Abstract
Background: Today's, the neonatal discharge planning care has been an indispensable component of neonatal intensive care. However, this comes with various challenges. So, pediatric nurses must be able to provide effective nursing care and to be awareof their roles, to achieve successful discharge of baby from Neonatal Intensive Care Unit.Aim: to assess pediatric nurses’perception and practices regarding neonatal discharge from Neonatal Intensive Care Units. Study Design: a descriptive design was utilized in this study. Setting:The study wascarried out in NeonatalIntensive Care Units, at general hospitals in Port-Said Governorate, Egypt.Subjects andMethod: Sixty pediatricnurseswere included in the present study. Data were collected using NICU discharge practices questionnaire, andNICU discharge perception scale. Results: Themain finding of thisstudy revealed that all pediatric nurses hadpoor neonatal discharge practices, while the majority of them had good perception regarding neonatal discharge.Conclusion: There waspositive statistical significant correlation between pediatric nurses' practices andtheir perception regarding neonatal discharge.Recommendation:Continuous trainingprogramwas recommended for pediatric nurses to enhance their perception and improve their skills toward neonatal discharge.
Highlights
Discharge planning which is defined as“the activities that facilitate a pediatric patient's movement from one health care setting to another, or to home”, it is a multidisciplinary process involving physicians, pediatric nurses, social workers, and other health professionals
Table (3): illustrates thatthe most of studied nurses had good perception regarding neonatal discharge inNICUs (80%), includingnursing role in discharge planning and factors affecting discharge care (90%, and 85.0% respectively),while more than two fifths (48.3%) of studied nurses had average level of perception regarding parent teaching about neonatal discharge
A discharge plan is integral to the action administered with the objective of providing the best care for the baby, and reducing cost with maximum efficiency nurses belonging to baby's units, which are crucial to success of the discharge planning process in Neonatal Intensive Care Units (NICUs) (Al Reshidi & Long, 2016)
Summary
Discharge planning which is defined as“the activities that facilitate a pediatric patient's movement from one health care setting to another, or to home”, it is a multidisciplinary process involving physicians, pediatric nurses, social workers, and other health professionals. Care and discharge (DC) planning in the NICUs vary according to: firstly, leadership styles and competencies; secondly, the knowledge base of pediatric nursing and medical staff; thirdly, the systems which support the work of physicians, pediatric nurses, and support staff; fourthly, the policies, regulations, and laws that dictate scope of practices for physicians, pediatric nurses, and support staff; and the nature of the physical facility. Despite these factors, there is a core set of practices that characterize DC. Results: Themain finding of thisstudy revealed that all pediatric nurses hadpoor neonatal discharge practices, while the majority of them had good perception regarding neonatal discharge.Conclusion: There waspositive statistical significant correlation between pediatric nurses' practices andtheir perception regarding neonatal discharge.Recommendation:Continuous trainingprogramwas recommended for pediatric nurses to enhance their perception and improve their skills toward neonatal discharge
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