Health care transition planning: A potpourri of perspectives from nurses

IF 1.2 4区医学 Q3 NURSING

Journal for Specialists in Pediatric Nursing Pub Date : 2022-04-06 DOI:10.1111/jspn.12373

Cecily L. Betz PhD, RN, FAAN, Jennifer E. Mannino PhD, Jennifer A. Disabato DNP, CPNP-PC, Victoria Marner MSN, BA, RN-BC

{"title":"Health care transition planning: A potpourri of perspectives from nurses","authors":"Cecily L. Betz PhD, RN, FAAN, Jennifer E. Mannino PhD, Jennifer A. Disabato DNP, CPNP-PC, Victoria Marner MSN, BA, RN-BC","doi":"10.1111/jspn.12373","DOIUrl":null,"url":null,"abstract":"<div>\n <section>\n \n <h3> Purpose</h3>\n \n <p>Nurses have important roles as members of the healthcare transition (HCT) planning interdisciplinary team. Nursing's scope of practice and framework of care brings a distinctive and complementary approach to this expanding field in pediatric care. It is therefore relevant to better understand the extent to which pediatric nurses are involved with the provision of HCT services and model development.</p>\n </section>\n \n <section>\n \n <h3> Design and Methods</h3>\n \n <p>This was a qualitative analysis of a national survey of pediatric nurses. A thematic iterative process was used to code data. Three coders separately analyzed responses and then met to compare and discuss until a final list of codes was achieved. The codes were further analyzed until themes and subthemes emerged. Throughout the process, disagreements were discussed and resolved until consensus was achieved.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>A sample of 1814 pediatric nurses and nurse practitioners from two US professional organizations participated in this national survey to gather data on their involvement in HCT planning. This survey contained 17 items, one of which was an open-ended question stating: Is there anything else you would like to share about your role with the population of transitioning youth and young adults with chronic illness and/or disability? The analysis of responses provided by 154 nurses is presented. Initial coding resulted in 11 categories of data. Four major themes, including four subthemes, emerged from the analysis of responses: Support for the need for transition (subtheme: Nursing involvement); Guidance needed for professional practice (subtheme: Types of guidelines and training); Lack of service linkages to adult providers; and Difficulty letting go (two subthemes: Pediatric providers; Parents).</p>\n </section>\n \n <section>\n \n <h3> Practice Implications</h3>\n \n <p>These findings indicated strong support for the need of HCT services and the importance of nursing involvement. However, challenges to HCT implementation were identified that include systemic, psychosocial, and educational barriers. As this field of practice and research continues to grow, it is important that pediatric nurses recognize the opportunities to have a clinical voice to develop nurse-led HCT services and programs.</p>\n </section>\n </div>","PeriodicalId":54900,"journal":{"name":"Journal for Specialists in Pediatric Nursing","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal for Specialists in Pediatric Nursing","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jspn.12373","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 1

Abstract

Purpose

Nurses have important roles as members of the healthcare transition (HCT) planning interdisciplinary team. Nursing's scope of practice and framework of care brings a distinctive and complementary approach to this expanding field in pediatric care. It is therefore relevant to better understand the extent to which pediatric nurses are involved with the provision of HCT services and model development.

Design and Methods

This was a qualitative analysis of a national survey of pediatric nurses. A thematic iterative process was used to code data. Three coders separately analyzed responses and then met to compare and discuss until a final list of codes was achieved. The codes were further analyzed until themes and subthemes emerged. Throughout the process, disagreements were discussed and resolved until consensus was achieved.

Results

A sample of 1814 pediatric nurses and nurse practitioners from two US professional organizations participated in this national survey to gather data on their involvement in HCT planning. This survey contained 17 items, one of which was an open-ended question stating: Is there anything else you would like to share about your role with the population of transitioning youth and young adults with chronic illness and/or disability? The analysis of responses provided by 154 nurses is presented. Initial coding resulted in 11 categories of data. Four major themes, including four subthemes, emerged from the analysis of responses: Support for the need for transition (subtheme: Nursing involvement); Guidance needed for professional practice (subtheme: Types of guidelines and training); Lack of service linkages to adult providers; and Difficulty letting go (two subthemes: Pediatric providers; Parents).

Practice Implications

These findings indicated strong support for the need of HCT services and the importance of nursing involvement. However, challenges to HCT implementation were identified that include systemic, psychosocial, and educational barriers. As this field of practice and research continues to grow, it is important that pediatric nurses recognize the opportunities to have a clinical voice to develop nurse-led HCT services and programs.

查看原文本刊更多论文

卫生保健过渡计划:从护士的观点大杂烩

目的护士作为医疗转型(HCT)规划跨学科团队的成员具有重要的作用。护理的实践范围和护理框架为儿科护理这一不断扩大的领域带来了独特和互补的方法。因此，更好地了解儿科护士参与提供HCT服务和模式开发的程度是相关的。设计与方法对全国儿科护士调查进行定性分析。采用主题迭代过程对数据进行编码。三个编码员分别分析回答，然后开会比较和讨论，直到获得最终的代码列表。这些代码被进一步分析，直到出现主题和副主题。在整个过程中，讨论和解决分歧，直到达成共识。结果来自两个美国专业组织的1814名儿科护士和执业护士参与了这项全国性调查，以收集他们参与HCT计划的数据。这项调查包含17个项目，其中一个是开放式问题:关于你在过渡青年和患有慢性疾病和/或残疾的年轻人中所扮演的角色，你还有什么想分享的吗?对154名护士提供的反馈进行了分析。最初的编码产生了11类数据。从对回应的分析中得出四个主要主题，包括四个次级主题:支持过渡需求(次级主题:护理参与);专业实践所需的指导(分主题:指导和培训的类型);缺乏与成人提供者的服务联系;难以放手(两个副主题:儿科医生;父母)。实践意义这些发现表明了对HCT服务的需求和护理参与的重要性的有力支持。然而，HCT实施面临的挑战包括系统、社会心理和教育障碍。随着这一领域的实践和研究不断发展，儿科护士认识到有机会在临床中发表意见，以发展护士主导的HCT服务和项目是很重要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal for Specialists in Pediatric Nursing 医学-护理

CiteScore

2.50

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： Linking science and practice by publishing evidence-based information on pediatric nursing and answering the question, ''How might this information affect nursing practice?'' The Journal for Specialists in Pediatric Nursing (JSPN) is the international evidence-based practice journal for nurses who specialize in the care of children and families. JSPN bridges the gap between research and practice by publishing peer-reviewed reliable, clinically relevant, and readily applicable evidence. The journal integrates the best evidence with pediatric nurses'' passion for achieving the best outcomes. The journal values interdisciplinary perspectives and publishes a wide variety of peer-reviewed papers on clinically relevant topics.