Abstract
Discharge instructions for parents in the context of pediatric emergency care: a narrative review
Highlights
The primary goal of this synthesis project was to understand how and why discharge instructions worked under different conditions
Materials and methods We conducted a narrative review of the policy and empirical literature to examine how and why discharge instructions worked under different conditions in the context of pediatric emergency care
We developed a preliminary synthesis using textual descriptions, tabulation and content analysis
Summary
Emergency departments are the leading providers of unscheduled care with over 85% of patients discharged home after their visit. Discharge communication with parents has been shown to vary across setting and illness presentation. Emergency practice environments are chaotic by nature and characterized by multiple interruptions. The primary goal of this synthesis project was to understand how and why discharge instructions worked under different conditions. The majority of interventions were educational strategies targeting parents of children with different illness presentations. Most studies were carried out in larger urban paediatric emergency departments. The authors identified a range of factors influencing implementation of the interventions including duration of the educational intervention, timing of delivery in the emergency department visit, the mode of delivery, and illness acuity of the child
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