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Co-design of a paediatric post-trauma electronic psychosocial screen
Bronwyn R Griffin1, Kate Trenoweth2, Tanesha A Dimanopoulos1
1Menzies Health Institute Queensland, Griffith University, Nathan Campus, QLD, Australia; Children's Health Queensland Hospital and Health Service, Brisbane, QLD, Australia.
Insights
This study developed an electronic screening tool to identify psychosocial needs in children with traumatic injuries after hospital discharge. The tool enhances care pathway transparency and supports targeted resource allocation for trauma family support services.
Area of Science:
- Pediatric trauma care
- Psychosocial health
- Healthcare pathway optimization
Background:
- Injured children face significant psychosocial challenges post-discharge.
- Current screening methods may not fully capture these needs.
- Optimizing care pathways is crucial for effective support.
Purpose of the Study:
- To co-design an electronic psychosocial screening tool for children with traumatic injuries.
- To improve transparency of psychosocial needs after hospital discharge.
- To enhance care pathways and resource allocation for trauma family support.
Main Methods:
- Mixed-methods study utilizing Experience-Based Co-design (EBCD).
- Carer interviews to evaluate experiences and intervention views.
- Online surveys with child psychologists and clinician-stakeholder consensus meetings to develop an electronic screening tool.
Main Results:
- Carers found initial follow-up helpful and expressed interest in electronic screening.
- Child trauma experts recommended specific screening tools.
- A multidisciplinary team collaborated to develop a consensus-based electronic screening and follow-up process.
Conclusions:
- A co-designed electronic screening and follow-up process was developed for pediatric trauma.
- The tool increases visibility of children's psychosocial needs, aiding resource allocation.
- Specialized psychosocial screening is vital in pediatric nursing and trauma care for patient-centered approaches.
Purpose:
To optimise care pathways and provide greater transparency of the psychosocial needs of injured children after hospital discharge by extending post-discharge psychosocial screening to children admitted with traumatic injury for ≥24 h.
Design And Methods:
This mixed-methods study used a co-design approach informed by the Experience-Based Co-design (EBCD) framework. Interviews with carers were used to evaluate experiences and generate views on psychosocial support interventions. Online surveys by international child psychologists' indicated preferences for a psychosocial screening tool, and clinician-stakeholder consensus meetings facilitated the development of an electronic post-injury psychosocial screening tool.
Results:
Carers found the initial year of follow-up from trauma family support services helpful, appreciating the hospital connection. Flexible follow-up timings and additional resources were mentioned, and most carers were interested in participating in an electronic screening activity to predict their child's coping after injury. Child trauma experts recommended including several screening tools, and the multidisciplinary paediatric trauma service and study investigators collaborated over a year to workshop and reach a consensus on the screening tool and follow-up process.
Conclusion:
The multidisciplinary team co-designed an electronic psychosocial screening and follow-up process for families with children with traumatic injuries. This tool improves the visibility of injured children's psychosocial needs post-injury and potentially aids clinical targeted resource allocation for trauma family support services.
Practice Implications:
The study emphasises the significance of specialised psychosocial screening tools in paediatric nursing, especially in trauma care, for understanding patients' psychosocial needs, tailoring follow-up plans, and promoting a patient-centred approach.
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