Exploration of the Evidence on Discharge From Hospital to Home for Children With Medical Complexity and Their Parents: A Review of the Literature

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development Pub Date : 2025-01-22 DOI:10.1111/cch.70031

Lyndsay Mackay, Tammie Dewan, Jaanvi Lal, K. Alix Hayden, Una Chang

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引用次数: 0

Abstract

Background

Children with medical complexity (CMC) require complex care that parents must independently provide and manage when discharged home from hospital. It is important that parents are adequately prepared to safely transition home from hospital with their child.

Method

A synthesis of findings from research articles was conducted to map and summarize available evidence on CMC and their parents' experiences of discharge from hospital to home. A total of 32 studies were included in this review. Thematic analysis was used to analyze and describe the data.

Results

The following key themes were developed during data analysis: preparation and readiness, aids for discharge, overwhelmed with the transition, frustration with time to get home, difficulties with transitions and discharge interventions.

Conclusion

These findings demonstrate the importance of taking steps to ensure CMC and their parents undergo a thorough and planned discharge process to prepare parents to confidently provide safe care to their children in the home. Approaches and strategies for comprehensive and safe discharge are provided.

Abstract Image

查看原文本刊更多论文

医学复杂性患儿及其家长出院回家的证据探讨：文献综述。

背景：患有医疗复杂性（CMC）的儿童需要复杂的护理，父母必须在出院后独立提供和管理。重要的是，父母要做好充分准备，安全地从医院带着孩子回家。方法：综合相关研究文章的研究结果，对CMC及其父母出院回家经历的现有证据进行制图和总结。本综述共纳入32项研究。采用主题分析法对数据进行分析和描述。结果：在数据分析期间制定了以下关键主题：准备和准备，出院辅助，过渡不堪重负，对回家时间的沮丧，过渡和出院干预的困难。结论：这些发现表明采取措施确保CMC及其父母经历一个彻底和有计划的出院过程的重要性，以使父母有信心在家中为孩子提供安全的护理。提出了综合安全排放的途径和策略。

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.