Intervention among new parents followed up by an interview study exploring their experiences of telemedicine after early postnatal discharge.

Background: a move towards earlier postnatal discharge raises the challenge of finding new ways to support families when they are discharged early after childbirth. Aim: to explore how postnatal parents experienced the use of telemedicine following early discharge from hospital (i.e. 24 hours after...

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Published in:Midwifery Vol. 31; no. 6; pp. 574 - 582
Main Authors: Danbjørg, D. B., Wagner, L., Kristensen, B. R., Clemensen, J.
Format: research tables/charts Journal Article
Published: Elsevier B.V. Jun2015
Online Access:View this record in EBSCOhost
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      dt: Jun2015
      vid: 31
      iid: 6
      pid: 82545
      pub: Elsevier B.V.
      place: Philadelphia, Pennsylvania
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        10.1016/j.midw.2015.02.007
        103258524
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        atl: Intervention among new parents followed up by an interview study exploring their experiences of telemedicine after early postnatal discharge.
      aug:
        au:
          Danbjørg, D. B.
          Wagner, L.
          Kristensen, B. R.
          Clemensen, J.
        affil: Research Unit of Nursing, Institute of Clinical Research, University of Southern Denmark, Odense, Denmark
      sug:
        subj:
          Telemedicine
          Parenting
          Postnatal Care
          Life Experiences
          Early Patient Discharge
          Human
          Interviews
          Self-Efficacy
          Qualitative Studies
          World Wide Web Applications
          Phenomenological Research
          Action Research
          Health Information
          Information Resources
          Convenience Sample
          Computers, Portable
          Adult
          Female
          Interview Guides
          Semi-Structured Interview
          Conceptual Framework
          Denmark
          Funding Source
          Adult: 19-44 years
          Female
      ab: Background: a move towards earlier postnatal discharge raises the challenge of finding new ways to support families when they are discharged early after childbirth. Aim: to explore how postnatal parents experienced the use of telemedicine following early discharge from hospital (i.e. 24 hours after childbirth) by investigating if they consider that their postnatal needs are met, and whether or not they experience a sense of security and parental self-efficacy. Design: intervention followed by a qualitative interview study. The intervention took place on a postnatal ward with approximately 1000 births a year. An app including chat, a knowledgebase and automated messages was trialled between postnatal parents at home and the hospital. Parents had access to the app for seven days after discharge. Population: 42 new mothers were recruited from the postnatal ward in accordance with the inclusion criteria (i.e. discharged within 24 hours of childbirth). Both parents were invited for interview. Methods: 42 sets of parents participated in the trial, and 28 sets agreed to be interviewed. Interviews (n=28) were conducted with 27 mothers and 11 fathers. Parents were interviewed together in 10 cases, 17 mothers were interviewed alone, and one father was interviewed alone. The data analysis was inspired by systematic text condensation based on Giorgi's descriptive phenomenological method. Findings: parents were confident in use of the app, and did not experience any barriers in contacting the nurses via asynchronous communication. Parents received timely information and guidance by communicating online, and felt that their follow-up support needs were met. Conclusions: parents viewed the app as a lifeline, and saw it as a means of informing and guiding them following early discharge from hospital after childbirth. As such, this app shows potential for enhancing self-efficacy and postnatal sense of security.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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