Document Type
Paper -- MUSC Only
Publication Date
Spring 4-24-2025
Faculty Mentor
Kelly McGloon
Abstract
Objective: NICU parents have a higher prevalence of depression and anxiety compared to term, healthy newborn parents. The support while in the NICU is often tremendous; however, the guidance for the transition to home can be underwhelming. This quality improvement project aims to address parents’ confidence in providing developmentally progressive care through a resource toolkit post-NICU discharge.
Methods: A needs assessment was completed by nurses and NICU parents to identify gaps in education and confidence in providing developmental care post-discharge. A therapeutic neonatal discharge toolkit was created to guide activities to support the achievement of developmental milestones for NICU graduates. Outcome measures targeted included the perceived benefit and feasibility of the toolkit. Education was provided to nursing staff, the tool was implemented, and feedback was obtained. Qualitative and quantitative data were analyzed and translated into visual and thematic charts.
Results: OT Practitioners, nurses, and community providers found the toolkit beneficial and highly feasible to implement in various practice settings. Parents indicated the toolkit was easy to use, relevant to their needs, reduced stress, and helped prepare them for discharge from the NICU. The following five themes emerged from feedback surrounding review of the Developmental Discharge Toolkit: Accessibility & Ease of Use, Centralized & Comprehensive Information, Engaging Multimedia, Empowering Parent Confidence, and Emotional & Holistic Support.
Conclusion: A resource tool for developmental milestone achievement post-NICU discharge was well-perceived by parents, nurses, and other providers. The Developmental Discharge Toolkit has the potential to serve as a bridge of therapeutic services and increase parents’ confidence in developmental care during the transition from NICU to home.
Recommended Citation
Axson, Schayla, "Addressing Parent Confidence with Developmental Milestones Post-NICU Discharge: A Developmental Discharge Toolkit" (2025). Post-Professional Occupational Therapy Doctorate - Innovations in OT Symposium: Transforming Possibilities into Practice. 24.
https://medica-musc.researchcommons.org/muscotd-ppotd/24