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Review Article| Volume 66, P160-170, September 2022

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Parent education programs for children assisted by invasive mechanical ventilation: A scoping review

  • Michelle S. High, MSN, RN
    Michelle S. High
    Correspondence
    Corresponding author at: Rush University College of Nursing, 600 S. Paulina, Suite 1080, Chicago, IL 60612, USA.
    Contact
    Affiliations
    College of Nursing, Rush University, Chicago, IL, USA

    Department of Nursing, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA

    Lurie Children's Pediatric Research & Evidence Synthesis Center (PRECIISE): A JBI Affiliated Group, Chicago, IL, USA
    Search for articles by this author
  • Wrenetha Julion, PhD, MPH, RN, FAAN
    Wrenetha Julion
      Affiliations
      College of Nursing, Rush University, Chicago, IL, USA
      Search for articles by this author
    • Sarah Heigel, MSN, RN
      Sarah Heigel
        Affiliations
        Department of Nursing, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA
        Search for articles by this author
      • Andrea Fawcett, MLIS
        Andrea Fawcett
          Affiliations
          Lurie Children's Pediatric Research & Evidence Synthesis Center (PRECIISE): A JBI Affiliated Group, Chicago, IL, USA

          Department of Clinical and Organizational Development, Ann & Robert H. Lurie Children's Hospital of Chicago, IL, USA
          Search for articles by this author
        • Sarah A. Sobotka, MD, MSCP
          Sarah A. Sobotka
            Affiliations
            Section of Developmental and Behavioral Pediatrics, Department of Pediatrics, University of Chicago, Chicago, IL, USA
            Search for articles by this author
          Published:July 04, 2022DOI:https://doi.org/10.1016/j.pedn.2022.06.009
          Parent education programs for children assisted by invasive mechanical ventilation: A scoping review
          Previous ArticleHeart Rate Variability biofeedback therapy for children and adolescents with chronic pain: A pilot study
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              Highlights

              • •
                Most education programs for parents of children with IMV focus on caregiving skills.
              • •
                Program characteristics vary widely and evidence for effectiveness is limited.
              • •
                Positive gains in primary parent and child outcome measures are reported.
              • •
                Opportunities exist to optimize parent education for children assisted by IMV.

              Abstract

              Problem

              The population of children assisted by invasive mechanical ventilation (IMV) and living at home is growing. Although parent education is essential for safe transitions from hospital-to-home, little is known about how this education is delivered. The aim of this review is to identify existing literature about parent education programs, synthesize the evidence, and identify gaps in the literature for future inquiry.

              Eligibility criteria

              This scoping review was conducted in accordance with the Joanna Briggs Institute methodology. Full-text publications in the English language focused on describing parent education programs for children assisted by IMV, indexed in CINAHL, PubMed, OVID, and PsycINFO and published from 2010 to 2021 were included. Reference lists of relevant articles were reviewed, and a hand search was completed to locate any additional literature outside the original search.

              Sample

              A total of 2472 citations were identified. After screening titles and abstracts, 37 full-text articles were retrieved and assessed for eligibility. Two independent reviewers completed the screening process. A hand search located one additional article. A final sample of 18 articles were included in the review.

              Results

              The parent education programs described in the final sample included standardized discharge education programs, simulation training, resourcefulness training, patient-specific action plans, disaster preparedness, and symptom and technology management.

              Conclusion

              Although most parent education programs identified in this review focused on teaching caregiver skills, program characteristics and outcome measures varied widely.

              Implications

              This review recommends directions for future research to optimize parent education for children assisted by IMV.

