1 research outputs found
Development of a SelfâManagement TheoryâGuided Discharge Intervention for Parents of Hospitalized Children
Background
Parents of hospitalized children, especially parents of children with complex and chronic health conditions, report not being adequately prepared for selfâmanagement of their child\u27s care at home after discharge. Problem
No theoryâbased discharge intervention exists to guide pediatric nurses\u27 preparation of parents for discharge. Purpose
To develop a theoryâbased conversation guide to optimize nurses\u27 preparation of parents for discharge and selfâmanagement of their child at home following hospitalization. Methods
Two frameworks and one method influenced the development of the intervention: the Individual and Family SelfâManagement Theory, Tanner\u27s Model of Clinical Judgment, and the TeachâBack method. A team of nurse scientists, nursing leaders, nurse administrators, and clinical nurses developed and field tested the electronic version of a nineâdomain conversation guide for use in acute care pediatric hospitals. Conclusions
The theoryâbased intervention operationalized selfâmanagement concepts, added components of nursing clinical judgment, and integrated the TeachâBack method. Clinical Relevance
Development of a theoryâbased intervention, the translation of theoretical knowledge to clinical innovation, is an important step toward testing the effectiveness of the theory in guiding clinical practice. Clinical nurses will establish the practice relevance through future use and refinement of the intervention