An Environmental Scan of Parent-focused Transition Practices between Neonatal Follow-up and Children's Rehabilitation Services

Dev Neurorehabil. 2020 Feb;23(2):113-120. doi: 10.1080/17518423.2019.1657199. Epub 2019 Aug 20.

Abstract

Purpose: Identify parent-focused transition practices for parents of children born preterm/acutely ill when transitioning from Neonatal Follow-Up Programs (NFUP) to Children's Treatment Centers or Networks (CTCN).Methods: NFUP and CTCN health-care providers participated in an online survey and qualitative interviews. Quantitative data were analyzed using descriptive statistics and qualitative data underwent conventional content analysis.Results: 60 participants (17 sites) from diverse health disciplines completed the survey, and 14 (from 11 of 17 sites) participated in a follow-up interview. Enablers to transition included knowledgeable practitioners, shared services, and family engagement; although not present across all sites. Barriers commonly reported were a lack of time, understanding of roles, and parent engagement.Conclusion: Research study findings highlight the need to improve and bridge NFUP to CTCN parent-focused transition practices. Recommendations for next actions steps include improved cross-sector communication, bridging sectors through enhanced service provision, and moving from information provision to family engagement.

Keywords: Transition; children; disability; parents.

MeSH terms

  • Aftercare / methods*
  • Aftercare / standards
  • Child
  • Female
  • Health Personnel / standards
  • Humans
  • Infant, Newborn
  • Infant, Premature / growth & development
  • Intensive Care, Neonatal / methods*
  • Intensive Care, Neonatal / standards
  • Male
  • Parents*
  • Patient Transfer / methods*
  • Patient Transfer / standards
  • Practice Guidelines as Topic
  • Surveys and Questionnaires