title: Development of a Self-Management Theory-Guided Discharge Intervention for Parents of Hospitalized Children.
abstract: Parents of hospitalized children, especially parents of children with complex and chronic health conditions, report not being adequately prepared for self-management of their child's care at home after discharge.
  
  
  
  No theory-based discharge intervention exists to guide pediatric nurses' preparation of parents for discharge.
  
  
  
  To develop a theory-based conversation guide to optimize nurses' preparation of parents for discharge and self-management of their child at home following hospitalization.
  
  
  
  Two frameworks and one method influenced the development of the intervention: the Individual and Family Self-Management Theory, Tanner's Model of Clinical Judgment, and the Teach-Back method. A team of nurse scientists, nursing leaders, nurse administrators, and clinical nurses developed and field tested the electronic version of a nine-domain conversation guide for use in acute care pediatric hospitals.
  
  
  
  The theory-based intervention operationalized self-management concepts, added components of nursing clinical judgment, and integrated the Teach-Back method.
  
  
  
  Development of a theory-based intervention, the translation of theoretical knowledge to clinical innovation, is an important step toward testing the effectiveness of the theory in guiding clinical practice. Clinical nurses will establish the practice relevance through future use and refinement of the intervention.
authors.affiliation: Alpha & Eta Nu, Professor Emerita, College of Nursing, University of Wisconsin-Milwaukee, Nurse Scientist, Children's Hospital of Wisconsin, Milwaukee, WI, USA.
authors.forename: Kathleen J
authors.initials: KJ
authors.lastname: Sawin
authors.affiliation: Delta Gamma & Zeta MU, Wheaton Franciscan Healthcare - St. Joseph/Sister Rosalie Klein Professor of Women's Health, College of Nursing, Marquette University, Milwaukee, WI, USA.
authors.forename: Marianne E
authors.initials: ME
authors.lastname: Weiss
authors.affiliation: Delta Gamma, Associate Professor, College of Nursing, Marquette University, Milwaukee, WI, USA.
authors.forename: Norah
authors.initials: N
authors.lastname: Johnson
authors.affiliation: Eta Nu, Director of Advanced Practice Nursing and Evidenced-Based Practice, Children's Hospital and PhD Student College of Nursing, University of Wisconsin-Milwaukee, Milwaukee, WI, USA.
authors.forename: Karen
authors.initials: K
authors.lastname: Gralton
authors.affiliation: Delta Gamma, Advocate BroMenn Endowed Professor, Mennonite College of Nursing, Illinois State University, Normal, IL, USA.
authors.forename: Shelly
authors.initials: S
authors.lastname: Malin
authors.affiliation: Clinical Assistant Professor, College of Nursing, University of Wisconsin Milwaukee, Milwaukee, WI, USA.
authors.forename: Carol
authors.initials: C
authors.lastname: Klingbeil
authors.affiliation: Assistant Professor, Medical College of Wisconsin, Pediatric Nurse Practitioner, Children's Hospital of Wisconsin, Milwaukee, WI, USA.
authors.forename: Stacee M
authors.initials: SM
authors.lastname: Lerret
authors.affiliation: Clinical Nurse, Milwaukee Public School System, Milwaukee, WI, USA.
authors.forename: Jamie J
authors.initials: JJ
authors.lastname: Thompson
authors.affiliation: Clinical Nurse Specialist, Children's Hospital of Wisconsin, Milwaukee, WI, USA.
authors.forename: Kim
authors.initials: K
authors.lastname: Zimmanck
authors.affiliation: Clinical Nurse Specialist, Children's Hospital of Wisconsin, Milwaukee, WI, USA.
authors.forename: Molly
authors.initials: M
authors.lastname: Kaul
authors.affiliation: Eta Nu & Alpha Chi, Professor, Associate Dean for Research, Director, Self-Management Science Center at UWM, College of Nursing, University of Wisconsin-Milwaukee, Milwaukee, WI, USA.
authors.forename: Rachel F
authors.initials: RF
authors.lastname: Schiffman
mesh_terms: D002648:Child; D002673:Child, Hospitalized; D003142:Communication; D006801:Humans; D009723:Nurse-Patient Relations; D010290:Parents / Q000193:education* / Q000523:psychology; D010351:Patient Discharge; D010353:Patient Education as Topic / Q000379:methods*; D010371:Pediatric Nursing; D011582:Psychological Theory; D012648:Self Care
keywords: Discharge planning; intervention; parents; pediatric hospitals; pediatric nurses; self-management; teach-back; think-forward