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The development of a discharge planning index for use in a pediatric acute burn unit
1Shriners Hospital for Crippled Children, Burn Unit, Galveston, TX.
Insights
A new Pediatric Acute Burn Discharge Planning Index was developed using the Delphi technique. This index ensures healthcare teams agree on essential discharge criteria for pediatric burn patients, improving care coordination.
Area of Science:
- Pediatric healthcare
- Burn care management
- Health services research
Background:
- Effective discharge planning is crucial for pediatric patients with acute burns.
- Current discharge planning practices may lack standardized assessment tools.
- Ensuring continuity of care requires a comprehensive approach.
Purpose of the Study:
- To develop a standardized discharge planning index for a pediatric acute burn unit.
- To establish consensus among healthcare professionals on critical discharge criteria.
- To enhance the quality of care for children recovering from burns.
Main Methods:
- Utilized the Delphi technique with a three-round survey.
- Involved 59 health professionals with at least one year of experience in pediatric burn discharge planning.
- Developed a 75-item index based on items receiving a mean score of 5.0 or greater.
Main Results:
- A Pediatric Acute Burn Discharge Planning Index comprising 75 items was successfully developed.
- Spearman's rank correlation coefficient analysis revealed a positive correlation between nursing and other departments' ratings.
- Indicated strong agreement among all health team members regarding the index's importance.
Conclusions:
- The developed index represents a consensus among healthcare professionals on essential discharge assessment items.
- The index can facilitate standardized and comprehensive discharge planning for pediatric burn patients.
- Implementation of this index may improve patient outcomes and family preparedness post-discharge.
Abstract:
The purpose of this study was to develop a discharge planning index for use in a pediatric acute burn unit. The study sample consisted of 59 health professionals from a pediatric burn hospital who had worked at least one year with children with acute burns and their families in discharge planning. With the use of the Delphi technique, a three-round survey was conducted. A Pediatric Acute Burn Discharge Planning Index that consists of 75 items was developed on the basis of the items that received a mean score of 5.0 or greater in the third survey. The data were further analyzed with Spearman's rank correlation coefficient to compare the top 23 rank-ordered items rated by the nursing department with those rated by the other departments surveyed. The rank-order correlation showed a positive correlation between the nursing department's and other departments' responses. These results indicate that all health team members agree on the importance of assessing the items listed on the derived index before discharging a pediatric patient with acute burns.
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