{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T05:27:59Z","timestamp":1793942879643,"version":"4.8.0"},"reference-count":36,"publisher":"Springer Science and Business Media LLC","issue":"S1","license":[{"start":{"date-parts":[[2022,2,14]],"date-time":"2022-02-14T00:00:00Z","timestamp":1644796800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,2,14]],"date-time":"2022-02-14T00:00:00Z","timestamp":1644796800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Perinatol"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>In this section, we present Interdisciplinary Guidelines and Recommendations for Neonatal Intensive Care Unit (NICU) Discharge Preparation and Transition Planning. The foundation for these guidelines and recommendations is based on existing literature, practice, available policy statements, and expert opinions. These guidelines and recommendations are divided into the following sections: Basic Information, Anticipatory Guidance, Family and Home Needs Assessment, Transfer and Coordination of Care, and Other Important Considerations. Each section includes brief introductory comments, followed by the text of the guidelines and recommendations in table format. After each table, there may be further details or descriptions that support a guideline or recommendation. Our goal was to create recommendations that are both general and adaptable while also being specific and actionable. Each NICU\u2019s implementation of this guidance will be dependent on the unique makeup and skills of their team, as well as the availability of local programs and resources. The recommendations based only on expert opinion could be topics for future research.<\/jats:p>","DOI":"10.1038\/s41372-022-01313-9","type":"journal-article","created":{"date-parts":[[2022,2,14]],"date-time":"2022-02-14T06:12:29Z","timestamp":1644819149000},"page":"7-21","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":75,"title":["NICU discharge preparation and transition planning: guidelines and recommendations"],"prefix":"10.1038","volume":"42","author":[{"given":"Vincent C.","family":"Smith","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin","family":"Love","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika","family":"Goyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,2,14]]},"reference":[{"key":"1313_CR1","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1038\/jp.2013.23","volume":"33","author":"VC Smith","year":"2013","unstructured":"Smith VC, Hwang SS, Dukhovny D, Young S, Pursley DM. Neonatal intensive care unit discharge preparation, family readiness and infant outcomes: connecting the dots. J Perinatol. 2013;33:415\u201321.","journal-title":"J Perinatol"},{"key":"1313_CR2","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1097\/00005237-200003000-00006","volume":"13","author":"M Robison","year":"2000","unstructured":"Robison M, Pirak C, Morrell C. Multidisciplinary discharge assessment of the medically and socially high-risk infant. J Perinat Neonatal Nurs. 2000;13:67\u201386.","journal-title":"J Perinat Neonatal Nurs"},{"key":"1313_CR3","doi-asserted-by":"publisher","first-page":"1119","DOI":"10.1542\/peds.2008-2174","volume":"122","author":"American Academy of Pediatrics Committee on Fetus and Newborn.","year":"2008","unstructured":"American Academy of Pediatrics Committee on Fetus and Newborn. Hospital discharge of the high-risk neonate. Pediatrics. 2008;122:1119\u201326.","journal-title":"Pediatrics."},{"key":"1313_CR4","doi-asserted-by":"publisher","first-page":"S24","DOI":"10.1038\/jp.2015.146","volume":"35","author":"IB Purdy","year":"2015","unstructured":"Purdy IB, Craig JW, Zeanah P. NICU discharge planning and beyond: recommendations for parent psychosocial support. J Perinatol. 2015;35:S24\u20138.","journal-title":"J Perinatol"},{"key":"1313_CR5","doi-asserted-by":"publisher","first-page":"314","DOI":"10.1002\/jhm.228","volume":"2","author":"S Kripalani","year":"2007","unstructured":"Kripalani S, Jackson AT, Schnipper JL, Coleman EA. Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists. J Hosp Med. 2007;2:314\u201323.","journal-title":"J Hosp Med"},{"key":"1313_CR6","unstructured":"ProgenyHealth. Discharge Best Practice for NICU Patients [document on the internet]. Plymouth Meeting (PA): ProgenyHealth, LLC; 2020 January [accessed 11 Apr 2021]. https:\/\/info.progenyhealth.com\/discharge-best-practice-nicu-patients"},{"key":"1313_CR7","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1016\/j.acap.2012.08.005","volume":"13","author":"HH Bernstein","year":"2013","unstructured":"Bernstein HH, Spino C, Lalama CM, Finch SA, Wasserman RC, McCormick MC. Unreadiness for postpartum discharge following healthy term pregnancy: impact on health care use and outcomes. Acad Pediatr. 