Development of Continuity of Care Management Model for High-Risk Preterm Infants, Yala Hospital

Abstract

Objectives: To develop a continuity of care management model (CoCM Model) for high-risk preterm infants Yala Hospital and to evaluate the model utilization results. Methods: Information from the study about the situation of continuing care for high-risk preterm infants in Yala Hospital was used to conduct this action research for developing the CoCM Model within two phases: I. The model development phase (two circles) and II. The model utilization evaluation phase. The fifty-two participants included five nursing administrators, 16 nurses who work in either hospital or community, nine public health personnel, 13 caregivers, and nine preterm infants. Instruments comprised the draft of the instruction of CoC of high-risk preterm infants, the satisfaction questionnaires for healthcare and caregivers approved by five experts, (CVI .94 and 1.00, respectively), a weighing scale and a measurement tape. Data collection was performed by answering questionnaires and measuring the infant’s weight, height, and head circumstances. Data was analyzed using descriptive statistics. Results: The model comprised three management dimensions 1) the structural dimension included policy communication, staff and environment preparation, using technology for information transference, and consultation. 2) the processes of continuity of care from admission until the infant turns one year old and caregiver training and 3) participatory evaluation for the management of outcomes. The results of the management model utilization found the model satisfaction score among healthcare providers was at a high level (M=3.96, SD=.30) and the satisfaction score among caregivers was at a high level (M=4.00, SD=.50). There were 88.89% of infants tended to have normal growth curves. Conclusion: the participatory management model with contextual appropriation, specific information technology to clients and consulting availability can enhance better continuing of care in high-risk preterm infants.