Stacee M Lerret1, Norah L Johnson2, Michele Polfuss3, Marianne Weiss4, Karen Gralton5, Carol G Klingbeil6, Cori Gibson7, Mauricio Garnier-Villarreal8, S Iqbal Ahamed9, Riddhiman Adib10, Rachel Unteutsch11, Louis Pawela12, Rosemary White-Traut13, Kathy Sawin14. 1. Medical College of Wisconsin, Milwaukee, WI, United States of America; Children's Hospital of Wisconsin, Milwaukee, WI, United States of America. Electronic address: slerret@mcw.edu. 2. Children's Hospital of Wisconsin, Milwaukee, WI, United States of America; College of Nursing, Marquette University, Milwaukee, WI, United States of America. Electronic address: norah.johnson@marquette.edu. 3. Children's Hospital of Wisconsin, Milwaukee, WI, United States of America; College of Nursing, University of Wisconsin-Milwaukee, Milwaukee, WI, United States of America. Electronic address: MPolfuss@chw.org. 4. College of Nursing, Marquette University, Milwaukee, WI, United States of America. Electronic address: marianne.weiss@marquette.edu. 5. Children's Hospital of Wisconsin, Milwaukee, WI, United States of America. Electronic address: KGralton@chw.org. 6. College of Nursing, University of Wisconsin-Milwaukee, Milwaukee, WI, United States of America. Electronic address: klingbei@uwm.edu. 7. Children's Hospital of Wisconsin, Milwaukee, WI, United States of America. Electronic address: cgibson@chw.org. 8. College of Nursing, Marquette University, Milwaukee, WI, United States of America. Electronic address: mauricio.garniervillarreal@marquette.edu. 9. College of Nursing, Marquette University, Milwaukee, WI, United States of America. Electronic address: sheikh.ahamed@marquette.edu. 10. College of Nursing, Marquette University, Milwaukee, WI, United States of America. Electronic address: riddhiman.adib@marquette.edu. 11. Medical College of Wisconsin, Milwaukee, WI, United States of America. Electronic address: runteutsch@mcw.edu. 12. Medical College of Wisconsin, Milwaukee, WI, United States of America. Electronic address: lpawela@mcw.edu. 13. Children's Hospital of Wisconsin, Milwaukee, WI, United States of America. Electronic address: RWhite-Traut@chw.org. 14. Children's Hospital of Wisconsin, Milwaukee, WI, United States of America; College of Nursing, University of Wisconsin-Milwaukee, Milwaukee, WI, United States of America. Electronic address: KSawin@chw.org.
Abstract
PURPOSE: The purpose of this study was to evaluate the use of the Engaging Parents in Education for Discharge (ePED) iPad application on parent experiences of hospital discharge teaching and care coordination. Hypotheses were: parents exposed to discharge teaching using ePED will have 1) higher quality of discharge teaching and 2) better care coordination than parents exposed to usual discharge teaching. The secondary purpose examined group differences in the discharge teaching, care coordination, and 30-day readmissions for parents of children with and without a chronic condition. DESIGN/ METHODS: Using a quasi-experimental design, ePED was implemented on one inpatient unit (n = 211) and comparison group (n = 184) from a separate unit at a pediatric academic medical center. Patient experience outcome measures collected on day of discharge included Quality of Discharge Teaching Scale-Delivery (QDTS-D) and care coordination measured by Care Transition Measure (CTM). Thirty-day readmission was abstracted from records. RESULTS: Parents taught using ePED reported higher QDTS-D scores than parents without ePED (p = .002). No differences in CTM were found between groups. Correlations between QDTS-D and CTM were small for ePED (r = 0.14, p 0.03) and non-ePED (r = 0.29, p < .001) parent groups. CTM was weakly associated with 30-day readmissions in the ePED group. CONCLUSION: The use of ePED by the discharging nurse enhances parent-reported quality of discharge teaching. PRACTICE IMPLICATIONS: The ePED app is a theory-based structured conversation guide to engage parents in discharge preparation. Nursing implementation of ePED contributes to optimizing the patient/family healthcare experience.
PURPOSE: The purpose of this study was to evaluate the use of the Engaging Parents in Education for Discharge (ePED) iPad application on parent experiences of hospital discharge teaching and care coordination. Hypotheses were: parents exposed to discharge teaching using ePED will have 1) higher quality of discharge teaching and 2) better care coordination than parents exposed to usual discharge teaching. The secondary purpose examined group differences in the discharge teaching, care coordination, and 30-day readmissions for parents of children with and without a chronic condition. DESIGN/ METHODS: Using a quasi-experimental design, ePED was implemented on one inpatient unit (n = 211) and comparison group (n = 184) from a separate unit at a pediatric academic medical center. Patient experience outcome measures collected on day of discharge included Quality of Discharge Teaching Scale-Delivery (QDTS-D) and care coordination measured by Care Transition Measure (CTM). Thirty-day readmission was abstracted from records. RESULTS: Parents taught using ePED reported higher QDTS-D scores than parents without ePED (p = .002). No differences in CTM were found between groups. Correlations between QDTS-D and CTM were small for ePED (r = 0.14, p 0.03) and non-ePED (r = 0.29, p < .001) parent groups. CTM was weakly associated with 30-day readmissions in the ePED group. CONCLUSION: The use of ePED by the discharging nurse enhances parent-reported quality of discharge teaching. PRACTICE IMPLICATIONS: The ePED app is a theory-based structured conversation guide to engage parents in discharge preparation. Nursing implementation of ePED contributes to optimizing the patient/family healthcare experience.