Time‐motion observations to characterize the developmental environment in a paediatric post‐acute care hospital.
Background: Chronically hospitalized children are at risk for neurodevelopmental delay, compounded by restricted social interactions, movement and environmental stimulation. We measured patients' movements and interactions to characterize developmentally relevant aspects of our inpatient environment...
| Publicado en: | Child: Care, Health & Development Vol. 50; no. 1; pp. 1 - 12 |
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| Autores principales: | , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jan2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175014655&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175014655 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03051862 6NX jtl: Child: Care, Health & Development issn: 03051862 maglogo: Y pubinfo: dt: Jan2024 vid: 50 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 175014655 172297511 175014655 175014655 10.1111/cch.13179 175014655 ppf: 1 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Time‐motion observations to characterize the developmental environment in a paediatric post‐acute care hospital. aug: au: Hogan, Patrick G. Wallace, Claire E. Schaffer‐Nay, Nanette R. Al‐Zubeidi, Duha Holekamp, Nicholas A. affil: Ranken Jordan Pediatric Bridge Hospital, Maryland Heights Missouri, , USA sug: subj: Acute Care Hospitals, Pediatric Child, Medically Fragile Time Factors Pediatric Care Neurodevelopment Physiology Health Facility Environment Length of Stay Human Male Female Time and Motion Studies Infant Child, Preschool Interpersonal Relations Inpatients Descriptive Statistics Comparative Studies Quality Improvement Infant: 1-23 months Child, Preschool: 2-5 years Male Female ab: Background: Chronically hospitalized children are at risk for neurodevelopmental delay, compounded by restricted social interactions, movement and environmental stimulation. We measured patients' movements and interactions to characterize developmentally relevant aspects of our inpatient environment and identify opportunities for developmental enrichment. Methods: As part of a quality improvement initiative to inform neurodevelopmental programming for children with medical complexity at our paediatric post‐acute care specialty hospital, we conducted >232 hours of time‐motion observations. Trained observers followed 0‐ to 5‐year‐old inpatients from 7 am to 7 pm on weekdays, categorizing observations within five domains: Where, With, Position, State and Environment. Observations were collected continuously utilizing REDCap on iPads. A change in any domain initiated a new observation. Results: Patients were median 1 year and 8 months of age (range 2 months to 3 years 9 months) with a median length of hospitalization of 514 days (range 66–1298). In total, 2636 unique observations (or median 134 observations per patient‐day [range 95–210]) were collected. Patients left their rooms up to 4 times per day for median 1 h and 34 min (range 41 min to 4 h:30 min). Patients spent 4 h:6 min (2 h:57 min to 6 h:30 min) interacting with someone and 3 h:51 min (57 min to 6 h:36 min) out of bed each day. Patients were simultaneously out of their beds, interacting with someone and awake for 2 h:21 min (51 min to 4 h:19 min) each day. Conclusions: Despite a care model prioritizing time out of bed and social interaction, time‐motion observations indicate patients spent many of their waking hours in bed and alone. Quantifying our inpatients developmental opportunities will inform neurodevelopmental programming initiatives. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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