Parent perspectives of neonatal tele-homecare: A qualitative study

J Telemed Telecare. 2019 May;25(4):221-229. doi: 10.1177/1357633X18765059. Epub 2018 May 23.

Abstract

Introduction: Neonatal homecare for preterm infants is a method of supporting families and monitoring infant growth in the home setting. Telehealth may be used to deliver specialist neonatal care remotely, using online communication methods. This study explored parental experiences with neonatal tele-homecare (NTH).

Methods: Semi-structured interviews were conducted with 49 parents whose preterm infants had received NTH from a neonatal intensive care unit (NICU) in Denmark. Interview transcripts were analysed using Malterud's systematic text condensation.

Results: Parents experienced NTH as a personalised method for linking to specialist staff in the NICU. NTH promoted the parent's role as the primary care provider, further strengthening the parent-infant relationship.

Discussion: From the perspective of parents with preterm infants requiring specialist care, NTH is a useful method of supporting families in the home. Telehealth provides effective communication links with NICU specialists and encourages family-centred care.

Keywords: Neonatal tele-homecare; parent; preterm infant; telehealth.

MeSH terms

  • Denmark
  • Female
  • Home Care Services
  • Humans
  • Infant, Newborn
  • Infant, Premature / psychology*
  • Intensive Care Units, Neonatal
  • Intensive Care, Neonatal / psychology*
  • Kangaroo-Mother Care Method / psychology
  • Male
  • Parents / education
  • Parents / psychology*
  • Qualitative Research
  • Telemedicine / methods*
  • Transitional Care / organization & administration