Day-stay for Paediatric Cardiac Catheterisation Measuring the Impact

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dc.contributor.advisor Oster, S en
dc.contributor.advisor Crossan, M en
dc.contributor.author Tilton, Elizabeth en
dc.date.accessioned 2011-12-12T21:59:24Z en
dc.date.issued 2011 en
dc.identifier.uri http://hdl.handle.net/2292/9990 en
dc.description Full text is available to authenticated members of The University of Auckland only. en
dc.description.abstract Aim: To describe the impact of the implementation of a day-stay cardiac catheterisation care pathway on length of hospital stay, hospital re-admissions post day-stay and level of parental satisfaction with this approach. Background: There is an international trend towards increasing numbers of paediatric procedures being performed on a day-stay basis. Corresponding with this shift in practice, the sole New Zealand provider of Paediatric Cardiac services implemented a pathway to undertake cardiac catheterisation utilising a day-stay approach in select patients. Methods: Two quantitative studies were undertaken utilising observational designs. Data was collected over the initial five month period of the day-stay pathway implementation. The organisational impact study assessed the impact through comparing a sample of ninety three elective cardiac catheter patients post the care pathway implementation in 2011 to a baseline sample of sixty nine patients in the same time period the year prior to the pathway implementation. The parental impact study comprised a sample of nineteen parents who consented to complete the anonymous written questionnaire developed specifically for this study. Findings: A significant increase in the day-stay rates from 2010 to 2011, from 2.9% to 22.6% (p-value 0.000) was reported. A significant decrease in length of hospital stay was identified between 2010 and 2011 (p-value 0.001). In the 2011 sample there were twenty one day-stay paediatric cardiac catheterisation patients. The mean length of stay for the day-stay patients was 25.49 hours less than those treated as inpatients (p-value 0.000). No patients were re-admitted post discharge on the same day as their cardiac catheterisation. The parental impact questionnaire response rate was 47%. Study participants reported a high level of satisfaction with the day-stay approach, 89% identified they would prefer discharge on the same day as their child’s cardiac catheterisation as opposed to overnight hospital stay. Conclusion: This research portfolio demonstrated the positive impact of the day-stay care pathway on length of hospital stay and parent satisfaction for paediatric patients with CHD undergoing cardiac catheterisation. Paediatric day-stay patients stay a significantly shorter time in hospital than those treated as inpatients and parents demonstrate a high level of satisfaction with this approach. en
dc.publisher ResearchSpace@Auckland en
dc.relation.ispartof Masters Thesis - University of Auckland en
dc.relation.isreferencedby UoA99226102314002091 en
dc.rights Restricted Item. Available to authenticated members of The University of Auckland. en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/3.0/nz/ en
dc.title Day-stay for Paediatric Cardiac Catheterisation Measuring the Impact en
dc.type Thesis en
thesis.degree.discipline Nursing en
thesis.degree.grantor The University of Auckland en
thesis.degree.level Masters en
dc.rights.holder Copyright: The author en
pubs.elements-id 259948 en
pubs.record-created-at-source-date 2011-12-13 en


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