How ready are they? Parents of pediatric solid organ transplant recipients and the transition from hospital to home following transplant. Pediatr Transplant 2011 Sep;15(6):606-16
Date
07/09/2011Pubmed ID
21736682DOI
10.1111/j.1399-3046.2011.01536.xScopus ID
2-s2.0-80052078362 (requires institutional sign-in at Scopus site) 59 CitationsAbstract
Poor discharge transition is evidence of a gap between evidence-based practices and current health care delivery. Pediatric SOT recipients are a vulnerable population at risk of complications during the discharge transition. The aim of this study was to investigate factors associated with the transition care from hospital to home. We studied the transition experience of parents of heart, liver, or kidney recipients to identify opportunities for improvement in discharge and post-discharge care processes and outcomes. Thirty-seven parents from three different pediatric transplant centers completed questionnaires on the day of hospital discharge and three wk following hospital discharge. Care coordination was associated with readiness for hospital discharge. Readiness for hospital discharge was subsequently associated with post-discharge coping difficulty, adherence difficulty with medical follow-up, and family impact. Identifying parents who are not ready to go home provides an opportunity to offer additional support services so parents can effectively manage their child's recovery and continuing care at home.
Author List
Lerret SM, Weiss MEAuthors
Stacee Lerret PhD Professor Hybrid in the Pediatrics department at Medical College of WisconsinMarianne Weiss DNSc Associate Professor in the College of Nursing department at Marquette University
MESH terms used to index this publication - Major topics in bold
Adaptation, PsychologicalAdult
Child
Family
Female
Hospitals
Humans
Male
Middle Aged
Organ Transplantation
Parents
Patient Compliance
Patient Discharge
Pediatrics
Regression Analysis