth—A Qualitative Evaluation of the “Transition to Home” Model of Care

Author

Listed:
  • Natascha Schuetz Haemmerli

    (Department of Health Professions, Bern University of Applied Sciences, 3008 Bern, Switzerland
    Department of Paediatrics, Inselspital, Bern University Hospital, University of Bern, 3010 Bern, Switzerland)

  • Liliane Stoffel

    (Department of Paediatrics, Inselspital, Bern University Hospital, University of Bern, 3010 Bern, Switzerland)

  • Kai-Uwe Schmitt

    (Department of Health Professions, Bern University of Applied Sciences, 3008 Bern, Switzerland
    Insel Gruppe, Bern University Hospital, 3010 Bern, Switzerland)

  • Jeannine Khan

    (Kantonale Schule für Berufsbildung, 5001 Aarau, Switzerland)

  • Tilman Humpl

    (Tilman Humpl, Department of Paediatrics, St. Elisabethen-Krankenhaus, Kliniken des Landeskreises Lörrach, 79539 Lörrach, Germany)

  • Mathias Nelle

    (Mathias Nelle, Children’s Hospital, Kreiskliniken Böblingen, 71302 Böblingen, Germany)

  • Eva Cignacco

    (Department of Health Professions, Bern University of Applied Sciences, 3008 Bern, Switzerland)

Abstract

There are few programs available aimed at preventing short- and long-term negative consequences after preterm birth and covering the entire care continuum. The “Transition to Home (TtH)” model is such a program, offering structured, individual support for families with preterm infants before and after hospital discharge. This study gathers and examines the parents’ views of receiving support from an interprofessional team under the TtH model of care during hospitalization and after discharge. Using a qualitative explorative design, 39 semi-structured interviews with parents were analyzed thematically. From this analysis, three main themes were identified: (1) TtH and the relevance of continuity of care; (2) Enhancement of parents’ autonomy and self-confidence; (3) Perception of interprofessional collaboration. Within these themes, the most relevant aspects identified were continuity of care and the appointment of a designated health care professional to anchor the entire care continuum. Emotional support complemented by non-medical approaches, along with strength-based and family resource-oriented communication, also emerged as key aspects. Continuous, family-centered care and well-organized interprofessional collaboration promote the well-being of the family after a premature birth. If the aspects identified in this study are applied, the transition from hospital to home will be smoothened for the benefit of affected families.

Suggested Citation

  • Natascha Schuetz Haemmerli & Liliane Stoffel & Kai-Uwe Schmitt & Jeannine Khan & Tilman Humpl & Mathias Nelle & Eva Cignacco, 2022. "Enhancing Parents’ Well-Being after Preterm Birth—A Qualitative Evaluation of the “Transition to Home” Model of Care," IJERPH, MDPI, vol. 19(7), pages 1-20, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:4309-:d:786668
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    References listed on IDEAS

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    1. Erika Baraldi & Mara Westling Allodi & Ann-Charlotte Smedler & Björn Westrup & Kristina Löwing & Ulrika Ådén, 2020. "Parents’ Experiences of the First Year at Home with an Infant Born Extremely Preterm with and without Post-Discharge Intervention: Ambivalence, Loneliness, and Relationship Impact," IJERPH, MDPI, vol. 17(24), pages 1-26, December.
    2. Nahid Afand & Maryam Keshavarz & Naiemeh Seyed Fatemi & Ali Montazeri, 2017. "Effects of infant massage on state anxiety in mothers of preterm infants prior to hospital discharge," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(13-14), pages 1887-1892, July.
    3. Schusselé Filliettaz, Séverine & Berchtold, Peter & Kohler, Dimitri & Peytremann-Bridevaux, Isabelle, 2018. "Integrated care in Switzerland: Results from the first nationwide survey," Health Policy, Elsevier, vol. 122(6), pages 568-576.
    4. Selina M. Kehl & Pearl La Marca-Ghaemmaghami & Marina Haller & Elisabeth Pichler-Stachl & Hans Ulrich Bucher & Dirk Bassler & Friederike B. Haslbeck, 2020. "Creative Music Therapy with Premature Infants and Their Parents: A Mixed-Method Pilot Study on Parents’ Anxiety, Stress and Depressive Symptoms and Parent–Infant Attachment," IJERPH, MDPI, vol. 18(1), pages 1-18, December.
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