Daniel J Lee1,2, Robert Cronin2,3,4, Jamie Robinson2,5, Shilo Anders6, Kim Unertl2, Katherine Kelly4, Heather Hankins7, Ryan Skeens4, Gretchen P Jackson2,4,8. 1. Department of Urology, Vanderbilt University Medical Center, Vanderbilt University, Nashville, Tennessee, United States. 2. Department of Biomedical Informatics, Vanderbilt University Medical Center, Vanderbilt University, Nashville, Tennessee, United States. 3. Department of Internal Medicine, Vanderbilt University Medical Center, Vanderbilt University, Nashville, Tennessee, United States. 4. Department of Pediatrics, Vanderbilt University Medical Center, Vanderbilt University, Nashville, Tennessee, United States. 5. Department of Surgery, Vanderbilt University Medical Center, Vanderbilt University, Nashville, Tennessee, United States. 6. Department of Anesthesiology, Vanderbilt University Medical Center, Vanderbilt University, Nashville, Tennessee, United States. 7. Surgical Outcomes Center for Kids, Vanderbilt University Medical Center, Vanderbilt University, Nashville, Tennessee, United States. 8. Department of Pediatric Surgery, Vanderbilt University Medical Center, Vanderbilt University, Nashville, Tennessee, United States.
Abstract
BACKGROUND: Informed and engaged parents may influence outcomes for childhood illness. Understanding the needs of the caregivers of pediatric patients is a critical first step in promoting engagement in their child's care. In 2014, we developed an Engagement Consultation Service at the Monroe Carell Jr. Children's Hospital at Vanderbilt. This service determines the health-related needs of the caregivers of hospitalized children and makes educational or technology recommendations to meet those needs and support engagement. OBJECTIVES: This report describes the most common health-related needs identified in the caregivers of hospitalized pediatric patients and details the recommended interventions to meet those needs. METHODS: The most commonly reported consumer health-related needs from our 3-year experience with the Engagement Consultation Service were extracted from consultations notes. Each need was classified by semantic type using a taxonomy of consumer health needs. Typical recommendations for each need and their administration were detailed. RESULTS: The most frequently recognized needs involved communicating with health care providers after discharge, using medical devices, distinguishing between benign and concerning symptoms, knowing what questions to ask providers and remembering them, finding trustworthy sources of information online, understanding disease prognosis, and getting emotional support. A variety of apps, Web sites, printed materials, and online groups were recommended. CONCLUSION: The parents of hospitalized patients share several common health-related needs that can be addressed with educational and technology interventions. An inpatient Engagement Consultation Service provides a generalizable framework for identifying health-related needs and delivers tools to meet those needs and promote engagement during and after hospitalizations. Georg Thieme Verlag KG Stuttgart · New York.
BACKGROUND: Informed and engaged parents may influence outcomes for childhood illness. Understanding the needs of the caregivers of pediatric patients is a critical first step in promoting engagement in their child's care. In 2014, we developed an Engagement Consultation Service at the Monroe Carell Jr. Children's Hospital at Vanderbilt. This service determines the health-related needs of the caregivers of hospitalized children and makes educational or technology recommendations to meet those needs and support engagement. OBJECTIVES: This report describes the most common health-related needs identified in the caregivers of hospitalized pediatric patients and details the recommended interventions to meet those needs. METHODS: The most commonly reported consumer health-related needs from our 3-year experience with the Engagement Consultation Service were extracted from consultations notes. Each need was classified by semantic type using a taxonomy of consumer health needs. Typical recommendations for each need and their administration were detailed. RESULTS: The most frequently recognized needs involved communicating with health care providers after discharge, using medical devices, distinguishing between benign and concerning symptoms, knowing what questions to ask providers and remembering them, finding trustworthy sources of information online, understanding disease prognosis, and getting emotional support. A variety of apps, Web sites, printed materials, and online groups were recommended. CONCLUSION: The parents of hospitalized patients share several common health-related needs that can be addressed with educational and technology interventions. An inpatient Engagement Consultation Service provides a generalizable framework for identifying health-related needs and delivers tools to meet those needs and promote engagement during and after hospitalizations. Georg Thieme Verlag KG Stuttgart · New York.
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