              Keywords

              • Invasive mechanical ventilation
              • Children with medical complexity (CMC)
              • Parent education
              • Parenting
              • Pediatrics
              • Scoping review
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              References

                • Amar-Dolan L.G.
                • Horn M.H.
                • O’Connell B.
                • Parsons S.K.
                • Roussin C.J.
                • Weinstock P.H.
                • Graham R.J.
                “This is how hard it is”. Family experience of hospital-to-home transition with a tracheostomy.
                Annals of the American Thoracic Society. 2020; 17: 860-868
                https://doi.org/10.1513/AnnalsATS.201910-780OC
                View in Article
                • Scopus (23)
                • PubMed
                • Crossref
                • Google Scholar
                • Baker C.D.
                • Martin S.
                • Thrasher J.
                • Moore H.M.
                • Baker J.
                • Abman S.H.
                • Gien J.
                A standardized discharge process decreases length of stay for ventilator-dependent children.
                Pediatrics. 2016; 137: 04
                https://doi.org/10.1542/peds.2015-0637
                View in Article
                • Scopus (67)
                • Crossref
                • Google Scholar
                • Boebel Toly V.
                • Blanchette J.E.
                • Musil C.M.
                • Zauszniewski J.A.
                Journaling as reinforcement for the resourcefulness training intervention in mothers of technology-dependent children.
                Applied Nursing Research. 2016; 32: 269-274
                https://doi.org/10.1016/j.apnr.2016.08.005
                View in Article
                • Scopus (5)
                • PubMed
                • Crossref
                • Google Scholar
                • Boroughs D.S.
                An evaluation of a continuing education program for family caregivers of ventilator-dependent children with spinal muscular atrophy (SMA).
                Children. 2017; 4: 29
                https://doi.org/10.3390/children4050033
                View in Article
                • Scopus (12)
                • Crossref
                • Google Scholar
                • Breitenstein S.M.
                • Gross D.
                • Christophersen R.
                Digital delivery methods of parenting training interventions: A systematic review.
                Worldviews on Evidence-Based Nursing. 2014; 11: 168-176
                https://doi.org/10.1111/wvn.12040
                View in Article
                • Scopus (118)
                • PubMed
                • Crossref
                • Google Scholar
                • Callans K.M.
                • Bleiler C.
                • Flanagan J.
                • Carroll D.L.
                The transitional experience of family caring for their child with a tracheostomy.
                Journal of Pediatric Nursing. 2016; 31: 397-403
                https://doi.org/10.1016/j.pedn.2016.02.002
                View in Article
                • Scopus (27)
                • PubMed
                • Abstract
                • Full Text
                • Full Text PDF
                • Google Scholar
                • Coller R.J.
                • Klitzner T.S.
                • Lerner C.F.
                • Nelson B.B.
                • Thompson L.R.
                • Qianqian Z.
                • Chung P.J.
                Complex care hospital use and postdischarge coaching: A randomized controlled trial.
                Pediatrics. 2018; 142: 1-9
                https://doi.org/10.1542/peds.2017-4278
                View in Article
                • Scopus (30)
                • Crossref
                • Google Scholar
                • Com G.
                • Kuo D.Z.
                • Bauer M.L.
                • Lenker C.V.
                • Melguizo-Castro M.M.
                • Nick T.G.
                • Makris C.M.
                Outcomes of children treated with tracheostomy and positive-pressure ventilation at home.
                Clinical Pediatrics. 2013; 52: 54-61
                https://doi.org/10.1177/0009922812465943
                View in Article
                • Scopus (25)
                • PubMed
                • Crossref
                • Google Scholar
                • DeMauro S.B.
                • D’Agostino J.A.
                • Bann C.
                • Bernbaum J.
                • Gerdes M.
                • Bell E.F.
                • Kirpalani H.
                Developmental outcomes of very preterm infants with tracheostomies.
                The Journal of Pediatrics. 2014; 164 (e1302): 1303-1310
                https://doi.org/10.1016/j.jpeds.2013.12.014
                View in Article
                • Scopus (89)
                • PubMed
                • Abstract
                • Full Text
                • Full Text PDF
                • Google Scholar
                • Edwards J.D.
                • Panitch H.B.
                • George M.
                • Cirrilla A.M.
                • Grunstein E.
                • Wolfe J.
                • Miller R.L.
