Paediatric hospital at home: the first year

This mainly qualitative study compared 40 families' experience of hospital and home care. This is one aspect of a randomised, controlled trial, which aimed to evaluate the clinical and cost effectiveness of a paediatric hospital at home service (HAH) for acute illness in children. This paper builds upon previous work that has aimed to examine parents' and children's views as service users. Forty families from a larger sample population took part in structured interviews. Eleven children aged 5 to 12 years took part in semistructured interviews. A drawing technique was the chosen method of augmentation in the children's interviews. Research findings showed that HAH is an acceptable alternative to hospital care where there are essentially nursing needs. Thirty-six (90%) parents and seven children stated a clear preference for HAH. The parents' preference was based on a perception that their child's illness wasn't serious or life threatening and therefore could be managed at home with appropriate support from health professionals. The social and financial costs of hospital care compared with HAH were the other main drivers, rather than a comparison of the quality of nursing care of their child.

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Children’s community nursing services: models of care delivery. A review of the United Kingdom literature

Eaton

2000

Journal of Advanced Nursing

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A review of the United Kingdom literature Children's community nursing (CCN) services in the United Kingdom (UK) have slowly become recognized as an important component in the care of sick children. However, as yet not every child has access to a CCN scheme should the need arise. In the literature there are many descriptions of CCN schemes set up in various parts of the United Kingdom based on a variety of models. This article describes six models of CCN and discusses the main components considered important when implementing or evaluating those models. Components include qualifications of the members of the team, communication between members of the multidisciplinary team, clinical responsibility, resources, willingness and ability of parents to provide care, and accessibility of services. The benefits and limitations of the models are also considered.

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Paediatric hospital at home: the first year

Cited by 10 publications

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Community Outreach for Children with Complex Needs

Community Outreach for Children with Complex Needs

Users’ views on hospital and home care for acute illness in childhood

Children’s community nursing services: models of care delivery. A review of the United Kingdom literature

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