A qualitative study of recorded telephone support calls with mothers of preterm infants: Expressing both positive and negative feelings

Abstract

Every year, many infants are born preterm (<37 weeks of gestational age) worldwide, with a large proportion needing care in a neonatal unit (World Health Organisation, 2012). Hospitalization time for preterm infants may be lengthy, and mothers may experience feelings of anxiety about what life will be like once they leave the hospital for home. Leaving the secure environment of the neonatal unit, where help is always available, to go home may therefore represent a daunting transition for the mothers (Lundqvist et al., 2019;Murdoch & Franck, 2012). Mothers' experiences of the transition from the neonatal unit to home vary, and it has been reported that mothers would like to have more continuity in the support offered (Premji et al., 2017).Since communication is the basis of support and care, it is of great importance that it is adapted to suit the individual (Rider et al., 2014). A person-centred approach is an important component (McCormack & McCance, 2016). Person-centred care is based on therapeutic relationships between healthcare workers, people who need care and others who are significant in these people's lives. Such relationships are based on mutual trust, understanding and the sharing of accumulated knowledge (McCormack

Tele Homecare in Premature Infants’ Post-Discharge Early Follow-Up: A Narrative Review

“…15,16 Several countries were engaged in the studies, including Nordic countries including Sweden, 10,13–15,23 Denmark, 12,13,26 Iran, 17-22 China, 23 and the USA. 25 The majority of studies had a quantitative approach, including interventional, 11,15-22 and the rest were qualitative, 12-14,24 observational 26 prospective, 23 and retrospective cohorts. 25 The tele-homecare methods were used for post-discharge follow up including telephone (37.4%) 11,17,19,21,22,24 video consultation (18.7%), 12,14,23 Application (18.7%), 13,20,26 combination of App and social net (12.4%), 16,17 social net (5.5%), 18 and telemedicine platform (5.5%).…”

“…25 The majority of studies had a quantitative approach, including interventional, 11,15-22 and the rest were qualitative, 12-14,24 observational 26 prospective, 23 and retrospective cohorts. 25 The tele-homecare methods were used for post-discharge follow up including telephone (37.4%) 11,17,19,21,22,24 video consultation (18.7%), 12,14,23 Application (18.7%), 13,20,26 combination of App and social net (12.4%), 16,17 social net (5.5%), 18 and telemedicine platform (5.5%). 25 telephone support was considered the most tele-homecare method in the studies and a special telemedicine platform was rarely used.…”

“…The second view is that many countries don't have a distinct structure for tele-homecare activities because of the limitations in human and financial resources, so the establishment of a special telemedicine platform was Admission to 1 week after discharge rarely focused and the health systems prefer to start with available facilitation. 27,28 In this review, the Scandinavian countries including Sweden and Denmark [11][12][13][14][15][16]24,26 were the pioneer in the tele-homecare trend in the health system. Their progressive movement to e-health showed, that their health policymakers programmed to add tele-homecare platforms as an integrated part of health care system services.…”

“…The important components and findings of the final included articles are presented in Table 1. Results of the study showed that included studies had a focus on different participants, including Parents, [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] infants, 26 and nurses. 15,16 Several countries were engaged in the studies, including Nordic countries including Sweden, 10,[13][14][15]23 Denmark, 12,13,26 Iran, [17][18][19][20][21][22] China, 23 and the USA.…”

“…In this review, qualitative studies respond to this regard. [12][13][14]24,25 Discovering both parents and nurses is considered in research studies. It is fascinating that most parents are interested in tele-homecare and describes it as supportive, the opportunity to express feelings, the lifeline to expertise, and being confident and comfortable.…”