Lyndsay Mackay, Tammie Dewan, Jaanvi Lal, K Alix Hayden, Una Chang
{"title":"Exploration of the Evidence on Discharge From Hospital to Home for Children With Medical Complexity and Their Parents: A Review of the Literature.","authors":"Lyndsay Mackay, Tammie Dewan, Jaanvi Lal, K Alix Hayden, Una Chang","doi":"10.1111/cch.70031","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 1","pages":"e70031"},"PeriodicalIF":1.8000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11754706/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Child Care Health and Development","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/cch.70031","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
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.
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.