2013;13:27\u201339.","journal-title":"Acad Pediatr"},{"key":"1313_CR8","doi-asserted-by":"publisher","first-page":"379","DOI":"10.17533\/udea.iee.v32n3a03","volume":"32","author":"M Raffray","year":"2014","unstructured":"Raffray M, Semenic S, Osorio Galeano S, Ochoa, Mar\u00edn SC. Barriers and facilitators to preparing families with premature infants for discharge home from the neonatal unit. Perceptions of health care providers. Investig Educ Enferm. 2014;32:379\u201392.","journal-title":"Investig Educ Enferm"},{"key":"1313_CR9","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1097\/JPN.0b013e318243e948","volume":"26","author":"M Boykova","year":"2012","unstructured":"Boykova M, Kenner C. Transition from hospital to home for parents of preterm infants. J Perinat Neonatal Nurs. 2012;26:81\u20137.","journal-title":"J Perinat Neonatal Nurs"},{"key":"1313_CR10","doi-asserted-by":"publisher","first-page":"F438","DOI":"10.1136\/adc.2006.103135","volume":"92","author":"C Glazebrook","year":"2007","unstructured":"Glazebrook C, Marlow N, Israel C, Croudace T, Johnson S, White IR, et al. Randomised trial of a parenting intervention during neonatal intensive care. Arch Dis Child-Fetal Neonatal Ed. 2007;92:F438\u201343.","journal-title":"Arch Dis Child-Fetal Neonatal Ed"},{"key":"1313_CR11","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1016\/j.earlhumdev.2008.06.010","volume":"85","author":"P Zelkowitz","year":"2009","unstructured":"Zelkowitz P, Papageorgiou A, Bardin C, Wang T. Persistent maternal anxiety affects the interaction between mothers and their very low birthweight children at 24 months. Early Hum Dev. 2009;85:51\u20138.","journal-title":"Early Hum Dev"},{"key":"1313_CR12","doi-asserted-by":"publisher","first-page":"309","DOI":"10.1007\/s10903-010-9355-3","volume":"13","author":"F Miquel-Verges","year":"2011","unstructured":"Miquel-Verges F, Donohue PK, Boss RD. Discharge of infants from NICU to Latino families with limited English proficiency. J Immigr Minority Health. 2011;13:309\u201314.","journal-title":"J Immigr Minority Health"},{"key":"1313_CR13","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1038\/s41372-018-0255-z","volume":"39","author":"E Obregon","year":"2019","unstructured":"Obregon E, Martin CR, Frantz ID III, Patel P, Smith VC. Neonatal Intensive Care Unit discharge preparedness among families with limited english proficiency. J Perinatol. 2019;39:135\u201342.","journal-title":"J Perinatol"},{"key":"1313_CR14","doi-asserted-by":"publisher","first-page":"269","DOI":"10.1111\/jocn.13883","volume":"27","author":"L Aydon","year":"2018","unstructured":"Aydon L, Hauck Y, Murdoch J, Siu D, Sharp M. Transition from hospital to home: parents\u2019 perception of their preparation and readiness for discharge with their preterm infant. J Clin Nurs. 2018;27:269\u201377.","journal-title":"J Clin Nurs"},{"key":"1313_CR15","doi-asserted-by":"publisher","first-page":"e20182657","DOI":"10.1542\/peds.2018-2657","volume":"143","author":"EC McGowan","year":"2019","unstructured":"McGowan EC, Abdulla LS, Hawes KK, Tucker R, Vohr BR. Maternal immigrant status and readiness to transition to home from the NICU. Pediatrics. 2019;143: e20182657.","journal-title":"Pediatrics"},{"key":"1313_CR16","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1093\/pch\/19.1.31","volume":"19","author":"AL Jefferies","year":"2014","unstructured":"Jefferies AL. Canadian Paediatric Society, Fetus and Newborn Committee. Going home: facilitating discharge of the preterm infant. Paediatr Child Health. 2014;19:31\u20136.","journal-title":"Paediatr Child Health"},{"key":"1313_CR17","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/1471-2393-13-113","volume":"13","author":"K O\u2019Brien","year":"2013","unstructured":"O\u2019Brien K, Bracht M, Macdonell K, McBride T, Robson K, O\u2019Leary L, et al. A pilot cohort analytic study of Family Integrated Care in a Canadian neonatal intensive care unit. BMC Preg Childbirth. 2013;13:1\u20138.","journal-title":"BMC Preg Childbirth"},{"key":"1313_CR18","doi-asserted-by":"publisher","first-page":"e20162310","DOI":"10.1542\/peds.2016-2310","volume":"139139","author":"E Enlow","year":"2017","unstructured":"Enlow E, Faherty LJ, Wallace-Keeshen S, Martin AE, Shea JA, Lorch SA. Perspectives of low socioeconomic status mothers of premature infants. Pediatrics. 