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Related Experiment Videos

Children's complex care needs: a systematic concept analysis of multidisciplinary language.

Maria Brenner1, Claire Kidston2, Carol Hilliard3

  • 1School of Nursing & Midwifery, Trinity College Dublin University of Dublin, 24 D'Olier Street, Dublin 2, Ireland. brennerm@tcd.ie.

European Journal of Pediatrics
|August 10, 2018
PubMed
Summary

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Complex care needs in children are multidimensional, encompassing health and social support. Understanding these complex care needs (CCNs) requires a holistic, multidisciplinary approach due to their dynamic and individualized nature.

Area of Science:

  • Pediatric healthcare
  • Complex care management
  • Health services research

Background:

  • Complex care needs (CCNs) in children represent a growing phenomenon.
  • Existing research on CCNs lacks a clear, agreed-upon definition, leading to ambiguity.
  • Previous systematic analysis of the concept of children's CCNs has been limited.

Purpose of the Study:

  • To systematically analyze the attributes, antecedents, and consequences of children's complex care needs (CCNs).
  • To develop a multidisciplinary understanding of the concept of children's CCNs.
  • To provide a theoretical framework for comprehending the multidimensional nature of CCNs in pediatric populations.

Main Methods:

  • Systematic concept analysis.
  • Data sources included PubMed, CINAHL, and PsycINFO.
Keywords:
ChildComplex careConcept analysisFamilyMultidisciplinary

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  • Inclusion criteria: peer-reviewed English-language publications from January 1990 to December 2017 (n=140).

    • Main Results:

    • Children's complex care needs (CCNs) are multidimensional, involving health and social care requirements.
    • CCNs can exist with a diagnosed medical condition or without a unifying diagnosis.
    • These needs are individual, contextualized, ongoing, dynamic, and present across various settings.

    Conclusions:

    • Children's complex care needs (CCNs) are influenced by family dynamics and healthcare structures.
    • Caring for children with CCNs presents significant challenges for families and healthcare providers.
    • High-quality, competent care for these children necessitates a collaborative, interdisciplinary approach, as no single profession can meet all needs.