Nurse-led Discharge in Pediatric Care: A Scoping Review

Breneol, Sydney; Hatty, Aaron; Bishop, Alex; Curran, Janet

doi:10.1016/j.pedn.2018.01.014

Cited by 9 publications

(6 citation statements)

References 30 publications

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“…Discharge from hospital to home or to another level of care is a transition situation in pediatric care [ 47 , 187 ]. Nurses’ activities in managing patient discharge include providing patient care knowledge and skills, patient teaching, and post-discharge evaluation [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

Nursing care recommendation for pediatric COVID-19 patients in the hospital setting: A brief scoping review

Efendi

Natalia²,

Utami

et al. 2022

PLoS ONE

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Background The hospitalization of children during the COVID-19 pandemic has affected their physical and mental health. Pediatric nurses have faced challenges in providing high-quality nursing care for children and their families. However, the pediatric nursing care recommendations for COVID-19 patients in the hospital setting remain unclear. The current scoping review provides recommendations for nursing interventions for pediatric COVID-19 patients in the hospital setting. Methods and findings The selected articles containing management and nursing recommendations for COVID-19 that have occurred in pediatric patients ages 0–19 years old. A search strategy was developed and implemented in seven databases. We included peer-reviewed articles that reported observational or interventional studies, as well as policy papers, guides or guidelines, letters and editorials, and web articles. A total of 134 articles and other documents relevant to this review were included. We categorized the results based on The Nursing Intervention Classification (NIC) taxonomy which consists of six domains (e.g., Physiological: Basic); eleven classes (e.g., Nutrition Support); and eighteen intervention themes (e.g., Positioning, Family Presence Facilitation, Family Support, and Discharge Planning). Conclusion Apart from the intervention of physical problems, there is a need to promote patient- and family-centered care, play therapy, and discharge planning to help children and families cope with their new situation.

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Section: Discussionmentioning

confidence: 99%

Nursing care recommendation for pediatric COVID-19 patients in the hospital setting: A brief scoping review

Efendi

Natalia²,

Utami

et al. 2022

PLoS ONE

View full text Add to dashboard Cite

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“…Parents predominantly related their experience of support from nursing staff as either negatively or positively influencing their transition home. Despite this, there is little research on nursing involvement in the discharge process (Breneol, Hatty, Bishop, & Curran, 2018). Nurse-led discharge programmes have displayed effectiveness when used with children with less complex conditions such as asthma (Ekim & Ocakci, 2016 (Murray & Mahoney, 2012).…”

Section: Implications For Practice and Educationmentioning

confidence: 99%

Parents' experiences of transition from hospital to home of a child with complex health needs: A systematic literature review

Ronan

Brown

Marsh

2020

Journal of Clinical Nursing

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Aims and objectives To critically appraise primary research on the views and experiences of parents of children with complex health needs during the transition from hospital to home. Background Children with complex health needs frequently transition across and within healthcare systems, due to their age, care needs and ongoing health conditions. Repeated and unplanned admissions are significantly higher for children with complex health needs. Yet parents, as the primary providers of care, report being unsupported and unprepared during the transition from hospital back to home due to poor communication, inadequate discharge planning and education, resulting in stress and anxiety within the home environment. Design Systematic review following PRISMA guidelines. Methods A systematic search was completed of the databases CINAHL, MEDLINE, PsycINFO, EMBASE and the Cochrane Library Review between January 2009 and September 2019. Data were extracted, categorised and analysed using a thematic analysis approach. An adapted CASP qualitative assessment tool was utilised for quality assessment. All included articles were marked for validity and relevance to current research with an overall score from 0–20. Results A total of 13 studies of mixed quality were identified. CASP quality scores ranged from 13–18. Four themes emerged highlighting parents' experiences of the emotional processes, communication, coordination and support and resources when transitioning from hospital to home. Conclusions Hospital discharge and transition from hospital to home is a complicated and at times frustrating process for parents of children with complex health needs. Parents report being exhausted and stressed during this often‐challenging period of adjustment which was perceived as a difficult and emotional process. There is a clear lack of support available for parents both from hospital and community services.

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“… 10 Very little is known about the efficacy of CLD for acute admissions except for a scoping review of acute paediatric admissions and a quality improvement project report in paediatric patients presenting with toxic ingestion. Although the authors of the scoping review were not able to comment on how safe or effective CLD was in this setting, 11 they were able to reduce time to treatment, length of hospital stay and costs. 12 This study aims to investigate the utility of CLD in acute surgical admissions using acute tonsillitis in a tertiary otolaryngology department as an exemplar.…”

Section: Introductionmentioning

confidence: 98%

Implementing criteria-led discharge for acute admissions to facilitate the elective recovery from COVID-19: an example in acute tonsillitis

et al. 2023

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BackgroundHealthcare systems face unprecedented numbers of patients waiting for elective treatments in the wake of the COVID-19 pandemic. Hospitals must urgently optimise patient pathways and build capacity to meet the populations health needs. Criteria-led discharge (CLD) is frequently used to optimise elective care pathways but may hold potential in discharging patients at the end of an acute hospital admission.MethodsWe conducted a quality improvement project to design and introduce a novel inpatient pathway using CLD for patients with severe acute tonsillitis. Our analysis compared the standardisation of treatment, length of stay, discharge time and readmission rate between those treated on the novel pathway compared with standard treatment.ResultsThe study population included 137 patients admitted to a tertiary centre with acute tonsillitis. Introduction of the tonsillitis pathway using CLD resulted in a significant reduction in median length of stay from 24 hours to 18 hours. Of those treated on the tonsillitis pathway, 52.2% were discharged prior to midday compared with 29.1% who received standard treatment. No patient discharged using CLD required readmission.ConclusionCLD is safe and effective at reducing length of stay in patients requiring acute hospital admission for acute tonsillitis. CLD should be used and evaluated in further novel patient pathways across different areas of medicine to optimise care and build capacity for provision of elective healthcare services. Further research is required to investigate safe and optimal criteria which indicate patients are fit for discharge.

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Nurse-led Discharge in Pediatric Care: A Scoping Review

Cited by 9 publications

References 30 publications

Nursing care recommendation for pediatric COVID-19 patients in the hospital setting: A brief scoping review

Nursing care recommendation for pediatric COVID-19 patients in the hospital setting: A brief scoping review

Parents' experiences of transition from hospital to home of a child with complex health needs: A systematic literature review

Implementing criteria-led discharge for acute admissions to facilitate the elective recovery from COVID-19: an example in acute tonsillitis

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