Appreciation of a Child's Journey: Implementation of a Cardiac Action Research Project

Kate Alexa Dengler1, Valerie Wilson, Sarah Redshaw

  • 1Edgar Stephens Ward, The Children's Hospital at Westmead, Sydney, NSW 2145, Australia.

Insights

The Heart Beads program uses action research to enhance hospital experiences for children with cardiac conditions by providing symbolic beads for treatments. This patient-centered initiative is expanding nationwide to support more children.

Area of Science:

  • Pediatric Healthcare
  • Patient Experience Improvement
  • Action Research Methodology

Background:

  • Hospitalization presents unique challenges for children with cardiac conditions.
  • The need for supportive, child-centered programs in pediatric cardiac care is significant.
  • Symbolic recognition can positively impact a child's coping mechanisms during treatment.

Purpose of the Study:

  • To provide an overview of the action research process used to develop, implement, and evaluate the Heart Beads program.
  • To describe the Heart Beads program's role in enriching the hospital experience for pediatric patients with cardiac conditions.
  • To outline the program's journey from a small project to a nationwide initiative.

Main Methods:

  • Utilized an action research approach, fostering collaboration between clinicians, researchers, patients, and families.
  • Followed the five phases of action research: identification, investigation, program development, implementation, and evaluation.
  • Focused on creating a patient-centered program recognizing children's cardiac treatments and endurance through unique beads.

Main Results:

  • The Heart Beads program was successfully developed and implemented using a phased action research approach.
  • The program has gained popularity and significance among children at a tertiary pediatric hospital.
  • Positive engagement and recognition of patient experiences through symbolic beads were observed.

Conclusions:

  • The action research methodology provides a robust framework for developing and implementing patient-centered healthcare programs.
  • The Heart Beads program effectively enriches the hospital experience for children with cardiac conditions.
  • The program's successful expansion demonstrates its value and potential for wider adoption in pediatric cardiac care across Australia.

Related Concept Videos

The Cardiac Cycle01:13

The Cardiac Cycle

The heart beats rhythmically in a sequence called the cardiac cycle—a rapid coordination of contraction (systole) and relaxation (diastole).
The Process
Electrical signals—sent from the sinoatrial (SA) node in the right atrial wall to the atrioventricular (AV) node between the right atrium and right ventricle—cause both atria to simultaneously contract. When the signal reaches the AV node, it pauses for approximately a tenth of a second, allowing the atria to contract and empty blood into the...
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
Development of the Heart01:27

Development of the Heart

The development of the human heart, a crucial organ, commences from the mesoderm on the 18th or 19th day after fertilization. This process initiates in the cardiogenic area, a group of mesodermal cells at the embryo's head end, which evolves into elongated strands known as cardiogenic cords. These cords undergo a transformation to form hollow-centered endocardial tubes.
As the embryo undergoes lateral folding, these paired tubes approach each other, merging into a single primitive heart tube by...