Factors Influencing Failure to Comply with Follow-up Care for High-Risk Newborns

2.50
Hdl Handle:
http://hdl.handle.net/10755/308356
Category:
Abstract
Type:
Presentation
Title:
Factors Influencing Failure to Comply with Follow-up Care for High-Risk Newborns
Author(s):
Mullins-Thompson, Jane
Lead Author STTI Affiliation:
Eta Nu
Author Details:
Jane Mullins-Thompson, BSN, Jane.Thompson@Lebonheur.org
Abstract:

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.

Keywords:
Discharge; Follow-up; NICU
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleFactors Influencing Failure to Comply with Follow-up Care for High-Risk Newbornsen_GB
dc.contributor.authorMullins-Thompson, Janeen_GB
dc.contributor.departmentEta Nuen_GB
dc.author.detailsJane Mullins-Thompson, BSN, Jane.Thompson@Lebonheur.orgen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308356-
dc.description.abstract<p>Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013</p>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. <p>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. <p>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. <p>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.en_GB
dc.subjectDischargeen_GB
dc.subjectFollow-upen_GB
dc.subjectNICUen_GB
dc.date.available2013-12-19T17:30:15Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:30:15Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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