title: An innovative model of system-linked community care: home-based traction as an alternative to institutional treatment.
abstract: Home-based traction is an alternative treatment to conventional hospital-based traction for children with orthopedic conditions such as congenital dislocated hip and Legg-Perthes disease. The application of a proposed theoretical model is used to describe the process of the home-based traction innovation. Creativity and innovation occasions a reconceptualization of stresses. The reconceptualization of stress, plus the operational support of coordinated in-home services, can help families and nurses in the community and in the hospital develop, implement, and evaluate this kind of innovative care. In applying the home-based traction professionals empower and legitimize parents as resourceful co-providers of care. The legitimizing of the alternative in-home service affords parents a more optimistic appraisal of their situation as manageable. Parents are free to develop a coordinated response to their overall circumstance, including the treatment of their one child's illness. The evaluation of this home-based traction example found the alternative to be acceptable, safe, effective in accomplishing treatment goals, and less expensive than conventional hospital-based traction.
authors.forename: M
authors.initials: M
authors.lastname: Stockwell
authors.forename: B
authors.initials: B
authors.lastname: Stevens
authors.forename: G
authors.initials: G
authors.lastname: Browne
authors.forename: P
authors.initials: P
authors.lastname: Dent
authors.forename: A
authors.initials: A
authors.lastname: Gafni
authors.forename: M
authors.initials: M
authors.lastname: Anderson
authors.forename: R
authors.initials: R
authors.lastname: Martin
mesh_terms: D000328:Adult; D017028:Caregivers / Q000193:education; D002648:Child; D002673:Child, Hospitalized; D002675:Child, Preschool; D015400:Clinical Nursing Research; D006618:Hip Dislocation, Congenital / Q000628:therapy; D006699:Home Care Services; D006701:Home Nursing; D006801:Humans; D007223:Infant; D007873:Legg-Calve-Perthes Disease / Q000628:therapy; D012189:Retrospective Studies; D014143:Traction / Q000451:nursing*