2017;139139:e20162310.","journal-title":"Pediatrics"},{"key":"1313_CR19","doi-asserted-by":"publisher","first-page":"134","DOI":"10.1016\/j.jcrc.2013.09.009","volume":"29","author":"DY Hwang","year":"2014","unstructured":"Hwang DY, Yagoda D, Perrey HM, Tehan TM, Guanci M, Ananian L, et al. Consistency of communication among intensive care unit staff as perceived by family members of patients surviving to discharge. J Crit Care. 2014;29:134\u20138.","journal-title":"J Crit Care"},{"key":"1313_CR20","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1111\/jan.12817","volume":"72","author":"Y Chen","year":"2016","unstructured":"Chen Y, Zhang J, Bai J. Effect of an educational intervention on parental readiness for premature infant discharge from the neonatal intensive care units. J Adv Nurs. 2016;72:135\u201346.","journal-title":"J Adv Nurs"},{"key":"1313_CR21","doi-asserted-by":"publisher","first-page":"S95","DOI":"10.1542\/peds.2006-0913F","volume":"118","author":"MS Dunn","year":"2006","unstructured":"Dunn MS, Reilly MC, Johnston AM, Hoopes RD, Abraham MR. Development and dissemination of potentially better practices for the provision of family-centered care in neonatology: the family-centered care map. Pediatrics. 2006;118:S95\u2013107. Supplement 2","journal-title":"Pediatrics."},{"key":"1313_CR22","doi-asserted-by":"publisher","first-page":"e1539","DOI":"10.1542\/peds.2015-2098","volume":"136","author":"LG Solan","year":"2015","unstructured":"Solan LG, Beck AF, Brunswick SA, Sauers HS, Wade-Murphy S, Simmons JM, et al. The family perspective on hospital to home transitions: a qualitative study. Pediatrics. 2015;136(:e1539\u201349.","journal-title":"Pediatrics."},{"key":"1313_CR23","doi-asserted-by":"publisher","first-page":"2008","DOI":"10.1111\/j.1365-2648.2011.05891.x","volume":"68","author":"MR Murdoch","year":"2012","unstructured":"Murdoch MR, Franck LS. Gaining confidence and perspective: a phenomenological study of mothers\u2019 lived experiences caring for infants at home after neonatal unit discharge. J Adv Nurs. 2012;68:2008\u201320.","journal-title":"J Adv Nurs"},{"key":"1313_CR24","doi-asserted-by":"publisher","first-page":"184","DOI":"10.1016\/0266-6138(95)90003-9","volume":"11","author":"E McKim","year":"1995","unstructured":"McKim E, Kenner C, Flandermeyer A, Spangler L, Darling-Thornburg P, Spiering K. The transition to home for mothers of healthy and initially ill newborn babies. Midwifery. 1995;11:184\u201394.","journal-title":"Midwifery."},{"key":"1313_CR25","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1016\/j.pcl.2018.12.014","volume":"66","author":"RF Goldstein","year":"2019","unstructured":"Goldstein RF, Malcolm WF. Care of the neonatal intensive care unit graduate after discharge. Pediatr Clin North Am. 2019;66:489\u2013508.","journal-title":"Pediatr Clin North Am"},{"key":"1313_CR26","doi-asserted-by":"publisher","first-page":"454","DOI":"10.1177\/0009922811433036","volume":"51","author":"VC Smith","year":"2012","unstructured":"Smith VC, Dukhovny D, Zupancic JA, Gates HB, Pursley DM. Neonatal intensive care unit discharge preparedness: primary care implications. Clin Pediatr. 2012;51:454\u201361.","journal-title":"Clin Pediatr"},{"key":"1313_CR27","doi-asserted-by":"publisher","first-page":"955","DOI":"10.1001\/jamapediatrics.2014.891","volume":"168","author":"JG Berry","year":"2014","unstructured":"Berry JG, Blaine K, Rogers J, McBride S, Schor E, Birmingham J, et al. A framework of pediatric hospital discharge care informed by legislation, research, and practice. JAMA Pediatr. 2014;168:955\u201362.","journal-title":"JAMA Pediatr"},{"key":"1313_CR28","first-page":"76","volume":"27","author":"SK Ritchie","year":"2002","unstructured":"Ritchie SK. Primary care of the premature infant discharged from the neonatal intensive care unit. MCN: Am J Matern\/Child Nurs. 2002;27:76\u201385.","journal-title":"MCN: Am J Matern\/Child Nurs"},{"key":"1313_CR29","doi-asserted-by":"publisher","first-page":"e20162969","DOI":"10.1542\/peds.2016-2969","volume":"139","author":"DZ Kuo","year":"2017","unstructured":"Kuo DZ, Lyle RE, Casey PH, Stille CJ. Care system redesign for preterm children after discharge from the NICU. Pediatrics. 