Elaine Yu, Christanne Coffey
Prehospital mass casualty incident triage simulation builds knowledge and confidence in medical trainees
AEM education and training
high rates posthospitalization errors observed children medical complexity cmc poor parent comprehension adherence complex discharge instructions contribute errors pediatrician views common barriers facilitators parent comprehension adherence understudied examine pediatrician perspectives barriers facilitators experienced parents comprehension adherence inpatient discharge instructions cmc conducted qualitative descriptive study attending pediatricians n 20 caring cmc inpatient settings united states canada belonging listservs pediatric hospitalistscomplex care providers used purposivemaximum variation sampling ensure heterogeneity eg hospital region multidisciplinary team designed piloted semistructured interview guide pediatricians care cmc team members conducted semistructured interviews via phone video call interviews audiorecorded transcribed analyzed transcripts using content analysis codes derived priori conceptual framework based pediatric selfmanagement model preliminary transcript analysis applied codes identified emerging themes pediatricians identified three themes barriers facilitators discharge instruction comprehension adherence 1 regimen complexity 2 access healthcare team eg inpatient team outpatient pediatrician home nursing resources eg medications medical equipment 3 need family centered health literacyinformed approach discharge planning education next steps include assessment parent perspectives barriers facilitators discharge instruction comprehension adherence prents cmc development intervention strategies