Effect of a children’s at-home nursing team on reducing emergency admissions
Laura Farnham Team leader, King’s College Hospital NHS Foundation Trust, London, England
Hannah Harwood Paediatric nurse, King’s College Hospital NHS Foundation Trust, London, England
Meredith Robertson Darzi fellow, King’s College Hospital NHS Foundation Trust, London, England
This article explores the effect of a children’s at-home nursing team, Hospital at Home (H@H), which aimed to reduce demand on acute hospital beds, support families to improve patient experience, and empower parents to care safely for their unwell children and help prevent emergency department (ED) reattendance. Data on demographics and clinical presentation of H@H and ED attendances were collected and compared. A survey measuring parents’ confidence in managing their unwell children was also conducted.
Of 72 patients treated by the H@H service between May and July 2016, 32 (44%) would have been admitted to hospital from the ED if the H@H service had not existed. This is equivalent to a saving of 64 bed days. Patients treated by the H@H service had similar demographics to those discharged from the ED to usual care. The H@H service took on patients with higher Bedside Paediatric Early Warning System scores before discharge. Parents reported that they would be more confident caring for their children after discharge from the H@H service. The H@H service decreased the number of unnecessary ED admissions. The service promotes a positive patient experience and increases parents’ confidence when caring for unwell children at home.
Nursing Children and Young People. 29, 10,31-37. doi: 10.7748/ncyp.2017.e930
Received: 24 March 2017
Accepted: 05 September 2017
Published in print: 05 December 2017Peer review
This article has been subject to open peer review and checked for plagiarism using automated softwareConflict Of Interest