Responsible Hospital Discharge in a Neonatal Unit: Perspectives From Nurses and Mothers
Year: 2026
Type: article
Abstract: ABSTRACT Objective: to understand the perspective of nurses working in a public neonatal unit in Amazonas, Brazil, regarding the preparation of families for responsible hospital discharge and the experiences of mothers with the guidance process. Method: this is a qualitative study using Convergent Care Research (CCR) as a methodological approach. It was developed between September and November 2023 with 11 nurses and nine mothers of newborns hospitalized in the neonatal unit of a municipal maternity hospital in Manaus. Semi-structured interviews were conducted and analyzed using apprehension and synthesis with the aid of Atlas.ti software. Results: three categories were constructed: The guidance process; Guidance themes; and Attention to the emotional aspects of mothers, showing that most of the care addressed converges with the literature and the learning needs of family members. However, there was recognition of the need to more individually and systematically conduct the guidance process, with guiding instruments and improvements in welcoming, communication, and inclusion of family members in care. These deliberations enabled reinterpreting nurses’ know-how and envisioned improvements supported by the use of a digital care guide, a technology co-created as a tool to support systematization of this practice. Conclusion: the preparation process for responsible discharge offered to families in Manaus in the studied neonatal unit presents some limitations which need to be overcome to improve the protagonism of nurses, increase the self-efficacy of caregivers for the safe care of newborns at home, and positively contribute to reducing the neonatal mortality rate in the region.
Source: Texto & Contexto - Enfermagem
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $138
OpenAlex ID: W7203608340