Parents Support Teach-back, Demonstration, and a Postdischarge Phone Call to Augment Discharge Education.

Autor:	Vepraskas SH; Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin; and svepraskas@mcw.edu., O'Day P; Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin; and., Zhang L; Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin; and., Simpson P; Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin; and., Gage S; Phoenix Children's Hospital, Phoenix, Arizona.
Jazyk:	angličtina
Zdroj:	Hospital pediatrics [Hosp Pediatr] 2018 Dec; Vol. 8 (12), pp. 778-784.
DOI:	10.1542/hpeds.2018-0119
Abstrakt:	Objectives: To identify caregiver preferences for discharge education components, content, and techniques. Methods: Before discharge education, a 9-question structured interview was performed with caregivers of children from 2 populations admitted to the hospital medicine service: patients with asthma (age 2-17 years) or children who were not dependent on technology (age <2 years). McNemar's tests were used to evaluate for significant differences between response options. Open coding was used for theme development to interpret qualitative responses about information caregivers wished to receive before leaving the hospital. Results: The interview was administered to 100 caregivers. More than 90% of caregivers believed that instruction regarding follow-up appointments, medications, and reasons to call the pediatrician or return to the emergency department were important aspects of discharge education. Caregivers also identified a desire for education on their child's condition, care at home, and illness prevention. Most caregivers reported that teach-back, early discharge education, and a postdischarge phone call would be beneficial. Caregivers varied in their preferences for written, verbal, and video instruction, whereas live demonstration was rated almost universally as an effective method by 97% of caregivers ( P < .0001). Conclusions: In our study, we provide insight into caregivers' perspectives on the content, timing, and style of education needed to promote a safe transition of care from the hospital to the home. These findings add caregiver support to the expert consensus in Project Improving Pediatric Patient-Centered Care Transitions and elucidate additional themes to aid in further study and optimization of discharge education. Competing Interests: POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose. (Copyright © 2018 by the American Academy of Pediatrics.)
Databáze:	MEDLINE
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