Nurse-to-family telehealth for pediatric transfers: protocol for a feasibility and pilot cluster randomized controlled trial
Abstract Background Children presenting to emergency departments of community hospitals may require transfer to a children’s hospital for more definitive care, but the transfer process can be distressing and burdensome to patients, families, and the healthcare system. Using telehealth to bring the c...
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | Pilot and Feasibility Studies |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40814-023-01292-4 |
| _version_ | 1797846127778725888 |
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| author | Jennifer L. Rosenthal Adrienne E. Hoyt-Austin Audriana Ketchersid April Sanders Thomas A. Harper Daniel J. Tancredi Heather M. Young Patrick S. Romano James P. Marcin |
| author_facet | Jennifer L. Rosenthal Adrienne E. Hoyt-Austin Audriana Ketchersid April Sanders Thomas A. Harper Daniel J. Tancredi Heather M. Young Patrick S. Romano James P. Marcin |
| author_sort | Jennifer L. Rosenthal |
| collection | DOAJ |
| description | Abstract Background Children presenting to emergency departments of community hospitals may require transfer to a children’s hospital for more definitive care, but the transfer process can be distressing and burdensome to patients, families, and the healthcare system. Using telehealth to bring the children’s hospital nurse virtually to the bedside of the child in the emergency department has the potential to promote family-centered care and minimize triage issues and other transfer-associated burdens. To explore the feasibility of the nurse-to-family telehealth intervention, we are conducting a pilot study. Methods This parallel cluster randomized controlled feasibility and pilot trial will randomize six community emergency departments to use either nurse-to-family telehealth (intervention) or usual care (control) for pediatric inter-facility transfers. All eligible children presenting to a participating site during the study period who require inter-facility transfer will be included. Eligibility requires that there be an English-speaking adult parent or guardian at the emergency department bedside. We will examine feasibility objectives that assess protocol assignment adherence, fidelity, and survey response rates. We will measure subject-level exploratory outcome data to test feasibility of data collection and to obtain effect size estimates; exploratory outcomes include family-centered care, family experience, parent acute stress, parent distress, and change in level of care. Additionally, we will conduct a mixed methods implementation evaluation using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework. Discussion The findings from this trial will increase our understanding about nurse-to-family telehealth during pediatric transfers. The mixed methods implementation evaluation will provide relevant insight about the contextual factors that influence the implementation and rigorous evaluation of our intervention. Trial registration ClinicalTrials.gov Identifier: NCT05593900. First Posted: October 26, 2022. Last Update Posted: December 5, 2022. |
| first_indexed | 2024-04-09T17:49:56Z |
| format | Article |
| id | doaj.art-fe19507885d24c029e62dc049fbe404a |
| institution | Directory Open Access Journal |
| issn | 2055-5784 |
| language | English |
| last_indexed | 2024-04-09T17:49:56Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Pilot and Feasibility Studies |
| spelling | doaj.art-fe19507885d24c029e62dc049fbe404a2023-04-16T11:07:11ZengBMCPilot and Feasibility Studies2055-57842023-04-01911910.1186/s40814-023-01292-4Nurse-to-family telehealth for pediatric transfers: protocol for a feasibility and pilot cluster randomized controlled trialJennifer L. Rosenthal0Adrienne E. Hoyt-Austin1Audriana Ketchersid2April Sanders3Thomas A. Harper4Daniel J. Tancredi5Heather M. Young6Patrick S. Romano7James P. Marcin8Department of Pediatrics, University of California DavisDepartment of Pediatrics, University of California DavisDepartment of Pediatrics, University of California DavisDepartment of Pediatrics, University of California DavisCenter for Health and Technology, University of California DavisDepartment of Pediatrics, University of California DavisBetty Irene Moore School of Nursing, University of California DavisDepartment of Pediatrics, University of California DavisDepartment of Pediatrics, University of California DavisAbstract Background Children presenting to emergency departments of community hospitals may require transfer to a children’s hospital for more definitive care, but the transfer process can be distressing and burdensome to patients, families, and the healthcare system. Using telehealth to bring the children’s hospital nurse virtually to the bedside of the child in the emergency department has the potential to promote family-centered care and minimize triage issues and other transfer-associated burdens. To explore the feasibility of the nurse-to-family telehealth intervention, we are conducting a pilot study. Methods This parallel cluster randomized controlled feasibility and pilot trial will randomize six community emergency departments to use either nurse-to-family telehealth (intervention) or usual care (control) for pediatric inter-facility transfers. All eligible children presenting to a participating site during the study period who require inter-facility transfer will be included. Eligibility requires that there be an English-speaking adult parent or guardian at the emergency department bedside. We will examine feasibility objectives that assess protocol assignment adherence, fidelity, and survey response rates. We will measure subject-level exploratory outcome data to test feasibility of data collection and to obtain effect size estimates; exploratory outcomes include family-centered care, family experience, parent acute stress, parent distress, and change in level of care. Additionally, we will conduct a mixed methods implementation evaluation using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework. Discussion The findings from this trial will increase our understanding about nurse-to-family telehealth during pediatric transfers. The mixed methods implementation evaluation will provide relevant insight about the contextual factors that influence the implementation and rigorous evaluation of our intervention. Trial registration ClinicalTrials.gov Identifier: NCT05593900. First Posted: October 26, 2022. Last Update Posted: December 5, 2022.https://doi.org/10.1186/s40814-023-01292-4PediatricsClinical trialFeasibility studyPilot studyTelemedicineHospital medicine |
| spellingShingle | Jennifer L. Rosenthal Adrienne E. Hoyt-Austin Audriana Ketchersid April Sanders Thomas A. Harper Daniel J. Tancredi Heather M. Young Patrick S. Romano James P. Marcin Nurse-to-family telehealth for pediatric transfers: protocol for a feasibility and pilot cluster randomized controlled trial Pilot and Feasibility Studies Pediatrics Clinical trial Feasibility study Pilot study Telemedicine Hospital medicine |
| title | Nurse-to-family telehealth for pediatric transfers: protocol for a feasibility and pilot cluster randomized controlled trial |
| title_full | Nurse-to-family telehealth for pediatric transfers: protocol for a feasibility and pilot cluster randomized controlled trial |
| title_fullStr | Nurse-to-family telehealth for pediatric transfers: protocol for a feasibility and pilot cluster randomized controlled trial |
| title_full_unstemmed | Nurse-to-family telehealth for pediatric transfers: protocol for a feasibility and pilot cluster randomized controlled trial |
| title_short | Nurse-to-family telehealth for pediatric transfers: protocol for a feasibility and pilot cluster randomized controlled trial |
| title_sort | nurse to family telehealth for pediatric transfers protocol for a feasibility and pilot cluster randomized controlled trial |
| topic | Pediatrics Clinical trial Feasibility study Pilot study Telemedicine Hospital medicine |
| url | https://doi.org/10.1186/s40814-023-01292-4 |
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