Problem
Improvements in staff training, identification, and treatment planning for children
with special health care needs who have behavioral issues are routinely recommended,
but a literature review revealed no coherent plans targeted specifically toward pediatric
ED staff.
Methods
An educational module was delivered to emergency staff along with a survey before
and after and 1 month after the intervention to examine comfort in working with children
with behavioral special needs and the ability to deliver specialized care. Child life
consultations in the pediatric emergency department were measured 3 months before
and 3 months after the education was provided.
Results
A total of 122 staff participated and reported clinically significant improvements
across all areas of care that were maintained at 1 month.
Implications for practice
To the best of our knowledge, this project represents the first quality improvement
project offering behavioral needs education to emergency staff at a large pediatric
hospital with an examination of its impact on staff competence, comfort, and outcomes.
A large-scale educational module is a practical option for improvement in pediatric
ED staff competence in caring for patients with behavioral special needs.
Key words
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Biography
Nicole Brynes is DNP graduate of the University of Pittsburgh School of Nursing, and former Senior Professional Staff Nurse, Children’s Hospital of Pittsburgh of UPMC, Pittsburgh, PA.
Biography
Heeyoung Lee is Assistant Professor in the Department of Health & Community Systems, University of Pittsburgh School of Nursing, Pittsburgh, PA.
Biography
Dianxu Ren is Associate Professor in the Department of Health & Community Systems, University of Pittsburgh School of Nursing, Pittsburgh, PA.
Biography
Michael Beach is Assistant Professor in the Department of Acute & Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, PA.
Article info
Publication history
Published online: September 03, 2016
Footnotes
Earn Up to 5.5 CE Hours. See page 294.
Identification
Copyright
© 2016 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.
