Evidence map›Paper›PMID 32531681›Full record

ArticleJournal of pediatric nursing

Engaging Parents in Education for Discharge (ePED): Evaluating the Reach, Adoption & Implementation of an Innovative Discharge Teaching Method.

Norah L Johnson, Stacee Lerret, Carol G Klingbeil, Michele Polfuss, Cori Gibson, Karen Gralton, Mauricio Garnier-Villarreal, S Iqbal Ahamed, Adib Riddhiman, Rachel Unteutsch and 4 more

Abstract read
In one paragraph

Article in Journal of pediatric nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. NICU discharge preparation and transition planning: guidelines and recommendations.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Norah L JohnsonCollege of Nursing, Marquette University, Milwaukee, WI, United States of America; Children's Hospital of Wisconsin, Milwaukee, WI, United States of America. Electronic address: norah.johnson@marquette.edu.
Stacee LerretChildren's Hospital of Wisconsin, Milwaukee, WI, United States of America; Medical College of Wisconsin, Milwaukee, WI, United States of America. Electronic address: slerret@mcw.edu.
Carol G KlingbeilCollege of Nursing, University of Wisconsin-Milwaukee, Milwaukee, WI, United States of America. Electronic address: klingbei@uwm.edu.
Michele PolfussChildren's Hospital of Wisconsin, Milwaukee, WI, United States of America; College of Nursing, University of Wisconsin-Milwaukee, Milwaukee, WI, United States of America. Electronic address: MPolfuss@chw.org.
Cori GibsonChildren's Hospital of Wisconsin, Milwaukee, WI, United States of America. Electronic address: CGibson@chw.org.
Karen GraltonChildren's Hospital of Wisconsin, Milwaukee, WI, United States of America. Electronic address: KGralton@chw.org.
Mauricio Garnier-VillarrealCollege of Nursing, Marquette University, Milwaukee, WI, United States of America. Electronic address: mauricio.garniervillarreal@marquette.edu.
S Iqbal AhamedCollege of Nursing, Marquette University, Milwaukee, WI, United States of America. Electronic address: sheikh.ahamed@marquette.edu.
Adib RiddhimanCollege of Nursing, Marquette University, Milwaukee, WI, United States of America. Electronic address: riddhiman.adib@marquette.edu.
Rachel UnteutschMedical College of Wisconsin, Milwaukee, WI, United States of America. Electronic address: runteutsch@mcw.edu.
Louis PawelaMedical College of Wisconsin, Milwaukee, WI, United States of America. Electronic address: lpawela@mcw.edu.
Rosemary White-TrautChildren's Hospital of Wisconsin, Milwaukee, WI, United States of America. Electronic address: RWhite-Traut@chw.org.
Kathy SawinChildren's Hospital of Wisconsin, Milwaukee, WI, United States of America; College of Nursing, University of Wisconsin-Milwaukee, Milwaukee, WI, United States of America. Electronic address: KSawin@chw.org.
Marianne WeissCollege of Nursing, Marquette University, Milwaukee, WI, United States of America. Electronic address: marianne.weiss@marquette.edu.

Funding

Clinical and Translational Science AwardUL1TR001436 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI FREED, JULIE K · 2015 to 2025
$47.5M
NCATS NIH HHS UL1 TR001436
6 · The paper itself

Abstract

purposeThis paper describes the evaluation of the implementation of an innovative teaching method, the "Engaging Parents in Education for Discharge" (ePED) iPad application (app), at a pediatric hospital. DESIGN AND

methodsThe Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework was used to guide the evaluation. Three of the five RE-AIM elements are addressed in this study: Reach, Adoption, and Implementation.

resultsThe Reach of the ePED was 245 of 1015 (24.2%) patient discharges. The Adoption rate was 211 of 245 (86%) patients discharged in the five months' study period. High levels of fidelity (89.3%) to Implementation of the ePED were attained: the Signs and Symptoms domain had the highest (93%) and Thinking Forward about Family Adjustment screen had the lowest fidelity (83.3%). Nurse themes explained implementation fidelity: "It takes longer", and "Forgot to do it."

conclusionsThe ePED app operationalized how to have an engaging structured discharge conversation with parents. While the Reach of the ePED app was low under the study conditions, the adoption rate was positive. Nurses were able to integrate a theory-driven practice change into their daily routine when using the ePED app. IMPLICATIONS FOR PRACTICE: The rates of adoption and implementation fidelity support the feasibility of future hospital wide implementation to improve patient and family healthcare experience. Attention to training of new content and the interactive conversation approach will be needed to fully leverage the value of the ePED app. Future studies are needed to evaluate the maintenance of the ePED app.

Indexed as

ParentsPatient DischargeChildCommunicationDelivery of Health CareHealth PromotionHumansDischarge teachingFamily engagementImplementation evaluationREAIM

Identifiers

PMID32531681
PMCPMC10465147

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.