Evidence map›Paper›PMID 42001451›Full record

ArticleJournal of advanced nursing2026

Equitable Discharge Teaching During COVID-19: Paediatric Emergency Nurses' Perspectives From Qualitative Interviews.

Brian Burns, Kirsten Senturia, Yesenia Garcia, Emily Hartford, Julie C Brown, Elizabeth Wingfield, K Casey Lion, M Rebecca O'Connor

Registry-linked trialAbstract read
In one paragraph

Article in Journal of advanced nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04676490 (Recordable Cards for Optimizing Outcomes and Reducing Disparities After ED Discharge), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT04676490 nacompletednot on this map

Recordable Cards for Optimizing Outcomes and Reducing Disparities After ED Discharge

TypeinterventionalSponsorSeattle Children's HospitalRan2020 to 2022Enrolled160ConditionsAsthma in ChildrenArmsRECORD-ED Card, RECORD-ED Patient Portal
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Brian BurnsEmergency Services, Seattle Children's Hospital, Seattle, Washington, USA.ORCID https://orcid.org/0009-0002-0318-8400
Kirsten SenturiaCenter for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington, USA.
Yesenia GarciaDepartment of Pediatrics, University of Washington School of Medicine, Seattle, Washington, USA.
Emily HartfordCenter for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington, USA.ORCID https://orcid.org/0000-0001-8209-6381
Julie C BrownCenter for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington, USA.
Elizabeth WingfieldDepartment of Pediatrics, University of Washington School of Medicine, Seattle, Washington, USA.
K Casey LionCenter for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington, USA.
M Rebecca O'ConnorChild, Family and Population Health Nursing, University of Washington, Seattle, Washington, USA.

Funding

RiNGH (Research in Nursing & Global Health) Training ProgramT32NR019761 · NINR · UNIVERSITY OF WASHINGTON · PI KOHLER, PAMELA, PINTYE, JILLIAN · 2021 to 2025
$1.4M
Recordable Cards for Optimizing Outcomes and Reducing Disparities after ED Discharge: The RECORD-ED Pilot StudyR21NR018914 · NINR · SEATTLE CHILDREN'S HOSPITAL · PI LION, KATHERINE CASEY · 2020 to 2021
$439k
NIH HHS T32NR019761NINR NIH HHS R21 NR018914NINR NIH HHS R21NR018914NINR NIH HHS T32 NR019761
6 · The paper itself

Abstract

aimsTo identify facilitators and barriers to quality, equitable discharge teaching by paediatric emergency department nurses during the COVID-19 pandemic, describe impacts of inequitable discharge teaching, and identify potential solutions to the barriers. DESIGN AND

methodsTwenty-two nurses in a single urban paediatric hospital participated in individual interviews from January to April 2022 via phone or videoconference. Interviews were transcribed and analysed using an inductive codebook.

resultsSix barriers to equitable discharge teaching were identified: ED overcrowding, travel nurse training/knowledge, burnout and stress, increased role complexity, COVID precautions, and resource bottlenecks. Two facilitators were also identified: engagement and effective communication. Nurses described the impacts of these barriers along with proposed solutions to improve discharge teaching.

conclusionsThe COVID-19 pandemic created additional barriers to discharge teaching in the paediatric emergency department. Nurses identified barriers and facilitators, the impacts on patients and families, and potential solutions to improve equitable discharge teaching. PRACTICE IMPLICATIONS: This study identifies how periods of high patient volumes or frequent process changes during a pandemic exacerbate inequities in discharge teaching. IMPACT: This study identifies barriers and facilitators that shaped nurses' ability to provide quality, equitable discharge teaching during the COVID-19 pandemic and offers actionable guidance for hospital leaders and health systems to improve discharge teaching and enhance emergency preparedness for future public health crises. REPORTING

methodThis study conforms to the Standards for Reporting Qualitative Research. PATIENT OR PUBLIC CONTRIBUTION: This study did not include patient or public involvement in its design, conduct, or reporting.

trial registrationClinicalTrials.gov identifier: NCT04676490.

Indexed as

COVID-19Emergency NursingNursing Staff, HospitalPatient DischargePediatric NursingAdultAttitude of Health PersonnelChildEmergency Service, HospitalFemaleHumansMaleQualitative ResearchCOVID‐19discharge teachingemergency departmenthealth disparitieshealth equity

Identifiers

PMID42001451
PMCPMC13179010

What OpenQuestion holds

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Registered trials

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.