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|California Baptist University, USA|
|ScientificTracks Abstracts: J Nurs Care|
|Objective: Present the development of an evidence-based neonatal discharge pathway based on the core principles of family-centered
care designed to increase parent participation in care and to improve parent readiness and confidence in assuming full care of their
Background & Significance: Despite the abundance of evidence supporting family-centered care and a comprehensive discharge
teaching process for the NICU, implementation of family-centered care practices continues to be a challenge and inconsistencies
in discharge teaching processes persist. A neonatal discharge pathway with specific teaching transition points provides a more
comprehensive discharge process, integrates the principles of family-centered care into all care practices, enhances the partnership
between the nurse and the family, and ensures parents are involved early and throughout their infant’s NICU journey.
1. The scientific development of an evidence-based discharge teaching pathway by use of the European Pathway Association’s eight step method for pathway development. The discharge pathway includes transition points for teaching and teaching topics.
2. The integration of Peplau’s Theory of Interpersonal Relations which emphasizes the partnership between the nurse and the family.
3. Families desire to participate and reasons for their hesitancy to participate in care. Appropriate interventions to address these issues are presented.
4. Presentation of a family-friendly bedside poster which enables the family and all staff to view and track infant and family progress and readiness toward discharge.
5. A plan for implementation of the discharge pathway (parent and staff education).
6. A highlight of nursing’s vital contribution to the development of evidenced-based practice and to the improvement in patient and family outcomes.
Lorraine Shields has completed her Doctor of Nursing Practice from Vanderbilt School of Nursing, Nashville Tennessee. She has 36 years in Neonatal Nursing as a bedside nurse, transport nurse, Clinical Nurse Specialist, and Neonatal Nurse Practitioner. She has served many positions in the National Association of Neonatal Nurses. She is currently Assistant Professor of Nursing in the graduate program at College of Nursing at California Baptist University.
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