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Engaging Parents in Education for Discharge (ePED): Evaluating the Reach, Adoption & Implementation of an Innovative
Norah L Johnson1, Stacee Lerret2, Carol G Klingbeil3
1College of Nursing, Marquette University, Milwaukee, WI, United States of America; Children's Hospital of Wisconsin, Milwaukee, WI, United States of America.
Journal of Pediatric Nursing
|June 13, 2020
Summary
The Engaging Parents in Education for Discharge (ePED) app showed positive adoption and implementation fidelity in a pediatric hospital. Future hospital-wide use requires attention to training and interactive approaches for better patient and family experiences.
Area of Science:
- Pediatric healthcare innovation
- Digital health tools in patient education
- Implementation science in clinical settings
Background:
- Effective discharge education is crucial for pediatric patient outcomes.
- Innovative digital tools can enhance parent engagement during hospital stays.
- The Engaging Parents in Education for Discharge (ePED) iPad application was developed to improve discharge communication.
Purpose of the Study:
- To evaluate the implementation of the ePED iPad application in a pediatric hospital setting.
- To assess the Reach, Adoption, and Implementation of the ePED app using the RE-AIM framework.
- To understand nurse-identified barriers and facilitators to using the ePED app.
Main Methods:
- The Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework guided the evaluation.
- Data were collected on patient discharge reach, adoption rates, and implementation fidelity.
- Qualitative nurse themes were analyzed to understand implementation challenges.
Main Results:
- The ePED app reached 24.2% of patient discharges.
- An adoption rate of 86% was observed among eligible patients.
- High implementation fidelity (89.3%) was achieved, with variations across app domains.
Conclusions:
- The ePED app facilitates structured, engaging discharge conversations with parents.
- Positive adoption and implementation fidelity suggest feasibility for wider hospital adoption.
- Future implementation requires enhanced training and focus on interactive communication to maximize the app's value.
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