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Pediatric cardiac surgery Parent Education Discharge Instruction (PEDI) program: a pilot study
Sandra L Staveski1, Bistra Zhelva2, Reena Paul3
1University of California at San Francisco School of Nursing, San Francisco, CA, USA sandra.staveski@ucsf.edu.
Insights
A nurse-led Parent Education Discharge Instruction (PEDI) program improved nurse knowledge and documentation of home care for children after cardiac surgery. The PEDI program proved feasible and acceptable in an Indian pediatric cardiac unit.
Area of Science:
- Pediatric cardiac surgery outcomes
- Nursing education and practice
- Healthcare in developing countries
Background:
- Increasing numbers of children with complex cardiac defects receive treatment in developing countries.
- Effective home care is crucial for successful long-term outcomes after pediatric cardiac surgery.
- The Parent Education Discharge Instruction (PEDI) program was designed to enhance nurses' discharge teaching skills.
Purpose of the Study:
- To assess the feasibility and acceptability of a nurse-led structured discharge program.
- To generate preliminary data on the PEDI program's impact in an Indian pediatric cardiac surgery unit.
Main Methods:
- A pre-/post-design study involving 40 nurses and 20 parents.
- Evaluation through questionnaires assessing knowledge, satisfaction, and utility of training materials.
- Retrospective audits of 50 patient medical records to assess discharge teaching documentation.
Main Results:
- Nurses' discharge knowledge significantly increased from 81% to 96% (P = .001).
- Nurses and parents reported high satisfaction with educational materials (3.75-4.00 scale).
- Discharge teaching documentation in medical records improved from 48% to 96% post-implementation.
Conclusions:
- The nurse-led PEDI program is feasible, acceptable, useful, and sustainable in a cardiac unit.
- Further research is needed to evaluate broader outcomes for nurses, parents, children, and organizations.
- This highlights the potential of expanded nursing roles in resource-constrained settings.
Background:
In developing countries, more children with complex cardiac defects now receive treatment for their condition. For successful long-term outcomes, children also need skilled care at home after discharge. The Parent Education Discharge Instruction (PEDI) program was developed to educate nurses on the importance of discharge teaching and to provide them with a structured process for conducting parent teaching for home care of children after cardiac surgery. The aim of this pilot study was to generate preliminary data on the feasibility and acceptability of the nurse-led structured discharge program on an Indian pediatric cardiac surgery unit.
Methods:
A pre-/post-design was used. Questionnaires were used to evaluate role acceptability, nurse and parent knowledge of discharge content, and utility of training materials with 40 nurses and 20 parents. Retrospective audits of 50 patient medical records (25 pre and 25 post) were performed to evaluate discharge teaching documentation.
Results:
Nurses' discharge knowledge increased from a mean of 81% to 96% (P = .001) after participation in the training. Nurses and parents reported high levels of satisfaction with the education materials (3.75-4 on a 4.00-point scale). Evidence of discharge teaching documentation in patient medical records improved from 48% (12 of 25 medical records) to 96% (24 of 25 medical records) six months after the implementation of the PEDI program.
Conclusion:
The structured nurse-led parent discharge teaching program demonstrated feasibility, acceptability, utility, and sustainability in the cardiac unit. Future studies are needed to examine nurse, parent, child, and organizational outcomes related to this expanded nursing role in resource-constrained environments.
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