One Size Does Not Fit All: Discharge Teaching and Child Challenging Behaviors

Authors

Norah L. Johnson, Marquette UniversityFollow
Stacee M. Lerret, Medical College of WisconsinFollow
Michele Polfuss, Children's Hospital of WisconsinFollow
Karen Gralton, Children's Hospital of Wisconsin
Cori A. Gibson, Children's Hospital of Wisconsin
Sheikh Iqbal Ahamed, Marquette UniversityFollow
Riddhiman Adib, Marquette University
Rosemary White-Traut, Children's Hospital of WisconsinFollow
Kathleen Sawin, University of Wisconsin - Milwaukee
Roger L. Brown, University of Wisconsin - MadisonFollow

Document Type

Article

Publication Date

5-2021

Publisher

SAGE

Source Publication

Western Journal of Nursing Research

Source ISSN

0193-9459

Original Item ID

DOI: 10.1177/01939459211018829

Abstract

This study compares quality of discharge teaching and care coordination for parents of children with challenging behaviors participating in a nursing implementation project, which used an interactive iPad application, to usual discharge care. Unlike parents in the larger quasi-experimental longitudinal project, parents of children with challenging behaviors receiving the discharge teaching application (n = 14) reported lower mean scores on the quality of discharge teaching scale–delivery subscale (M = 8.2, SD = 3.1) than parents receiving usual care (n = 11) (M = 9.6, SD = 4.7) and lower scores on the Care Transition Measure (M = 2.44, SD = 1.09) than parents receiving usual care (M = 3.02, SD = 0.37), with moderate to large effects (0.554–0.775). The discharge teaching approach was less effective with this subset, suggesting other approaches might be considered for this group of parents. Further study with a larger sample specific to parents of children with challenging behaviors is needed to assess their unique needs and to optimize their discharge experience.

Comments

Accepted version. Western Journal of Nursing Research, 2021 (online before print). DOI. © 2021 SAGE Publications. Used with permission.

Recommended Citation

Johnson, Norah L.; Lerret, Stacee M.; Polfuss, Michele; Gralton, Karen; Gibson, Cori A.; Ahamed, Sheikh Iqbal; Adib, Riddhiman; White-Traut, Rosemary; Sawin, Kathleen; and Brown, Roger L., "One Size Does Not Fit All: Discharge Teaching and Child Challenging Behaviors" (2021). College of Nursing Faculty Research and Publications. 890.
https://epublications.marquette.edu/nursing_fac/890