Julia C. Kim|Charlotte Watts
Gaining a foothold: tackling poverty, gender inequality, and HIV in Africa
University of the Witwatersrand|University of London|London School of Hygiene & Tropical Medicine
h3aimh3 explore acceptability feasibility parental early warning tool called congenital heart assessment tool chat parents going home infant first second stage surgery complex congenital heart disease h3backgroundh3 home monitoring programmes developed aid early recognition deterioration fragile infants first second surgical stage however necessitates good discharge preparation enable parents develop appropriate knowledge understanding signs deterioration look contact h3designh3 longitudinal qualitative feasibility study within constructivist paradigm parents taught use chat taking infant home asked participate semistructured interviews four time points discharge t0 2 weeks discharge t1 8 weeks discharge t2 stage 2 surgery t3 interviews transcribed verbatim thematically analysed h3settingh3 one tertiary childrens cardiac centre uk h3subjectsh3 twelve parents eight infants discharged following first stage cardiac surgery complex congenital heart disease august 2013 february 2015 h3resultsh3 four main themes emerged 1 parental preparation vigilance 2 usability 3 mastery 4 reassurance support h3conclusionsh3 study highlighted benefit appropriately preparing parents discharge using chat enable identification normal infant behaviour detect signs clinical deterioration study also demonstrated importance providing parents information call management advice support