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Development of a Self-Management Theory-Guided Discharge Intervention for Parents of Hospitalized Children. J Nurs Scholarsh 2017 Mar;49(2):202-213



Pubmed ID




Scopus ID

2-s2.0-85014394717 (requires institutional sign-in at Scopus site)   11 Citations


BACKGROUND: Parents of hospitalized children, especially parents of children with complex and chronic health conditions, report not being adequately prepared for self-management of their child's care at home after discharge.

PROBLEM: No theory-based discharge intervention exists to guide pediatric nurses' preparation of parents for discharge.

PURPOSE: To develop a theory-based conversation guide to optimize nurses' preparation of parents for discharge and self-management of their child at home following hospitalization.

METHODS: Two frameworks and one method influenced the development of the intervention: the Individual and Family Self-Management Theory, Tanner's Model of Clinical Judgment, and the Teach-Back method. A team of nurse scientists, nursing leaders, nurse administrators, and clinical nurses developed and field tested the electronic version of a nine-domain conversation guide for use in acute care pediatric hospitals.

CONCLUSIONS: The theory-based intervention operationalized self-management concepts, added components of nursing clinical judgment, and integrated the Teach-Back method.

CLINICAL RELEVANCE: Development of a theory-based intervention, the translation of theoretical knowledge to clinical innovation, is an important step toward testing the effectiveness of the theory in guiding clinical practice. Clinical nurses will establish the practice relevance through future use and refinement of the intervention.

Author List

Sawin KJ, Weiss ME, Johnson N, Gralton K, Malin S, Klingbeil C, Lerret SM, Thompson JJ, Zimmanck K, Kaul M, Schiffman RF


Norah Johnson PhD Assistant Professor in the College ofnursing department at Marquette University
Stacee Lerret PhD Professor in the Pediatrics department at Medical College of Wisconsin
Rachel Schiffman BS,MS,PhD Associate Dean for Research in the College of Nursing department at University of Wisconsin - Milwaukee
Marianne Weiss DNSc Associate Professor in the College of Nursing department at Marquette University

MESH terms used to index this publication - Major topics in bold

Child, Hospitalized
Nurse-Patient Relations
Patient Discharge
Patient Education as Topic
Pediatric Nursing
Psychological Theory
Self Care