6th Edition of World Nursing Science Conference 2026

Abstract

Aim: To audit a high-risk neonate home care program during the COVID-19 pandemic.

Background: The home care program for high-risk neonates was started by the Department of Neonatal Health and needed to be reviewed and audited.

Methods: This descriptive-analytical study was conducted with the participation of 158 high-risk neonates discharged from neonatal intensive care units of hospitals in Iran. The researcher observed and evaluated seven areas of healthcare. The study was first performed in person, but after COVID-19, the researcher evaluated these cares in absentia.

Results: The mean score of in-person "conduction" was 56.7 and in-absentia conduction was 52.5 and the mean score of in-person "education" was 63.6 and in-absentia conduction was 65.6. The results showed that there was no significant difference between the two in-person and in-absentia methods. Moreover, while 53.2% of caregivers performed well, 33.5% of them performed poorly.

Conclusion: Implementation of a home care program for high-risk neonates is far from the optimal condition and needs regular evaluation and review of the instructions and implementations.

Implications for Nursing Management: Nursing managers should facilitate the conditions of neonate home care and prepare the mothers in the hospital. Additionally, some in-absentia care can be performed through tele-nursing.

Keywords: COVID-19 pandemic, high-risk neonate, home care program, audit, family-center care