Factors influencing failure to comply with follow-up care for high-risk newborns
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Jane Mullins-Thompson, BSN; Margaret Sharon Harris, MSN, RN, NEA-BC; Julia Snethen, PhD, RN
- Sigma Affiliation
- Eta Nu
- Contributor Affiliation(s)
- Le Bonheur Children's Hospital, Memphis, Tennessee, USA
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Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013: At a large academic children's hospital in the South over 50% of the NICU babies were not returning Newborn Follow-up clinic for their appointments. Failure to attend follow-up appointments for a high-risk neonate can jeopardize early interventions to promote optimal growth and development. The purpose of this investigation was to examine why NICU babies were not returning to their appointments at the Newborn Follow-up clinic. A retrospective chart review was conducted of NICU patients (N = 527) discharged from January 1, 2011 to June 30, 2012. The chart review focused on variables that might potentially impact the ability of parents to bring their baby in for a follow-up appointment. Variables that were explored in the chart review included: Infant diagnosis, gestational age, severity of infant health status and demographic data. Data were dichotomized for analysis using logistic regression. Analysis of data revealed only 27% of NICU patients discharged from January1, 2011 to June 30, 2012 had an appointment made for the follow-up clinic. Yet, eighty percent of the total patients discharged during this time frame returned to a specialty clinic. Factors influencing compliance with the Newborn Follow-up include: other clinic referrals, maternal age 13-24; gestational age less than 37 weeks and a discharge diagnosis of hydrocephalus. The limited number of follow-up appointments that were made is suggested as one explanation for the low return rate to the Newborn Follow-up clinic. The findings also support the need to re-evaluate discharge appointment criteria that have been established for the clinic.
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Type | Presentation |
Acquisition | Proxy-submission |
Review Type | Faculty/Mentor Approved: Sigma Academy Participant Presentation |
Format | Text-based Document |
Evidence Level | N/A |
Research Approach | N/A |
Keywords | Discharge; Follow-up; NICU |
Name | 42nd Biennial Convention |
Host | Sigma Theta Tau International |
Location | Indianapolis, Indiana, USA |
Date | 2013 |
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