Enhancing Readiness for Discharge through Effective Teaching: A Study on Low Birth Weight Mothers in NICU
DOI:
https://doi.org/10.35960/vm.v17i3.1755Keywords:
Low Birth Weight, Discharge Teaching, Discharge ReadinessAbstract
Maternal readiness for home care is crucial for optimal LBW outcomes. However, there are still many mothers who feel unprepared. The quality of discharge teaching provided to mothers is an important factor in this readiness. This study aims to determine the relationship between the quality of discharge teaching with discharge readiness in mothers of low birth weight (LBW) in the NICU. This study used a correlational method with a cross sectional approach. The study sample was 30 respondents based on inclusion and exclusion criteria using total sampling technique. Bivariate analysis with Fisher's exact test was used to analyze the data. Of the 30 respondents, 15 (50%) had a good level of discharge teaching quality, and 19 (63.3%) demonstrated good discharge readiness. The statistical test results demonstrated a significant relationship between the quality of discharge teaching and discharge readiness in mothers of low birth weight (LBW) in the NICU (p-value 0.016 < α 0.05). Mothers who received high-quality discharge teaching had a higher proportion of readiness for discharge (75%) compared to mothers who received low/moderate quality teaching (16.7%). The quality of discharge teaching plays an important role in improving discharge readiness in LBW mothers. Therefore, efforts to improve the quality of discharge teaching are recommended through effective communication training for nurses, and use of interactive learning media.
References
Astutik, R. Y., & Ferawati, N. (2019). Hubungan Bayi Berat Lahir Rendah dengan Kejadian Asfiksia Neonatorum di RSUD Dr. Iskak Tulungagung. Jurnal Kebidanan Midwiferia, 4(1). https://doi.org/10.21070/mid.v4i1.1845
Chen, Y., Zhang, J., & Bai, J. (2016). Effect of an educational intervention on parental readiness for premature infant discharge from the neonatal intensive care units.. Journal of advanced nursing, 72 1, 135-46 . https://doi.org/10.1111/jan.12817.
Demelash, H., Motbainor, A., Nigatu, D., Gashaw, K., & Melese, A. (2015). Risk factors for low birth weight in Bale zone hospitals, South-East Ethiopia : a case–control study. BMC Pregnancy and Childbirth, 15. https://doi.org/10.1186/s12884-015-0677-y.
Dinkes Prov Riau. (2021). Profil Kesehatan Provinsi Riau 2021. https://dinkes.riau.go.id/profil-kesehatan-provinsi-riau
DiFazio, R. L., Miller, P. J., Geyer, D., Shore, B. J., Snyder, B. D., & Vessey, J. A. (2023). Parental caregivers' perception of their transition from hospital to home in children with cerebral palsy who have undergone orthopedic surgery. Journal of pediatric nursing, 69, 47–55. https://doi.org/10.1016/j.pedn.2022.12.023
Gupta, M., Pursley, D. M., & Smith, V. C. (2019). Preparing for Discharge From the Neonatal Intensive Care Unit. Pediatrics, 143(6), e20182915. https://doi.org/10.1542/peds.2018-2915
Hariati, S., Sutomo, R., Lusmilasari, L., Febriani, A. D. B., & Kadar, K. (2020). Discharge readiness of Indonesian mother with preterm infant in NICU. Enfermeria Clinica, 30, 234–237. https://doi.org/10.1016/j.enfcli.2019.07.096
Hariati, S., Sutomo, R., McKenna, L., Reisenhofer, S., Lusmilasari, L., & Febriani, A. D. B. (2021). Indonesian mothers' beliefs on caring practices at home for preterm babies after hospital discharge: A qualitative study. Journal for specialists in pediatric nursing : JSPN, 26(3), e12330. https://doi.org/10.1111/jspn.12330
Helena, D. F., Sarinengsih, Y., Ts, N., & Suhartini, S. (2021). Faktor-Faktor yang Berhubungan dengan Kejadian Berat Badan Lahir Rendah (BBLR) di RSUD Soreang Kabupaten Bandung. Jurnal Ilmu Kesehatan Immanuel, 14(2). https://doi.org/10.36051/jiki.v14i2.143
Julianti, E., Rustina, Y., & Efendi, D. (2019). Program Perencanaan Pulang dapat Meningkatkan Pengetahuan dan Keterampilan Ibu yang Melahirkan Bayi Prematur Merawat Bayinya. Jurnal Keperawatan Indonesia , 22 (1), 74–81. https://doi.org/10.7454/jki.v22i1.540
Li, X. L., Liu, Y., Liu, M., Yang, C. Y., & Yang, Q. Z. (2020). Early Premature Infant Oral Motor Intervention Improved Oral Feeding and Prognosis by Promoting Neurodevelopment. American journal of perinatology, 37(6), 626–632. https://doi.org/10.1055/s-0039-1685448
LoBiondo-Wood, G., & Haber, J. (2021). Nursing research E-book: methods and critical appraisal for evidence-based practice. Elsevier Health Sciences.
