Children's Safety, Parental Anxiety
Conditions
Keywords
Parental anxiety, Children's safety, Family Centered Care, Bedside Transfer Rounds, Pediatric Cardiac Intensive Care
Brief summary
The investigators shall conduct a randomized controlled trial to investigate the effect of parental presence at transfer rounds on parental anxiety and patient safety following transfer from the Pediatric Cardiac Intensive Care Unit (PCICU) to the ward. The investigators plan to test the hypothesis that parental involvement in the child's transfer, with the option of peer support, will result in measurable reductions in medication errors, unplanned nutritional and feeding management, and parental anxiety after transfer as compared to the control group. The investigators goal is to improve continuity of care by implementing multidisciplinary transfer rounds at the child's bedside in which patients and family share in the control of the management plan when a cardiac child is discharged from PCICU to the ward.
Interventions
OTHERParental Presence at Handover Rounds
Sponsors
Canadian Medical Protective Association
University of Alberta
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Parents of cardiac children aged 1 day to 17 years admitted to PCICU * Written informed consent and assent when appropriate * Planned discharge from the PCICU to the ward.
Exclusion criteria
* Parents with less than grade 6 reading skills as they will not be able to independently take the Spielberger's State -Trait Anxiety Inventory (STAI). * Parents who are not willing to be randomized to the control group in which they cannot be present for transfer rounds. * Neonates being discharged from PCICU to NICU or neonates being discharged from NICU to wards.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in parental STAI score | 2 to 4 hours post transfer | Speilberger State-Trait Anxiety Inventory will be administered to participating parents both prior to and post transfer of their child out of the pediatric cardiac ICU. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rate of unplanned changes in medication and nutrition management | 48 hours post transfer | Medication and nutritional order reconciliation will occur 48 hours after transfer from the PCICU. The pharmacist, dietician and physician who review the patient charts and order sheets will be blinded to the randomization. Differences between pre and post transfer orders will be discussed to detect omissions and/or deviation from standard of care. |
Countries
Canada
Outcome results
None listed