Engaging Parents in Education for Discharge (ePED): Evaluating the Reach, Adoption & Implementation of an Innovative Discharge Teaching Method

Authors

Norah L. Johnson, Marquette UniversityFollow
Stacee M. Lerret, Medical College of WisconsinFollow
Carol Klingbeil, University of Wisconsin - Milwaukee
Michele Polfuss, Children's Hospital of WisconsinFollow
Cori A. Gibson, Children's Hospital of Wisconsin
Karen Gralton, Children's Hospital of Wisconsin
Mauricio Garnier-VillarrealFollow
Sheikh Iqbal Ahamed, Marquette UniversityFollow
Riddhiman Adib, Marquette University
Rachel Unteutsch, Medical College of Wisconsin
Louis Pawela, Medical College of Wisconsin
Rosemary White-Traut, Children's Hospital of WisconsinFollow
Kathleen J. Sawin, University of Wisconsin - Milwaukee
Marianne E. Weiss, Marquette UniversityFollow

Document Type

Article

Language

eng

Publication Date

9-2020

Publisher

Elsevier

Source Publication

Journal of Pediatric Nursing

Source ISSN

0882-5963

Abstract

Purpose

This paper describes the evaluation of the implementation of an innovative teaching method, the “Engaging Parents in Education for Discharge” (ePED) iPad application (app), at a pediatric hospital.

Design and methods

The Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework was used to guide the evaluation. Three of the five RE-AIM elements are addressed in this study: Reach, Adoption, and Implementation.

Results

The Reach of the ePED was 245 of 1015 (24.2%) patient discharges. The Adoption rate was 211 of 245 (86%) patients discharged in the five months' study period. High levels of fidelity (89.3%) to Implementation of the ePED were attained: the Signs and Symptoms domain had the highest (93%) and Thinking Forward about Family Adjustment screen had the lowest fidelity (83.3%). Nurse themes explained implementation fidelity: “It takes longer”, and “Forgot to do it.”

Conclusions

The ePED app operationalized how to have an engaging structured discharge conversation with parents. While the Reach of the ePED app was low under the study conditions, the adoption rate was positive. Nurses were able to integrate a theory-driven practice change into their daily routine when using the ePED app.

Implications for practice

The rates of adoption and implementation fidelity support the feasibility of future hospital wide implementation to improve patient and family healthcare experience. Attention to training of new content and the interactive conversation approach will be needed to fully leverage the value of the ePED app. Future studies are needed to evaluate the maintenance of the ePED app.

Comments

Accepted version. Journal of Pediatric Nursing, Vol. 54 (September/October 2020): 42-49. DOI. © 2020 Elsevier. Used with permission.

Recommended Citation

Johnson, Norah L.; Lerret, Stacee M.; Klingbeil, Carol; Polfuss, Michele; Gibson, Cori A.; Gralton, Karen; Garnier-Villarreal, Mauricio; Ahamed, Sheikh Iqbal; Adib, Riddhiman; Unteutsch, Rachel; Pawela, Louis; White-Traut, Rosemary; Sawin, Kathleen J.; and Weiss, Marianne E., "Engaging Parents in Education for Discharge (ePED): Evaluating the Reach, Adoption & Implementation of an Innovative Discharge Teaching Method" (2020). College of Nursing Faculty Research and Publications. 716.
https://epublications.marquette.edu/nursing_fac/716