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Children with medical complexity: A concept analysis

Jayne Rogers1, Mary P Reed1, Kevin Blaine2

  • 1Medical Nursing Service, Boston Children's Hospital, Boston, Massachusetts, USA.

Nursing Forum
|February 24, 2021
PubMed

Insights

Children with medical complexity (CMC) are a growing group of pediatric patients with multiple chronic conditions requiring extensive care. This analysis clarifies the definition and characteristics of CMC to support future research.

Area of Science:

  • Pediatric Healthcare
  • Complex Chronic Conditions
  • Medical Terminology Analysis

Background:

  • Children with medical complexity (CMC) is an emerging descriptor for pediatric patients with chronic, sustained health issues.
  • A significant lack of consensus exists in current literature regarding the precise definition, characteristics, and implications of CMC.

Purpose of the Study:

  • To conduct a comprehensive concept analysis of the term "children with medical complexity" (CMC).
  • To explore the significance, attributes, antecedents, and consequences of the CMC concept.

Main Methods:

  • Utilized the established Walker and Avant framework for concept analysis.
  • Conducted a systematic literature search across CINAHL, MEDLINE, and PubMed databases from April to December 2020.
  • Keywords included "children with medical complexity," "pediatric medical complexity," and "nursing care of children with medical complexity."

Main Results:

  • Children with medical complexity (CMC) are identified as a growing population.
  • These patients typically present with one or more complex chronic conditions impacting multiple body systems.
  • Key characteristics include functional limitations, extensive care coordination needs, and dependence on life-sustaining medical technology.

Conclusions:

  • This concept analysis provides a foundational understanding of children with medical complexity (CMC).
  • The findings establish a basis for future research aimed at advancing the understanding and care of CMC.
Abstract

Keywords:
children with medical complexitynursing care of children with medical complexitypediatric medical complexity

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