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Paediatric home nursing scheme in Gateshead

M R Hally, A Holohan, R H Jackson

    British Medical Journal
    |March 19, 1977
    PubMed
    Summary

    A specialized home nursing scheme for sick children in Gateshead provided an alternative to hospital admission. Most mothers favored this pediatric home care, especially for young children from working-class families.

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    Area of Science:

    • Pediatric Nursing
    • Community Health Services
    • Home Healthcare

    Background:

    • Established in Gateshead in 1974, a specialized nursing care scheme aimed to provide pediatric care within children's homes.
    • The initiative sought to offer an alternative to traditional hospital admission for acutely ill children.

    Purpose of the Study:

    • To evaluate the implementation and initial reception of a home-based specialized nursing care program for sick children.
    • To assess the feasibility of retraining district nurses for advanced pediatric home care.

    Main Methods:

    • Selected district nurses received specialized training in a pediatric unit.
    • Nurses provided home care for 22 children referred by general practitioners and 39 discharged from the hospital.
    • The study focused on children aged 3 years or younger, primarily from working-class backgrounds.

    Main Results:

    • The scheme successfully provided specialized nursing care to children in their homes.
    • A significant number of children, referred by both general practitioners and hospitals, received this service.
    • The majority of mothers surveyed expressed positive opinions regarding the home care scheme.

    Conclusions:

    • The specialized pediatric home nursing scheme offered a viable alternative to hospitalization.
    • The program demonstrated potential for effective community-based care for young, sick children.
    • Maternal satisfaction suggests a positive reception and potential for wider adoption of such services.

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