Background: 

Black infants in the United States have the highest incidence of both infant mortality (IM) and preterm birth among all racial/ethnic groups. The IM disparity for Black preterm infants often occurs after neonatal intensive care unit (NICU) discharge, when parents become the primary caregivers. The revised Kenner Transition Model (KTM) is situation specific and comprised 5 interrelated domains of parental need after NICU discharge that have not been previously applied to the transition from NICU to home of Black infants.

Purpose: 

This study's purpose was to explore the conceptual fit of parental readiness to care for their Black preterm infants after NICU discharge with the revised KTM.

Methods: 

A qualitative descriptive research approach was used for this single-site study of NICU parents of Black preterm infants. Qualitative analysis of 10 parents' perceptions before NICU discharge was via semantic content analysis; data were organized into categories aligned with the KTM. The Transition Questionnaire (TQ), an adjunct to the KTM, provided self- report quantitative data.

Results: 

All parents endorsed the “Information Needs,” “Stress and Coping,” and “Professional Support” domains of the KTM. Parent TQ responses indicated perceptions of moderate to high levels of home transition readiness after NICU discharge.

Implications for Practice and Research: 

The domains of the revised KTM were affirmed by parents of Black preterm infants in this study via coded interview and TQ responses. Additional study exploring the clinical assessment of transition readiness with theoretical grounding in diverse NICU families is warranted.

https://journals.lww.com/advancesinneonatalcare/Pages/videogallery.aspx.

中文翻译：

---

黑人早产儿的 NICU 父母：Kenner 过渡模型的应用

背景： 

在所有种族/族裔群体中，美国黑人婴儿的婴儿死亡率 (IM) 和早产发生率最高。黑人早产儿的 IM 差异通常发生在新生儿重症监护病房 (NICU) 出院后，此时父母成为主要照顾者。修订后的 Kenner 过渡模型 (KTM) 是针对特定情况的，包含 NICU 出院后父母需求的 5 个相互关联的领域，这些领域以前没有应用于从 NICU 到黑人婴儿之家的过渡。

目的： 

本研究的目的是探索NICU 出院后父母准备好照顾他们的黑人早产儿与修订后的 KTM 的概念契合度。

方法： 

这项针对黑人早产儿NICU 父母的单点研究采用了定性描述性研究方法。通过语义内容分析对 10 位家长在 NICU 出院前的感知进行定性分析；数据被组织成与 KTM 一致的类别。过渡问卷 (TQ) 作为 KTM 的附件，提供了自我报告的定量数据。

结果： 

所有家长都认可 KTM 的“信息需求”、“压力与应对”和“专业支持”领域。父母 TQ 的回应表明，他们对 NICU 出院后的家庭过渡准备程度为中度至高度。

对实践和研究的启示： 

在这项研究中，黑人早产儿的父母通过编码访谈和 TQ 回答确认了修订后的 KTM 的领域。有必要进行额外的研究，探索在不同 NICU 家庭中以理论基础对过渡准备情况进行临床评估。

https://journals.lww.com/advancesinneonatalcare/Pages/videogallery.aspx。