Journal ArticleDOI
Being in control and striving for normalisation: A Norwegian pilot study on parents' perceptions of hospital-at-home
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TLDR
The findings indicate that hospital-at-home for children is a good solution if the parents are well prepared and feel in control, and Norwegian policymakers should initiate more pilot testing of hospital- at- home for children.Abstract:
In recent decades, there has been a shift from hospitalisation to home care throughout the Western world, even for children. Hospital-at-home for children is in a developmental phase and represents a new service model in Norway. The aim of this pilot study conducted in a Norwegian healthcare setting was to explore how parents with a sick child experienced early hospital discharge and further care at home. The qualitative data are drawn from nine interviews with parents with a child admitted to hospital-at-home. Transcripts of interviews were analysed using a method of qualitative content analysis. In the analysis, Antonovsky's salutogenic perspective on how people cope in demanding life situations was applied. The results show that the parents experienced hospital-at-home as providing a calmer, more predictable family life compared to hospitalisation. They argued that good information and training in medical procedures prior to hospital discharge made hospital-at-home easier to master. The participants pointed out the importance of the professionals' competence and their ability to interact with the child and the parent. The certitude that they could return to the hospital at any time made them feel safe and in control. The parents associated hospital-at-home with a kind of normalisation of their family life. They had a prominent need for normalisation, and this was probably a motivation for agreeing to the hospital-at-home arrangement. The findings indicate that hospital-at-home for children is a good solution if the parents are well prepared and feel in control. In addition, certain structural conditions must be in place before this type of health care is established; there must be a certain volume of patients and the distance to the hospital must be clearly limited. Norwegian policymakers should initiate more pilot testing of hospital-at-home for children. Users and clinicians should be involved in establishing and evaluating these services.read more
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Healthcare costs and productivity losses associated with county-based home-care service for sick children in Sweden.
TL;DR: County‐based HCS, provided as complement to and substitute for hospital care for ill children, does not increase healthcare cost and should be a prioritized area when organising paediatric health care.
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End-of-life palliative home care for children with cancer: A qualitative study on parents' experiences.
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Hospital-at-home network in Finland
TL;DR: A large HAH network, based mostly on nursing activities, has been established in Finland and a tendency to increase the availability of the service can be recognized.
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Budget impact analysis of providing hospital inpatient care at home virtually, starting with two specific surgical patient groups
TL;DR: A budget impact analysis of virtual care from the perspective of a large teaching hospital in the Netherlands found that virtual care only saves money if it is deployed at sufficient scale or if it can be designed such that the active involvement of health professionals is minimised.
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Negotiating safety and responsibility in caregiving to children receiving hospital‐at‐home: A Norwegian study of parents and homecare nurses' experiences
TL;DR: The findings suggest that the collaboration with hospital-at-home has an impact on the feeling of safety and control for both parties, and questions whether there is a danger of too much responsibility being left with the parents when homecare services are involved.
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TL;DR: From this qualitative analysis of seven focus groups with 45 parents of children a year or more out of cancer treatment, it is reported those aspects of a child's cancer diagnosis, treatment, and recovery that parents perceived as particularly difficult for their family, and the resources and coping behaviorsParents perceived as helpful to their family in dealing with and managing the cancer experience.
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TL;DR: The PACC medical home intervention increases parent satisfaction with pediatric primary care and makes care delivery easier, and those whose needs are most severe seem to benefit most from the intervention.
Journal ArticleDOI
The needs of parents with chronically sick children: a literature review
TL;DR: The results of the review serve to emphasize and reiterate the burden of the demands made on these parents, and act as a reminder of the need for empathetic care delivery.