Keywords
Jaundice-Neonatal
Infant Newborn
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Abstract
Objective: To identify the barriers and facilitators related to home phototherapy for neonatal hyperbilirubinemia from the perspectives of parents and healthcare professionals. Methods: This integrative review was conducted using the PubMed, Scopus, Web of Science, and EMBASE databases. The following descriptors were applied: “neonatal hyperbilirubinemia”, “hyperbilirubinem”, “jaundice”, “phototherap”, “lighttherap”, “home care”, “home setting”, “parents”, “caregivers”, and “health personnel”. Studies published between 2020 and 2025 that addressed barriers or facilitators to home phototherapy were included. Results: The final sample comprised eight studies. Most investigations were conducted in high-income countries, including the United Kingdom, Australia, the Netherlands, Sweden, and Italy. Qualitative and descriptive designs predominated. Identified barriers included difficulties in device handling, limitations in home-based clinical monitoring, gaps in multiprofessional training, lack of reimbursement mechanisms, and parental insecurity. Facilitators highlighted were family-centered care, home comfort, parental satisfaction, healthcare professionals’ self-efficacy, and reduced hospital burden. Final considerations: Home phototherapy demonstrates significant potential to expand neonatal care, provided that organizational, professional, and parental barriers are addressed through strengthened family support and improved health service structures.
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