Concurrent Session 3C - Healthy Life Trajectories: Indigenous Health & Interprofessional Practice
Inter-professional collaboration for strengthening care of infants with medical complexity during the transition from the Neonatal Intensive Care Unit to the community
Friday, February 14, 2020
2:00 PM – 2:15 PM
Location: Max Bell - MB252
Introduction: With advances in technology and innovative medical treatments, infants who previously would have died in early infancy are living longer. These infants have significant needs and pose challenges in coordinating inter-professional care after discharge from NICU. Our objective was to engage key stakeholders in implementing system-level change to champion the successful transition of infants with medical complexity into early childhood.
Methods: Using mixed methodology we explored 4 predetermined key NICU to community care transition related questions. Including journey mapping & focus group events the NICU alumni families whose children have medical complexity and a literature review to identify neonatal to early childhood care transition models. We compiled this information to create evidence briefs that were presented to an inter-professional group of senior stakeholders using the deliberative dialogue approach. Following presentation of the evidence briefs surveys were administered to measure stakeholder intention to act on solutions presented.
Results: 42 stakeholders representing a Children’s and Women’s hospital, families, community care providers and provincial bodies were engaged in this project. 25 opportunities for improving transitions between hospital and community care teams were identified through engagement with families and project team members (Graphic A). Proposed solutions were further validated through comparisons with results of the literature search and ultimately 35 papers were included in the evidence briefs. Specific care interventions were recommended to key healthcare decision makers including; post-discharge care coordination in a specialised complex care clinic, implementing patient-oriented discharge summaries, and facilitating access to parental mental health resources. Using a Likert scale the majority of decision makers agreed that both the evidence briefs and deliberative dialogues were very successful in achieving their aim.
Conclusion: •Transitioning from NICU to community care is especially challenging for families •Evidence briefs and deliberative dialogues appear to be highly regarded and to have resulted in stakeholders intentions to act