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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.
Background:
The safe transition of children with complex medical conditions who are dependent on technology from hospital to home requires that caregivers receive specialized training from qualified health care professionals. Inadequate caregiver training can lead to discharge delays and hospital readmissions, often resulting in caregiver distress.
Objective:
To determine the effectiveness of a structured boot camp-style predischarge training program for caregivers of pediatric patients with complex medical conditions.
Methods:
We conducted a quasi-experimental interventional study to compare outcomes before and after implementation of the training program, which involved 34 caregivers. Pre-boot camp data were collected retrospectively from the medical records of 34 control patients.
Results:
After program implementation, statistically significant decreases were found in mean unit length of stay (92 vs 60 days; P = .02), mean discharge training days (60 vs 16 days; P < .001), and median total parental stress score, expressed as a percentile (49 vs 45; P < .001). More than 90% of caregiver participants were very satisfied with the program. On the basis of minimal length of stay limits, cost savings were estimated at between $53 300 and $69 900 per patient.
Conclusion:
The results of this study indicate that the training program is a valuable tool to track and verify caregiver education, reduce hospital length of stay, increase caregiver satisfaction, decrease caregiver stress, and reduce medical costs.
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