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Practice developments supporting change implementation in Wellington,New Zealand (NZ) for ‘continuity of care when transitioning complex preterm infants from NICU to home’
Institution:1. Specialty Clinical Nurse, Wellington NICU, NZ, New Zealand;2. PG Cert in Primary Health Care Specialty Nursing and Plunket Nurse, New Zealand;3. Master of Professional Practice - Leadership, WelTec & Whitireia, NZ, New Zealand;4. MA Therapeutic Child Care, University of Reading, UK;5. Master of Nursing Science, Massey University, NZ, New Zealand;1. Institute of General Practice and Public Health, Provincial College for Health Professions Claudiana, Via Lorenz-Böhler 13, 39100 Bolzano, Italy;2. Free University of Bozen/Bolzano, Piazza Università, 1, 39100 Bolzano, Italy;1. Department of Midwifery and Women''s Health, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan;2. Department of Health Quality and Outcome Research, Division of Nursing Systems, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan;3. Allergy Center, National Center for Child Health and Development, Tokyo, Japan;1. Department of Child Health Nursing, Faculty of Nursing, Inönü University, 44280, Malatya, Turkey;2. Division of Neonatology, Department of Pediatrics, Inonu University School of Medicine, Malatya, Turkey;1. Osakidetza Basque Health Service, Donostialdea Integrated Health Organisation, Donostia University Hospital, Neonatal Unit, San Sebastián, Spain;2. Biodonostia Health Research Institute, Clinical Epidemiology, San Sebastián, Spain;3. Clinical Epidemiology, Osakidetza Basque Health Service, Donostialdea Integrated Health Organisation, Donostia University Hospital, San Sebastián, Spain;4. CIBERESP, Madrid, Spain;5. Osakidetza Basque Health Service, Donostialdea Integrated Health Organisation, Donostia University Hospital, Clinical Epidemiology Unit, San Sebastián, Spain;1. Council of International Neonatal Nurses, Inc. (COINN), USA;2. Royal Prince Alfred Hospital, Sydney, Australia;3. University of Sydney, Australia;4. The College of New Jersey, Ewing, NJ, USA;5. The University of Manchester, United Kingdom;6. Southern Illinois University (SIU) School of Medicine, USA;1. Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India;2. College of Nursing, All India Institute of Medical Sciences, New Delhi, India
Abstract:The discussion paper will focus on continuity of care relating to previous NZ research, specifically to transitioning complex preterm infants from NICU to home based on parent experiences, and on the practice developments that have occurred, to ensure optimal health outcomes. Previous NZ research discovered parent desire a consistent service delivery for the entire transition journey from NICU and at home.An informative and comprehensive opportunity has occurred for reflective professional practice, evaluation, development and implementation which have transpired in positive change through innovative practice developments and support change implementation in Wellington, NZ. This has resulted in the articulation of a model of care that has both embraced and integrated parental desires for a continuity of care process for complex preterm infants. This has been achieved by having the same Discharge Facilitator/Key Case Manager present within the NICU and external to the NICU for Home-based infants for the entire transition journey.The paper will focus and emphasis additional practice development changes and furthermore, will present a real purpose, for other countries to learn of such practice developments that have exemplified a celebratory success for families of Wellington, NZ.
Keywords:Continuity of care  Practice developments  Change implementation  Complex preterm infants  NICU to Home  Neonatal Specialty Clinical Nurse (SCN)  Neonatal Clinical Nurse Specialist (CNS)
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