Essential Content for Discharge Instructions in Pediatric Emergency Care: A Delphi Study
| Autor: | Emma Burns, Amy C. Plint, Andrea Bishop, Monica Taljaard, Megan Bourque, Shannon MacPhee, Janet Curran, Andrea L. Murphy, Jill Chorney, Eleanor Fitzpatrick |
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| Rok vydání: | 2016 |
| Předmět: |
Abdominal pain
medicine.medical_specialty Canada Emergency Medical Services Consensus Delphi Technique Fever Vomiting Health Personnel MEDLINE Delphi method Aftercare 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Professional-Family Relations Surveys and Questionnaires Health care Medicine Craniocerebral Trauma Humans 030212 general & internal medicine Psychiatry Child computer.programming_language Asthma business.industry 030208 emergency & critical care medicine General Medicine Emergency department medicine.disease Patient Discharge Abdominal Pain Caregivers Pediatrics Perinatology and Child Health Emergency Medicine Bronchiolitis Medical emergency medicine.symptom business Discharge instructions Emergency Service Hospital computer Delphi |
| Zdroj: | Pediatric emergency care. 34(5) |
| ISSN: | 1535-1815 |
| Popis: | Objective The aim of this study was to identify the 5 most essential discharge instruction content elements that should be communicated to all caregivers of children who present to the emergency department (ED) with asthma, vomiting/diarrhea, abdominal pain, fever, minor head injury, or bronchiolitis. Methods A discharge information content list was developed for each illness presentation following a review of the literature. Using a modified Delphi technique, 6 lists were distributed to a panel of experts from EDs across Canada using a secure online survey tool with the goal of achieving the 5 most essential discharge instruction elements. Results A total of 37 emergency clinicians completed all 4 rounds of the Delphi. Consensus for the final 30 content items ranged from 51.4% to 100%. Items pertaining to diarrhea/vomiting, abdominal pain, fever, and bronchiolitis obtained relatively high levels of consensus for all top 5 items. The majority of items (n = 19 [63.3%]) that reached consensus across the illness presentations were associated with instructions intended to educate caregivers on instances when they should return to the ED department. Conclusions Findings from this study provide a better understanding of what should be communicated to caregivers of children who present to the ED with a number of different illness presentations. Results from this study suggest that health care providers agree on the importance of providing information to caregivers regarding when to return to the ED with their child. Reaching consensus among all experts in this study provides insight into the difficulty of standardizing discharge communication in the absence of widely accepted guidelines. |
| Databáze: | OpenAIRE |
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