Preparation for Discharge, Maternal Satisfaction, and Newborn Readmission for Jaundice: Comparing Postpartum Models of Care

Goulet, Lise; Fall, Aïssatou; D’Amour, Danielle; Pineault, Raynald

doi:10.1111/j.1523-536x.2007.00159.x

Cited by 22 publications

(14 citation statements)

References 33 publications

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“…Discharge from the hospital at or before 48 hours postpartum increases risk of hyperbilirubinemia development because neonates are home, not under direct medical supervision at age 3 to 5 days when bilirubin levels are most likely to peak (Bhutani, Johnson, Schwoebel, & Gennaro, 2006;Goulet, Fall, D'Amour, & Pineault 2007;Maisels, 2010). Breastfeeding mothers and infants should be discharged only after the mother fully understands effective breastfeeding, and can restate teaching on infant monitoring for jaundice and how to reach support services (Academy of Breastfeeding Medicine, 2010).…”

Section: Early Hospital Dischargementioning

confidence: 99%

Strategies for Neonatal Hyperbilirubinemia

Wells¹,

Ahmed

Musser

2013

McN: The American Journal of Maternal/Child Nursing

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"Common" neonatal jaundice can lead to dangerous levels of hyperbilirubinemia, causing neurological damage and even death. This article outlines evidence-based assessment techniques, management guidelines, and treatments for neonatal hyperbilirubinemia, addressing complexities that have arisen with new technologies and research results. We also explicate the role of the nurse in both prevention and care of patients and families who are affected by hyperbilirubinemia and jaundice.

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Section: Early Hospital Dischargementioning

confidence: 99%

Strategies for Neonatal Hyperbilirubinemia

Wells¹,

Ahmed

Musser

2013

McN: The American Journal of Maternal/Child Nursing

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“…Perinatal services, particularly short stays or "early obstetric discharge," are an especially sensitive issue for interprofessional and interorganizational collaboration. Early obstetric discharge has become general practice in most Western countries [ 11 ], and collaboration is one of the methods of ensuring accessibility and continuity of care in postnatal follow-up and in the prevention of such problems as the cessation of breastfeeding, hospitalization of the baby for jaundice [ 12 ] and parent-child-attachment issues.…”

Section: Introductionmentioning

confidence: 99%

A model and typology of collaboration between professionals in healthcare organizations

D’Amour

Goulet

Labadie

et al. 2008

BMC Health Serv Res

Self Cite

408

444

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BackgroundThe new forms of organization of healthcare services entail the development of new clinical practices that are grounded in collaboration. Despite recent advances in research on the subject of collaboration, there is still a need for a better understanding of collaborative processes and for conceptual tools to help healthcare professionals develop collaboration amongst themselves in complex systems. This study draws on D'Amour's structuration model of collaboration to analyze healthcare facilities offering perinatal services in four health regions in the province of Quebec. The objectives are to: 1) validate the indicators of the structuration model of collaboration; 2) evaluate interprofessional and interorganizational collaboration in four health regions; and 3) propose a typology of collaborationMethodsA multiple-case research strategy was used. The cases were the healthcare facilities that offer perinatal services in four health regions in the province of Quebec (Canada). The data were collected through 33 semi-structured interviews with healthcare managers and professionals working in the four regions. Written material was also analyzed. The data were subjected to a "mixed" inductive-deductive analysis conducted in two main stages: an internal analysis of each case followed by a cross-sectional analysis of all the cases.ResultsThe collaboration indicators were shown to be valid, although some changes were made to three of them. Analysis of the data showed great variation in the level of collaboration between the cases and on each dimension. The results suggest a three-level typology of collaboration based on the ten indicators: active collaboration, developing collaboration and potential collaboration.ConclusionThe model and the typology make it possible to analyze collaboration and identify areas for improvement. Researchers can use the indicators to determine the intensity of collaboration and link it to clinical outcomes. Professionals and administrators can use the model to perform a diagnostic of collaboration and implement interventions to intensify it.

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“…This may leave inadequate time for effective teaching by nursing and lactation consultants. When postpartum stays are short, it becomes the responsibility of the mother to identify the signs of jaundice, weight loss and breastfeeding issues (Goulet, Fall, D'Armour, & Pineault, ). Given the short hospital stays and current tight fiscal constraints in the acute care environment, it appears that additional interventions aimed at increasing breastfeeding and identification of jaundice would be best focused in the immediate postdischarge period.…”

Section: Literature Reviewmentioning

confidence: 99%