The perception of safety regarding the transfer of infants from the neonatal intensive care unit to a level II neonatology department: a mixed-method cohort study using a Safety-II approach
Abstract Objective This study aimed to investigate the perceived safety during the transfer process of infants from a Neonatal Intensive Care Unit (NICU) to a regional level II department. It sought to identify stakeholder agreements and divergences on safety and to determine the facilitators and ba...
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BMC
2025-03-01
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| Series: | BMC Pediatrics |
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| Online Access: | https://doi.org/10.1186/s12887-025-05537-4 |
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| author | Karen de Bijl-Marcus Fenna Mossel Kees Ahaus Bettine Pluut Manon Benders Arjan Bruintjes Martina Buljac-Samardzic |
| author_facet | Karen de Bijl-Marcus Fenna Mossel Kees Ahaus Bettine Pluut Manon Benders Arjan Bruintjes Martina Buljac-Samardzic |
| author_sort | Karen de Bijl-Marcus |
| collection | DOAJ |
| description | Abstract Objective This study aimed to investigate the perceived safety during the transfer process of infants from a Neonatal Intensive Care Unit (NICU) to a regional level II department. It sought to identify stakeholder agreements and divergences on safety and to determine the facilitators and barriers to achieving a high level of perceived safety. Design This study employed a mixed-method cohort design and action research approach grounded in Safety-II principles. Setting The study focused on transfers from a single Dutch university hospital NICU to multiple regional level II neonatology departments. Methods Surveys were administered to parents and care professionals, including NICU staff, level II department staff, and ambulance personnel. The surveys consisted of both quantitative and open-ended questions. Data were analysed quantitatively and qualitatively, incorporating Safety-I and Safety-II perspectives, to assess the perceived safety and identify facilitators and barriers. Results A total of 46 transfers were evaluated by 239 stakeholders. The overall perception of safety was positive among all stakeholder groups. There were no significant differences in the overall level of perceived safety between parents and care professionals. However, stakeholder perceptions varied significantly across transfer phases. Qualitative analysis revealed facilitators and barriers related to timing, parental participation and information exchange. Conclusion This study indicated consistently positive safety perceptions among parents and care professionals. Effective communication, parental participation and optimal timing were identified as crucial for enhancing safety perceptions during transfers. |
| format | Article |
| id | doaj-art-c69cfabaf7014e5d81c74b9e161781a4 |
| institution | DOAJ |
| issn | 1471-2431 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj-art-c69cfabaf7014e5d81c74b9e161781a42025-08-20T02:41:36ZengBMCBMC Pediatrics1471-24312025-03-0125111010.1186/s12887-025-05537-4The perception of safety regarding the transfer of infants from the neonatal intensive care unit to a level II neonatology department: a mixed-method cohort study using a Safety-II approachKaren de Bijl-Marcus0Fenna Mossel1Kees Ahaus2Bettine Pluut3Manon Benders4Arjan Bruintjes5Martina Buljac-Samardzic6Department Neonatology, Wilhelmina Children’s Hospital, University Medical Center Utrecht, Utrecht UniversityPluut & PartnersDepartment Health Services Management & Organisation Erasmus School of Health Policy & Management, Erasmus University RotterdamPluut & PartnersDepartment Neonatology, Wilhelmina Children’s Hospital, University Medical Center Utrecht, Utrecht UniversityRegional Ambulance Service Utrecht (RAVU)Department Health Services Management & Organisation Erasmus School of Health Policy & Management, Erasmus University RotterdamAbstract Objective This study aimed to investigate the perceived safety during the transfer process of infants from a Neonatal Intensive Care Unit (NICU) to a regional level II department. It sought to identify stakeholder agreements and divergences on safety and to determine the facilitators and barriers to achieving a high level of perceived safety. Design This study employed a mixed-method cohort design and action research approach grounded in Safety-II principles. Setting The study focused on transfers from a single Dutch university hospital NICU to multiple regional level II neonatology departments. Methods Surveys were administered to parents and care professionals, including NICU staff, level II department staff, and ambulance personnel. The surveys consisted of both quantitative and open-ended questions. Data were analysed quantitatively and qualitatively, incorporating Safety-I and Safety-II perspectives, to assess the perceived safety and identify facilitators and barriers. Results A total of 46 transfers were evaluated by 239 stakeholders. The overall perception of safety was positive among all stakeholder groups. There were no significant differences in the overall level of perceived safety between parents and care professionals. However, stakeholder perceptions varied significantly across transfer phases. Qualitative analysis revealed facilitators and barriers related to timing, parental participation and information exchange. Conclusion This study indicated consistently positive safety perceptions among parents and care professionals. Effective communication, parental participation and optimal timing were identified as crucial for enhancing safety perceptions during transfers.https://doi.org/10.1186/s12887-025-05537-4SafetyTransferSafety-IINeonatal intensive careSafety perception |
| spellingShingle | Karen de Bijl-Marcus Fenna Mossel Kees Ahaus Bettine Pluut Manon Benders Arjan Bruintjes Martina Buljac-Samardzic The perception of safety regarding the transfer of infants from the neonatal intensive care unit to a level II neonatology department: a mixed-method cohort study using a Safety-II approach BMC Pediatrics Safety Transfer Safety-II Neonatal intensive care Safety perception |
| title | The perception of safety regarding the transfer of infants from the neonatal intensive care unit to a level II neonatology department: a mixed-method cohort study using a Safety-II approach |
| title_full | The perception of safety regarding the transfer of infants from the neonatal intensive care unit to a level II neonatology department: a mixed-method cohort study using a Safety-II approach |
| title_fullStr | The perception of safety regarding the transfer of infants from the neonatal intensive care unit to a level II neonatology department: a mixed-method cohort study using a Safety-II approach |
| title_full_unstemmed | The perception of safety regarding the transfer of infants from the neonatal intensive care unit to a level II neonatology department: a mixed-method cohort study using a Safety-II approach |
| title_short | The perception of safety regarding the transfer of infants from the neonatal intensive care unit to a level II neonatology department: a mixed-method cohort study using a Safety-II approach |
| title_sort | perception of safety regarding the transfer of infants from the neonatal intensive care unit to a level ii neonatology department a mixed method cohort study using a safety ii approach |
| topic | Safety Transfer Safety-II Neonatal intensive care Safety perception |
| url | https://doi.org/10.1186/s12887-025-05537-4 |
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