Information about pediatric observation and limited-stay unit design and function is lacking in the literature. A quality improvement approach was used to create new care processes on an inpatient unit within a large children's hospital. Outcomes included the use of advanced practice nurse patient care management, creation of 30 clinical pathways to model care, and consistent and faster transfer from emergency department to inpatient unit, resulting in high-level parent and patient satisfaction and decreased nursing turnover.
Advocacy for people with disabilities and their fami lies has evolved from the provision of public protective services to private and independent advocacy service groups, and finally to self-advocacy. This article de scribes one empowerment and self-advocacy training program for parents of young children and individuals with disabilities. An overview of the Partners in Policy making program and the participants is provided along with Year 1 outcomes. The benefits of self-advocacy and the need for additional training programs are stressed.
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