Paediatric hospital admission processes and outcomes: a qualitative study of parents’ experiences and priorities

Abstract

Families received preadmission care in several settings and described varying degrees of care coordination during their admission processes. This research can guide improvements in hospitals' admission systems, necessary to achieve health system integration and continuity of care.

Ways of Being of Nursing Professionals in the Pediatric Intensive Therapy: Experiences With Families

“…7 Contrapondo-se a esse cenário devastador, existem instituições que adotam políticas que incentivam a participação da família no cuidado à criança, considerando a importância de atender àquilo que a família considera como prioridade, como atendimento clínico efetivo, procedimentos de admissão eficientes, segurança/proteção e processos de cuidado centrados no paciente e na família, buscando amenizar os efeitos da hospitalização e empoderando-as. 22 Cabe aqui destacar que as famílias brasileiras enfrentam dificuldades que vão além da hospitalização do filho, pois são em sua maioria famílias monoparentais femininas, com mais de um filho, com nível de escolaridade baixo e renda familiar dependente de programas do governo, como o Bolsa Família. 23 Toda essa realidade socioeconômica da população brasileira pode influenciar na maneira como a relação profissional-família acontece.…”

Comparative Effectiveness of Direct Admission & Admission through Emergency Departments for Children: A Randomized Stepped Wedge Study Protocol

“…Parents and physicians recognize potential benefits and challenges of direct and ED admission and articulate a desire for standardized admission processes. 8,16 Consistent with the Institute of Medicine's domains of healthcare quality, parents describe the importance of timely, effective, safe, and patient-centered clinical care, but express variation in their experiences with direct and ED admissions in achieving these aims. In addition, the growth of pediatric hospital medicine in the US, the pediatric specialty dedicated to the inpatient care of children, creates both opportunities for around-the-clock pediatric-specific care but also creates a discontinuity of care between outpatient and inpatient providers.…”

“…The system factors summarized in this model, including clinic and ED factors, were described by parents of hospitalized children as influential to their decisions about when and where they seek care for their child's acute illnesses. 8 The processes of care factors are derived from deliberative discussions with stakeholders in the hospital admission process. 18…”

“…Both are associated with significant stress to patients and their families. 8,9 While hospital discharge processes have been the focus of tremendous research, policy, and quality improvement efforts, research determining quality of care at the time of hospital admission is scant. 5,9,10 As a result, hospital admissions expose patients to many of the same risks that have been the focus of hospital discharge reform:…”

Comparative effectiveness of direct admission and admission through emergency departments for children: a randomized stepped wedge study protocol

“…Like hospital discharge, hospital admission involves transitions in sites of care, handoffs between healthcare providers, and changes in medical therapies. Both are associated with significant stress to patients and their families [8,9]. While hospital discharge processes have been the focus of tremendous research, policy, and quality improvement efforts, research determining the quality of care at the time of hospital admission is scant [5,9,10].…”