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Home Health Care Providers' Readiness to Care for Children and Youth With Complex Medical Conditions: A Scoping

Joanne Tay1, Joanne Ta1, Amanda Rilett1

  • 1Faculty of Nursing, University of Windsor, Windsor, Ontario, Canada.

Journal of Paediatrics and Child Health
|May 12, 2026
PubMed

Insights

Home care provider readiness for children and youth with medical complexity (CYMC) is crucial for safety. Limited training, challenging home environments, and system gaps hinder readiness, impacting care quality and patient outcomes.

Area of Science:

  • Pediatric Nursing
  • Home Healthcare
  • Medical Complexity

Background:

  • Children and youth with medical complexity (CYMC) require specialized home care.
  • Assessing and ensuring provider readiness is vital for safe and effective care delivery.

Purpose of the Study:

  • To synthesize evidence on the conceptualization, influencing factors, and support strategies for home care provider readiness for CYMC.
  • To identify gaps in current understanding and practice regarding provider readiness.

Main Methods:

  • A comprehensive scoping review adhering to PRISMA-ScR and Joanna Briggs Institute guidelines.
  • Systematic searches across multiple databases (MEDLINE, Scopus, CINAHL, PsycINFO, Cochrane, ProQuest) and grey literature.
  • Inclusion of quantitative, qualitative, and mixed-methods studies examining provider readiness for CYMC (0-18 years) in home settings.

Main Results:

  • Providers reported insufficient pediatric-specific education, mentorship, and supervision, relying heavily on experiential learning.
  • Readiness is influenced by home conditions, isolation, role ambiguity, family dynamics, and equipment reliability.
  • Lower provider readiness correlated with safety concerns, readmissions, family stress, and moral distress.

Conclusions:

  • Provider readiness is a critical safety and quality indicator in pediatric home care.
  • Readiness is shaped by clinical, relational, and systemic factors.
  • Future research should focus on defining the construct, developing measurement tools, and testing integrated support strategies.

Keywords:
children with medical complexitycompetencefamily‐centred carepaediatric home careprovider readinesstechnology‐dependent careworkforce preparedness

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