Efficacy of a Transition Theory‐Based Discharge Planning Program for Childhood Asthma Management

Ekim, RN Ayfer; Ocakci, RN Ayse Ferda

doi:10.1111/2047-3095.12077

Cited by 22 publications

(46 citation statements)

References 25 publications

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“…Four studies in which the effect of an inpatient parental education component on use was evaluated revealed reduced ED revisits. 27,37,53,63 Only 1 study (case-control) revealed that ED revisits increased with an educational intervention. 51 A reduction in ED revisits was revealed in both studies (RCTs) with contingency planning in the form of written care plans for home incorporated.…”

Section: Effects Of Family Engagement On Ed Revisitsmentioning

confidence: 99%

“…Overall, CCIs were associated with reduced ED revisits in 52% of studies (9 of 17). Postdischarge follow-up care was associated with reduced ED revisits in 5 studies 27,35,53,77,91 (including 2 RCTs and 1 quasiexperimental study) but with increased ED revisits in 2 studies (including 1 casecontrol and 1 retrospective cohort study). 42,51 In regard to discharge planning, 3 studies in which a new person was hired to take responsibility for discharge planning or the existing care team was restructured to designate a responsible party for discharge planning revealed decreased ED revisits.…”

Section: Effects Of Care Coordination On Ed Revisitsmentioning

confidence: 99%

“…42,51 In regard to discharge planning, 3 studies in which a new person was hired to take responsibility for discharge planning or the existing care team was restructured to designate a responsible party for discharge planning revealed decreased ED revisits. 53,54,77 This included 2 prepost studies 54,77 and 1 quasiexperimental study. 53 The overall risk ratio of ED revisits for studies in which a CCI alone was conducted was 0.70 (95% CI: 0.36-1.35; I 2 = 70%; Supplemental Fig 4, Table 3).…”

Section: Effects Of Care Coordination On Ed Revisitsmentioning

confidence: 99%

“…53,54,77 This included 2 prepost studies 54,77 and 1 quasiexperimental study. 53 The overall risk ratio of ED revisits for studies in which a CCI alone was conducted was 0.70 (95% CI: 0.36-1.35; I 2 = 70%; Supplemental Fig 4, Table 3).…”

Section: Effects Of Care Coordination On Ed Revisitsmentioning

confidence: 99%

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Hospital-to-Home Interventions, Use, and Satisfaction: A Meta-analysis

Hamline

Speier

et al. 2018

Pediatrics

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Hospital-to-home transitions are critical opportunities to promote patient safety and high-quality care. However, such transitions are often fraught with difficulties associated with increased health care use and poor patient satisfaction. OBJECTIVE: In this review, we determine which pediatric hospital discharge interventions affect subsequent health care use or parental satisfaction compared with usual care. DATA SOURCES: We searched 7 bibliographic databases and 5 pediatric journals. STUDY SELECTION: Inclusion criteria were: (1) available in English, (2) focused on children <18 years of age, (3) pediatric data reported separately from adult data, (4) not focused on normal newborns or pregnancy, (5) discharge intervention implemented in the inpatient setting, and (6) outcomes of health care use or caregiver satisfaction. Reviews, case studies, and commentaries were excluded. DATA EXTRACTION: Two reviewers independently abstracted data using modified Cochrane data collection forms and assessed quality using modified Downs and Black checklists. RESULTS: Seventy one articles met inclusion criteria. Although most interventions improved satisfaction, interventions variably reduced use. Interventions focused on follow-up care, discharge planning, teach back-based parental education, and contingency planning were associated with reduced use across patient groups. Bundled care coordination and family engagement interventions were associated with lower use in patients with chronic illnesses and neonates. LIMITATIONS: Variability limited findings and reduced generalizability. CONCLUSIONS: In this review, we highlight the utility of a pediatric discharge bundle in reducing health care use. Coordinating follow-up, discharge planning, teach back-based parental education, and contingency planning are potential foci for future efforts to improve hospitalto-home transitions.

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Section: Effects Of Family Engagement On Ed Revisitsmentioning

confidence: 99%

Section: Effects Of Care Coordination On Ed Revisitsmentioning

confidence: 99%

Section: Effects Of Care Coordination On Ed Revisitsmentioning

confidence: 99%

Section: Effects Of Care Coordination On Ed Revisitsmentioning

confidence: 99%

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Hospital-to-Home Interventions, Use, and Satisfaction: A Meta-analysis

Hamline

Speier

et al. 2018

Pediatrics

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“…In patient training, multimedia technology has been widely used to increase understanding of suitable self-care activities to control disease symptoms such as diabetes (18,19), asthma (20), cancer (21), pregnancy (22), and colonoscopy (23). The effectiveness of multimedia technology in diabetic patients has been variable.…”

Section: Introductionmentioning

confidence: 99%

Video Training Programs and the Quality of Life of Patients With Type II Diabetes

Baraz

Shahbazian

Miladinia

et al. 2015

Jundishapur J Chronic Dis Care

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Background: Improving health quality of life (QOL) for patients with type 2 diabetes are ongoing challenges for health care providers. Education can significantly reduce the chances of developing long-term complications of diabetes. Currently, there is a need to test the effects of a video tape program. Objectives: The aim of this study was to evaluate the effect of video training programs on QOL of patients with type 2 diabetes. Patients and Methods:This study with the quasi-experimental pretest-posttest design was conducted in the outpatient clinic of Golestan hospital in Ahvaz city, Iran, in 2014. Thirty patients were selected on the basis of a nonrandomized sampling. Each patient was assessed before starting the educational intervention by questionnaires about educational requirements and Iranian version of the Short-Form 36 (SF-36) health survey. After determining educational needs, a video-tape educational program was designed based on the principles of patient education and also through counseling with the experienced endocrinologist and nutritionist. This movie was shown to the patients for five one-hour sessions in two weeks. The questionnaire of QOL was completed one month after implementation of the educational program. Data were analyzed by descriptive statistics and paired t-test using SPSS software. P values of less than 0.05 were considered statistically significant. Results: Results showed that there was a significant increase in general health perception (P = 0.033), physical functioning (P = 0.001), role physical (P = 0.000), social functioning (P = 0.001), pain (P = 0.002), and mental health (P = 0.001); however, there was no statistically significant increase in energy and fatigue and role emotional. Conclusions: Our educational intervention with the video information method can improve the QOL of patients with type 2 diabetes. Additionally, an approach to patient education based on video may serve as a choice for people with diabetes to raise their disease-related knowledge in order to care for themselves and improving the QOL.

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Caseworker-assigned discharge plans to prevent hospital readmission for acute exacerbations in children with chronic respiratory illness

Hall

Petsky

Chang

et al. 2018

Cochrane Database of Systematic Reviews

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Efficacy of a Transition Theory‐Based Discharge Planning Program for Childhood Asthma Management

Abstract: Transition theory-based discharge planning program can guide nursing interventions to standardize care of the child with asthma. Combining care at home with hospital care strengthens ongoing qualified asthma management.

Cited by 22 publications

References 25 publications

Hospital-to-Home Interventions, Use, and Satisfaction: A Meta-analysis

Hospital-to-Home Interventions, Use, and Satisfaction: A Meta-analysis

Video Training Programs and the Quality of Life of Patients With Type II Diabetes

Caseworker-assigned discharge plans to prevent hospital readmission for acute exacerbations in children with chronic respiratory illness

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