Boot Camp for Caregivers of Children With Medically Complex Conditions

Julie Van Orne1, Kaylan Branson1, Mary Cazzell1

  • 1Julie Van Orne is Clinical Nurse Leader, Cook Children's Medical Center, 801 Seventh Ave, Fort Worth, TX 76104 (julie.vanorne@cookchildrens.org). Kaylan Branson is Clinical Nurse Leader, Cook Children's Medical Center, Fort Worth, Texas. Mary Cazzell is Director of Nursing Research and Evidence Based Practice, Cook Children's Medical Center, Fort Worth, Texas.

Insights

A boot camp training program significantly reduced hospital stays and caregiver stress for families of children with complex medical needs. This program improved caregiver satisfaction and decreased medical costs.

Area of Science:

  • Pediatric healthcare
  • Caregiver education
  • Health services research

Background:

  • Safe hospital-to-home transition for technology-dependent children requires specialized caregiver training.
  • Inadequate training leads to discharge delays, readmissions, and caregiver distress.

Purpose of the Study:

  • To evaluate a structured boot camp-style predischarge training program for caregivers of pediatric patients with complex medical conditions.

Main Methods:

  • A quasi-experimental study compared outcomes before and after program implementation.
  • Data were collected from 34 caregivers and 34 control patients' medical records.

Main Results:

  • The program significantly decreased mean unit length of stay (92 vs. 60 days) and mean discharge training days (60 vs. 16 days).
  • Caregiver stress scores decreased (median percentile 49 vs. 45), and over 90% reported high satisfaction.
  • Estimated cost savings ranged from $53,300 to $69,900 per patient.

Conclusions:

  • The training program effectively tracks and verifies caregiver education.
  • It reduces hospital length of stay, caregiver stress, and medical costs while increasing satisfaction.
Abstract

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