Document Type
Article
Language
eng
Publication Date
3-2-2017
Publisher
Wiley
Source Publication
Journal of Nursing Scholarship
Source ISSN
1527-6546
Abstract
Background
Parents of hospitalized children, especially parents of children with complex and chronic health conditions, report not being adequately prepared for self‐management of their child's care at home after discharge.
Problem
No theory‐based discharge intervention exists to guide pediatric nurses' preparation of parents for discharge.
Purpose
To develop a theory‐based conversation guide to optimize nurses' preparation of parents for discharge and self‐management of their child at home following hospitalization.
Methods
Two frameworks and one method influenced the development of the intervention: the Individual and Family Self‐Management Theory, Tanner's Model of Clinical Judgment, and the Teach‐Back method. A team of nurse scientists, nursing leaders, nurse administrators, and clinical nurses developed and field tested the electronic version of a nine‐domain conversation guide for use in acute care pediatric hospitals.
Conclusions
The theory‐based intervention operationalized self‐management concepts, added components of nursing clinical judgment, and integrated the Teach‐Back method.
Clinical Relevance
Development of a theory‐based 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.
Recommended Citation
Sawin, Kathleen; Weiss, Marianne; Johnson, Norah L.; Gralton, Karen; Malin, Shelly; Klingbeil, Carol; Lerret, Stacee M.; Thompson, Jamie J.; Zimmanck, Kim; Kaul, Molly; and Schiffman, Rachel, "Development of a Self‐Management Theory‐Guided Discharge Intervention for Parents of Hospitalized Children" (2017). College of Nursing Faculty Research and Publications. 527.
https://epublications.marquette.edu/nursing_fac/527
Comments
Accepted version. Journal of Nursing Scholarship, Vol. 49, No. 2 (March 2, 2017): 202-213. DOI. © 1999-2018 John Wiley & Sons, Inc. Used with permission.