Manuaba, I. B. G., & Kebidanan, I. (2014). Penyakit kandungan dan KB untuk pendidikan bidan. Ilmu Kebidanan, 23, 38-44.
Mardiah, H., Munir, Z., Kholisotin, K., Fauzi, A. K., & Wahid, A. H. (2019). Efektivitas Perawatan Dasar Bayi Terhadap Pengetahuan dan Keterampilan Ibu Merawat Bayi BBLR. Jurnal Ilmiah Kesehatan, 12(2). https://doi.org/10.48144/jiks.v12i2.170
Nurhayati, N. (2018). Perception of the quality of discharge teaching and readiness for hospital discharge among surgical patients and nurses in Indonesia. (Tesis Master, Prince of Songkla University)
Pellet, J., Weiss, M., Rapin, J., Jaques, C., & Mabire, C. (2020). Nursing discharge teaching for hospitalized older people: A rapid realist review. Journal of advanced nursing, 76(11), 2885–2896. https://doi.org/10.1111/jan.14511
Puspitasari, R., & Sulistyaningsih, S. (2014). Hubungan Tingkat Pendidikan dan Pekerjaan Ibu dengan kejadian bayi berat lahir rendah Di RSU PKU Muhammadiyah Bantul. https://core.ac.uk/download/299434817.pdf
Rantung, F. A., Kundre, R., & Lolong, J. (2015). Hubungan Usia Ibu Bersalin dengan Kejadian Bayi Berat Lahir Rendah di Rumah Sakit Pancaran Kasih GMIM Manado. Jurnal Keperawatan, 3(3). https://doi.org/10.35790/jkp.v3i3.8646
Raphael, B. P., Jorina, M., Gallotto, M., Grullon, G., Dalton, M., Takvorian-Bené, M., Tascione, C., Rosa, C., McClelland, J., Gray, M., Potemkin, A. K., Glavin, C., Gura, K. M., Murphy, M. K., Leger, K., Mahoney, J., Kerr, J., Ozonoff, A., & Duggan, C. P. (2018). Innovative Discharge Process for Families with Pediatric Short Bowel Syndrome: A Prospective Nonrandomized Trial. JPEN. Journal of parenteral and enteral nutrition, 42(8), 1295–1303. https://doi.org/10.1002/jpen.1158
Riskesdas. (2019). Laporan Nasional Riskesdas 2018. lembaga penerbit badan penelitian dan pengembangan kesehatan.
Seyedfarajollah, S., Nayeri, F., Kalhori, S. R. N., Ghazisaeedi, M., & Keikha, L. (2018). The Framework of NICU-discharge Plan System for Preterm Infants in Iran: Duties, Components and Capabilities. Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH, 26(1), 46–50. https://doi.org/10.5455/aim.2018.26.46-50
Solehati, T., Kosasih, C. E., Rais, Y., Fithriyah, N., Darmayanti, D., & Puspitasari, N. R. (2018). Kangaroo Mother Care Pada Bayi Berat Lahir Rendah: Sistematik Review. PROMOTIF: Jurnal Kesehatan Masyarakat, 8(1), 83-96. https://doi.org/10.56338/pjkm.v8i1.234
UNICEF, & WHO. (2019). UNICEF-WHO LOW BIRTHWEIGHT ESTIMATES Levels and trends 2000–2015. Ganeva: World Health Organization. https://data.unicef.org/topic/nutrition/low-birthweight/
Weiss, M. E., Sawin, K. J., Gralton, K., Johnson, N., Klingbeil, C., Lerret, S., Malin, S., Yakusheva, O., & Schiffman, R. (2017). Discharge Teaching, Readiness for Discharge, and Post-discharge Outcomes in Parents of Hospitalized Children. Journal of pediatric nursing, 34, 58–64. https://doi.org/10.1016/j.pedn.2016.12.021
WHO. (2022). WHO recommendations for care of the preterm or low birth weight infant. https://iris.who.int/handle/10665/363697
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Rara Angela, Riri Novayelinda, Ganis Indriati
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Submitted paper will be firstly reviewed by the editors to determine whether the paper meet the edition theme and submission guidelines. Papers which meet the theme and the guidelines will be assigned to selected reviewers for peer-reviews. Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan is a double blind peer-reviewed journal which involves reviewers based on their experties relevant to the topic of the paper. Final decision of paper acceptance is solely decided by the editors according to reviewers' comment.
Plagiarism and self-plagiarism are prohibited. Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan uses PlagiarismCheckerX and iThenticate to scan papers for detecting plagiarism. Thus, Appropriate citation and quotation should be used
.png)
.png){kind=small}
