Paediatric caregivers: The characteristics of inpatient and discharge advice

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Authors

Dunphy, Norah Maria

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Degree

Master of Nursing

Grantor

Eastern Institute of Technology

Date

2017

Supervisors

Marshall, Bob
Doran, Teresa

Type

Masters Thesis

Ngā Upoko Tukutuku (Māori subject headings)

Keyword

New Zealand
paediatrics
care givers
discharge information
communication

ANZSRC Field of Research Code (2020)

Citation

Dunphy, N. M. (2017). Paediatric caregivers: The characteristics of inpatient and discharge advice. (Unpublished document submitted in partial fulfilment of the requirements for the degree of Master of Nursing). Eastern Institute of Technology (EIT), New Zealand.

Abstract

This thesis evaluates paediatric caregiver experience and understanding of discharge advice as improved caregiver understanding may reduce representations to hospital, improve health literacy, and improve long term health outcomes. METHOD A qualitative inductive approach allowed caregiver experience to emerge from ten randomised caregiver interviews. Children were under 15 years of age and who had their first admission to hospital with a medical condition. FINDINGS Emergent themes were: 1) Health Literacy and Communication; 2) Day of discharge issues; 3) Anxiety; 4) Discharge planning and 5) Accessing health care in their community. Themes discussed are Health Literacy and Communication, Day of Discharge Issues and Discharge Planning. CONCLUSION Health Literacy and Communication is a major barrier to effective communication. Recommendations: to improve utilisation of the Maori Health Unit and Pacific Health Navigator service; review the discharge planning process; verbal explanation of the discharge summary to caregivers at the time of discharge; develop a patient-directed discharge letter for caregivers written in plain English.

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