2017;139:e20162969.","journal-title":"Pediatrics"},{"key":"1313_CR30","doi-asserted-by":"publisher","first-page":"272","DOI":"10.3345\/kjp.2012.55.8.272","volume":"55","author":"JY Cho","year":"2012","unstructured":"Cho JY, Lee J, Youn YA, Kim SJ, Kim SY, Sung IK. Parental concerns about their premature infants\u2019 health after discharge from the neonatal intensive care unit: a questionnaire survey for anticipated guidance in a neonatal follow-up clinic. Korean J Pediatr. 2012;55:272.","journal-title":"Korean J Pediatr"},{"key":"1313_CR31","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/1471-2393-13-S1-S11","volume":"13","author":"M Ballantyne","year":"2013","unstructured":"Ballantyne M, Benzies KM, Trute B. Depressive symptoms among immigrant and Canadian born mothers of preterm infants at neonatal intensive care discharge: a cross sectional study. BMC Preg Childbirth. 2013;13:1\u20130.","journal-title":"BMC Preg Childbirth"},{"key":"1313_CR32","doi-asserted-by":"publisher","first-page":"e20183258","DOI":"10.1542\/peds.2018-3258","volume":"143","author":"CR Huebner","year":"2019","unstructured":"Huebner CR. Committee on Psychosocial Aspects of Child and Family Health. Health and mental health needs of children in US military families. Pediatrics. 2019;143:e20183258.","journal-title":"Pediatrics"},{"key":"1313_CR33","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1016\/j.jpeds.2017.01.052","volume":"184","author":"EC McGowan","year":"2017","unstructured":"McGowan EC, Du N, Hawes K, Tucker R, O\u2019Donnell M, Vohr B. Maternal mental health and neonatal intensive care unit discharge readiness in mothers of preterm infants. J pediatrics. 2017;184:68\u201374.","journal-title":"J pediatrics"},{"key":"1313_CR34","doi-asserted-by":"publisher","first-page":"70","DOI":"10.1016\/j.jpeds.2011.12.038","volume":"161","author":"LC De Jesus","year":"2012","unstructured":"De Jesus LC, Pappas A, Shankaran S, Kendrick D, Das A, Higgins RD, et al. Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network. Risk factors for post-neonatal intensive care unit discharge mortality among extremely low birth weight infants. J Pediatr. 2012;161:70\u20134.","journal-title":"J Pediatr"},{"key":"1313_CR35","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1016\/j.pedn.2020.05.022","volume":"54","author":"NL Johnson","year":"2020","unstructured":"Johnson NL, Lerret S, Klingbeil CG, Polfuss M, Gibson C, Gralton K, et al. Engaging parents in education for discharge (ePED): evaluating the reach, adoption & implementation of an innovative discharge teaching method. J Pediatr Nurs. 2020;54:42\u20139.","journal-title":"J Pediatr Nurs"},{"key":"1313_CR36","doi-asserted-by":"crossref","unstructured":"Green RM, Little GA, editors. Religion and ethics in the neonatal intensive care unit. Oxford University Press; 2019.","DOI":"10.1093\/med\/9780190636852.001.0001"}],"updated-by":[{"DOI":"10.1038\/s41372-022-01371-z","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T00:00:00Z","timestamp":1648598400000}}],"container-title":["Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41372-022-01313-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41372-022-01313-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41372-022-01313-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,16]],"date-time":"2022-04-16T01:03:48Z","timestamp":1650071028000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41372-022-01313-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,14]]},"references-count":36,"journal-issue":{"issue":"S1","published-print":{"date-parts":[[2022,3]]}},"alternative-id":["1313"],"URL":"https:\/\/doi.org\/10.1038\/s41372-022-01313-9","relation":{},"ISSN":["0743-8346","1476-5543"],"issn-type":[{"value":"0743-8346","type":"print"},{"value":"1476-5543","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,14]]},"assertion":[{"value":"14 February 2022","order":1,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 March 2022","order":2,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Correction","order":3,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"A Correction to this paper has been published:","order":4,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"https:\/\/doi.org\/10.1038\/s41372-022-01371-z","URL":"https:\/\/doi.org\/10.1038\/s41372-022-01371-z","order":5,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"EG and KL are employed as staff by the supplement sponsor. VCS served as Chairperson for the development of this work.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}