Preparing Parents for NICU Discharge: An Evidence-Based Teaching Tool

Schlittenhart, Jean Marie; Smart, Denise; Miller, Kris; Severtson, Billie

doi:10.1111/j.1751-486x.2011.01676.x

Cited by 25 publications

(24 citation statements)

References 18 publications

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“…Developing innovative strategies for recruitment and avoidance of program attrition is appropriate. For example, Schlittenhart et al [40] developed an instructional DVD-video to prepare parents for NICU discharge. The authors postulated that because teens in their NICU often visit their children in the evening, they would be difficult to engage in daytime predischarge class offerings.…”

Section: Resultsmentioning

confidence: 99%

“…Self-reported questionnaires corresponding to the PSS:NICU subscales were administered to 40 mothers. Schlittenhart et al [40] United States Not defined To evaluate the effectiveness of an instructional NICU-discharge DVD/video in meeting the needs of adolescent parents and parents of advanced maternal age with infants admitted to the NICU. Shields-Poë and Pinelli [41] Canada Not defined To determine sources of stress and the influence of various factors on parental stress in the NICU.…”

Section: Resultsmentioning

confidence: 99%

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Adolescent Parenting in the Neonatal Intensive Care Unit

Rosenstock¹,

Manen²

2014

Journal of Adolescent Health

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Adolescent Parenting in the Neonatal Intensive Care Unit

Rosenstock¹,

Manen²

2014

Journal of Adolescent Health

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“…13 An educational video was described as a convenient, easily accessible teaching tool with the ability to educate a diverse learning population. Sullivan-Bolyai, et al 12 detailed their development of a parental diabetes education program that used human patient simulators but the outcomes of this program are yet to be published.…”

Section: Discussionmentioning

confidence: 99%

Ventilator Caregiver Education Through the Use of High-Fidelity Pediatric Simulators

Tofil

Rutledge

Zinkan

et al. 2013

Clin Pediatr (Phila)

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Introduction. Home ventilator programs (HVP) have been developed to train parents of critically ill children. Simulators are used in health care, but not often for parents. We added simulation to our HVP and assessed parents' response. Methods. In July 2008, the HVP at Children's of Alabama added simulation to parent training. Debriefing was provided after the training session to reinforce correct skills and critical thinking. Follow-up surveys were completed after training. Results. Fifteen families participated. All parents were confident in changing tracheostomies, knowing signs of breathing difficulties, and responding to alarms. 71% strongly agree that simulation resulted in feeling better prepared to care for their child. 86% felt simulation improved their confidence in taking care of their child. Conclusion. Simulators provide a crucial transition between learned skills and application. This novel use of simulation-based education improves parents' confidence in emergencies and may lead to shortened training resulting in cost savings.

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“…The nurse’s role in teaching parents about caring for their infant provides important background for our study. Schlittenhart, Smart, Miller, and Severtson (2011) noted that parents often view their babies as fragile, being afraid to even touch them until their confidence in themselves as caregivers grows. Our previous study (Gravem, Lakes, Teran, Rich, Cooper, Olshansky, 2009) corroborated this perception that parents had of their infants, although with encouragement from nurses and other health professionals (occupational therapists, physical therapists), parents were able to more confidently touch and interact with their babies.…”

mentioning

confidence: 99%

Feasibility of a Caregiver-Assisted Exercise Program for Preterm Infants

McQueen

Lakes

Rich

et al. 2013

Journal of Perinatal &Amp; Neonatal Nursing

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Purpose Mounting evidence shows that low birth weight and prematurity are related to serious health problems in adulthood, including increased body fat, decreased fitness, poor bone mineralization, pulmonary problems, and cardiovascular disease. There is data to suggest that increasing physical activity in preterm infants will have effects on short term muscle mass and fat mass, but we also hypothesized that increasing physical activity early in life can lead to improved health outcomes in adulthood. Because few studies have addressed the augmentation of physical activity in premature babies, the objective of this study was to evaluate the feasibility of whether caregivers (mostly mothers) can learn from nurses and other health care providers to implement a program of assisted infant exercise following discharge. Study Design and Methods Ten caregivers of preterm infants were taught by nurses, along with occupational therapists and other health care providers, to perform assisted infant exercise and instructed to conduct the exercises daily for approximately three weeks. The researchers made home visits and conducted qualitative interviews to understand the caregivers’ (mostly mothers’) experiences with this exercise protocol. Quantitative data included a caregiver’s daily log of the exercises completed to measure adherence as well as videotaped caregiver sessions, which were used to record errors as a measure of proficiency in the exercise technique. Results On average, the caregivers completed a daily log on 92% of the days enrolled in the study and reported performing the exercises on 93% of the days recorded. Caregivers made an average of 1.8 errors on two tests (with a maximum of 23 or 35 items on each, respectively) when demonstrating proficiency in the exercise technique. All caregivers described the exercises as beneficial for their infants, and many reported that these interventions fostered increased bonding with their babies. Nearly all reported feeling “scared” of hurting their babies during the first few days of home exercise, but stated that fears were alleviated by practice in the home and further teaching and learning. Clinical Implications Caregivers were willing and able to do the exercises correctly, and they expressed a belief that the intervention had positive effects on their babies and on caregiver-infant interactions. These findings have important implications for nursing practice because nurses are in key positions to teach and encourage caregivers to practice these exercises with their newborn babies.

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Preparing Parents for NICU Discharge: An Evidence-Based Teaching Tool

Cited by 25 publications

References 18 publications

Adolescent Parenting in the Neonatal Intensive Care Unit

Adolescent Parenting in the Neonatal Intensive Care Unit

Ventilator Caregiver Education Through the Use of High-Fidelity Pediatric Simulators

Feasibility of a Caregiver-Assisted Exercise Program for Preterm Infants

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