Format

Send to

Choose Destination
J Pediatr Nurs. 2015 Sep-Oct;30(5):757-75. doi: 10.1016/j.pedn.2015.05.028. Epub 2015 Jul 18.

Experiences with and Outcomes of Two Interventions to Maximize Engagement of Chronically Ill Adolescents During Hospital Consultations: A Mixed Methods Study.

Author information

1
Erasmus University Rotterdam, Institute of Health Policy & Management (iBMG), Rotterdam, The Netherlands; Rotterdam University of Applied Sciences, Research Centre Innovations in Care, Rotterdam, The Netherlands. Electronic address: vanstaa@bmg.eur.nl.
2
Erasmus University Rotterdam, Institute of Health Policy & Management (iBMG), Rotterdam, The Netherlands; Rotterdam University of Applied Sciences, Research Centre Innovations in Care, Rotterdam, The Netherlands.
3
Erasmus University Rotterdam, Institute of Health Policy & Management (iBMG), Rotterdam, The Netherlands.

Abstract

Improving patient-provider communication during hospital consultations is advocated to enhance self-management planning and transition readiness of adolescents with chronic conditions. This longitudinal mixed methods study evaluates the implementation and the outcomes of independent split-visit consultations and individual transition plans by 22 hospital teams participating in the Dutch Action Program 'On Your Own Feet Ahead!'. The interventions raised awareness in adolescents and professionals, improved adolescents' display of independent behaviors and led to more discussions about non-medical issues. Successful implementation required a team-based approach and clear explanation to parents and adolescents. Pediatric nurses played a pivotal role in improving transitional care.

KEYWORDS:

Individual Transition Plans; Quality Improvement program; adolescent transition; confidentiality; independent consultations; self-management

PMID:
26199096
DOI:
10.1016/j.pedn.2015.05.028
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center