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Testing a post-discharge nurse-led transitional home visit in acute care pediatrics: the Hospital-To-Home Outcomes (H2O) study protocol.
- Source :
-
Journal of Advanced Nursing (John Wiley & Sons, Inc.) . Apr2016, Vol. 72 Issue 4, p915-925. 11p. 2 Diagrams, 1 Chart. - Publication Year :
- 2016
-
Abstract
- Aims The aims of this study were: (1) to explore the family perspective on pediatric hospital-to-home transitions; (2) to modify an existing nurse-delivered transitional home visit to better meet family needs; (3) to study the effectiveness of the modified visit for reducing healthcare re-use and improving patient- and family-centered outcomes in a randomized controlled trial. Background The transition from impatient hospitalization to outpatient care is a vulnerable time for children and their families; children are at risk for poor outcomes that may be mitigated by interventions to address transition difficulties. It is unknown if an effective adult transition intervention, a nurse home visit, improves postdischarge outcomes for children hospitalized with common conditions. Design (1) Descriptive qualitative; (2) Quality improvement; (3) Randomized controlled trial. Methods Aim 1 will use qualitative methods, through focus groups, to understand the family perspective of hospital-to-home transitions. Aim 2 will use quality improvement methods to modify the content and processes associated with nurse home visits. Modifications to visits will be made based on parent and stakeholder input obtained during Aims 1 & 2. The effectiveness of the modified visit will be evaluated in Aim 3 through a randomized controlled trial. Discussion We are undertaking the study to modify and evaluate a nurse home visit as an effective acute care pediatric transition intervention. We expect the results will be of interest to administrators, policy makers and clinicians interested in improving pediatric care transitions and associated postdischarge outcomes, in the light of impending bundled payment initiatives in pediatric care. [ABSTRACT FROM AUTHOR]
- Subjects :
- *PSYCHOLOGICAL adaptation
*ATTITUDE testing
*CHILDREN'S hospitals
*STATISTICAL correlation
*FAMILIES
*FOCUS groups
*GROUNDED theory
*HOME care services
*PATIENT aftercare
*HOSPITAL health promotion programs
*INTERVIEWING
*RESEARCH methodology
*EVALUATION of medical care
*MEDICAL care use
*NURSING practice
*PEDIATRIC nursing
*QUALITY assurance
*QUESTIONNAIRES
*RESEARCH funding
*SCALE analysis (Psychology)
*LOGISTIC regression analysis
*SAMPLE size (Statistics)
*JUDGMENT sampling
*SECONDARY analysis
*SOCIOECONOMIC factors
*RANDOMIZED controlled trials
*FAMILY attitudes
*DESCRIPTIVE statistics
RESEARCH evaluation
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 72
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 113443493
- Full Text :
- https://doi.org/10.1111/jan.12882