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Optimizing a Nurse-led Transitional Home Visit Program in Preparation for a Randomized Control Trial.

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This study optimized a nurse-led transitional home visit program for acutely ill children. Patient and family feedback improved the program, increasing family knowledge of post-discharge warning signs.

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Area of Science:

  • Pediatric Nursing
  • Healthcare Process Improvement
  • Patient and Family Engagement

Background:

  • Evaluating a nurse-led transitional home visit program for acutely ill pediatric patients.
  • Utilizing an optimization period to test program procedures in real-world conditions prior to a randomized control trial.

Purpose of the Study:

  • Improve the referral process for home visits.
  • Optimize home visit content for better patient outcomes.
  • Define and operationalize patient- and family-centered outcome measures.

Main Methods:

  • Iterative modifications to the home visit process, content, and outcome measures.
  • Weekly multidisciplinary team meetings to review family and stakeholder feedback.
  • Testing and refinement of planned clinical trial outcomes during optimization.

Main Results:

  • Completed 301 optimization home visits across diverse diagnoses.
  • Content changes increased family knowledge of post-discharge warning signs.
  • 31% of families reported altering their child's care post-visit.

Conclusions:

  • Iterative testing and multistakeholder feedback maximized intervention effectiveness.
  • Patient and family engagement enhanced the home visit program's generalizability.
  • Optimized program procedures are ready for a subsequent randomized control trial.