title: Parent education discharge instruction program for care of children at home after cardiac surgery in Southern India.
abstract: Introduction In many developing countries, children with CHD are now receiving surgical repair or palliation for their complex medical condition. Consequently, parents require more in-depth discharge education programmes to enable them to recognise complications and manage their children's care after hospital discharge. This investigation evaluated the effectiveness of a structured nurse-led parent discharge teaching programme on nurse, parent, and child outcomes in India. Materials and methods A quasi-experimental investigation compared nurse and parent home care knowledge before and at two time points after the parent education discharge instruction program's implementation. Child surgical-site infections and hospital costs were compared for 6 months before and after the discharge programme's implementation.
  
  
  RESULTS
  Both nurses (n=63) and parents (n=68) participated in this study. Records of 195 children who had undergone cardiac surgery were reviewed. Nurses had a high-level baseline home care knowledge that increased immediately after the discharge programme's implementation (T1=24.4±2.89; T2=27.4±1.55; p0.05) after the programme's implementation.
  
  
  CONCLUSIONS
  Nurse, parent, and child outcomes were improved after implementation of the structured nurse-led parent discharge programme for parents in India. Structured nurse-led parent discharge programmes may help prepare parents to provide better home care for their children after cardiac surgery. Further investigation of causality and influencing factors is warranted.
authors.affiliation: 1Cincinnati Children's Hospital Medical Center,Research in Patient Services,Heart Institute,Cincinnati,Ohio,United States of America.
authors.forename: Sandra L
authors.initials: SL
authors.lastname: Staveski
authors.affiliation: 2Amrita Institute of Medical Sciences,Amrita Lane,Kochi,Kerala,India.
authors.forename: V P
authors.initials: VP
authors.lastname: Parveen
authors.affiliation: 2Amrita Institute of Medical Sciences,Amrita Lane,Kochi,Kerala,India.
authors.forename: Sai B
authors.initials: SB
authors.lastname: Madathil
authors.affiliation: 3University of Virginia School of Nursing,Charlottesville,Virginia,United States of America.
authors.forename: Susan
authors.initials: S
authors.lastname: Kools
authors.affiliation: 4University of California San Francisco School of Nursing,San Francisco,California,United States of America.
authors.forename: Linda S
authors.initials: LS
authors.lastname: Franck
mesh_terms: D000293:Adolescent; D006348:Cardiac Surgical Procedures; D002648:Child; D002675:Child, Preschool; D005260:Female; D006330:Heart Defects, Congenital / Q000451:nursing* / Q000601:surgery*; D006699:Home Care Services / Q000592:standards*; D006801:Humans; D007194:India; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009726:Nurses; D010290:Parents / Q000193:education*; D010351:Patient Discharge; D013530:Surgical Wound Infection / Q000453:epidemiology*
keywords: Parent education; cardiac surgery; discharge