Mothers` experience with transitions in the process towards neonatal digital homecare

Abstract

Objective - This study aimed to explore mothers` experiences with transitions from the neonatal intensive care unit (NICU) to digital homecare.<p>

<p>Methods - Semi-structured, in-depth interviews were conducted with five mothers whose preterm infants had received digital homecare from a NICU in Norway. All interviews were conducted through video call due to COVID-19 safety restrictions. Interview transcripts were analysed using Tjora's stepwise deductive inductive method. Meleis' Transition Theory provides the theoretical framework for this analysis.<p>

<p>Results - The study identifies two critical transitions. The informants experienced specific conditions that affected the transitions, resulting in varying perceptions of whether the transitions towards digital homecare were good and, subsequently, whether the transitions were health-promoting, such as coping with the parental role. Three themes emerged: (1) the need for ongoing information, (2) relational continuity, and (3) defined roles.<p>

<p>Conclusions - Mothers in the NICU undergo a complex and multifaceted transition as they assume the responsibilities of independent caregivers while simultaneously managing the various situational shifts within the unit and the progression toward early discharge. Given the challenges inherent in this process, healthcare professionals must prioritize comprehensive support throughout each phase, ensuring an optimal and well-coordinated transition.