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

• Published in: Midwifery Vol. 31; no. 6; pp. 574 - 581
• Main Authors: Danbjørg, D.B., Wagner, L., Kristensen, B.R., Clemensen, J.
• Format: Journal Article
• Language: English
• Published: Scotland Elsevier Ltd 01.06.2015
• Subjects: App; Early postnatal discharge; Emotional Adjustment; Female; Humans; Nursing; Parents - psychology; Patient Discharge - trends; Postnatal Care - methods; Postpartum Period; Pregnancy; Self-efficacy; Sense of security; Telemedicine; Denmark; App; Early postnatal discharge; Telemedicine; Sense of security; Self-efficacy
• ISSN: 0266-6138; 1532-3099
• DOI: 10.1016/j.midw.2015.02.007

a move towards earlier postnatal discharge raises the challenge of finding new ways to support families when they are discharged early after childbirth. 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. 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. 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. 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. 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. 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. •We explore how early discharged postnatal parents experience the use of an app.•An app (chat, knowledgebase and automated messages) meet the needs of the new parents.•An app has the potential to enhance self-efficacy and a postnatal sense of security.•The parents see the lifeline as a lifeline; a means of informing and guiding parents.