                Development and validation of a novel informational booklet for pediatric long-term ventilation decision support.
                Pediatric Pulmonology. 2020; 11: 11
                https://doi.org/10.1002/ppul.25221
                View in Article
                • Google Scholar
                • Gaudreau P.A.
                • Greenlick H.
                • Dong T.
                • Levy M.
                • Hackett A.
                • Preciado D.
                • Reilly B.K.
                Preventing complications of pediatric tracheostomy through standardized wound care and parent education.
                JAMA Otolaryngology. Head & Neck Surgery. 2016; 142: 966-971
                https://doi.org/10.1001/jamaoto.2016.1803
                View in Article
                • Scopus (39)
                • Crossref
                • Google Scholar
                • Gillen J.K.
                • Morris M.C.
                Preparing families of technology-dependent children for emergencies.
                Hospital Pediatrics. 2019; 9: 874-879
                https://doi.org/10.1542/hpeds.2019-0091
                View in Article
                • Scopus (6)
                • PubMed
                • Crossref
                • Google Scholar
                • Gowans M.
                • Keenan H.T.
                • Bratton S.L.
                The population prevalence of children receiving invasive home ventilation in Utah.
                Pediatric Pulmonology. 2007; 42: 231-236
                View in Article
                • Scopus (68)
                • PubMed
                • Crossref
                • Google Scholar
                • Henderson C.M.
                • Raisanen J.C.
                • Shipman K.J.
                • Jabre N.A.
                • Wilfond B.S.
                • Boss R.D.
                Life with pediatric home ventilation: Expectations versus experience.
                Pediatric Pulmonology. 2021; 56: 3366-3373
                https://doi.org/10.1002/ppul.25577
                View in Article
                • Scopus (4)
                • PubMed
                • Crossref
                • Google Scholar
                • Kirk S.
                • Glendinning C.
                • Callery P.
                Parent or nurse? The experience of being the parent of a technology-dependent child.
                Journal of Advanced Nursing. 2005; 51: 456-464
                https://doi.org/10.1111/j.1365-2648.2005.03522.x
                View in Article
                • Scopus (135)
                • PubMed
                • Crossref
                • Google Scholar
                • Kohn J.
                • McKeon M.
                • Munhall D.
                • Blanchette S.
                • Wells S.
                • Watters K.
                Standardization of pediatric tracheostomy care with “go-bags”.
                International Journal of Pediatric Otorhinolaryngology. 2019; 121: 154-156
                https://doi.org/10.1016/j.ijporl.2019.03.022
                View in Article
                • Scopus (13)
                • PubMed
                • Crossref
                • Google Scholar
                • Mai K.
                • Davis R.K.
                • Hamilton S.
                • Robertson-James C.
                • Calaman S.
                • Turchi R.M.
                Identifying caregiver needs for children with a tracheostomy living at home.
                Clinical Pediatrics (Phila). 2020; 59: 1169-1181
                https://doi.org/10.1177/0009922820941209
                View in Article
                • Scopus (7)
                • PubMed
                • Crossref
                • Google Scholar
                • Maynard R.
                • Christensen E.
                • Cady R.
                • Jacob A.
                • Ouellette Y.
                • Podgorski H.
                • Wheeler W.
                Home health care availability and discharge delays in children with medical complexity.
                Pediatrics. 2019; 143e20181951
                https://doi.org/10.1542/peds.2018-1951
                View in Article
                • Scopus (50)
                • PubMed
                • Crossref
                • Google Scholar
                • McCasland M.
                • Brooks R.L.
                Multidisciplinary team approach improves patient outcomes in tracheostomy patients: A clinical initiative.
                ORL-Head and Neck Nursing. 2019; 37 (Retrieved from): 6-10
                http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=137120770&site=ehost-live
                View in Article
                • Google Scholar
                • Muesing C.
                • Schimelpfenig B.
                • Hustvet D.
                • Maynard R.
                • Christensen E.W.
                Longitudinal prevalence of Tracheostomized children in Minnesota.
                Hospital Pediatrics. 2020; 10: 663-669
                https://doi.org/10.1542/hpeds.2020-0038
                View in Article
                • Scopus (8)
                • PubMed
                • Crossref
                • Google Scholar
                • Nelson B.B.
                • Coller R.J.
                • Saenz A.A.
                • Chung P.J.
                • Kaplan A.
                • Lerner C.F.
                • Klitzner T.S.
                How avoidable are hospitalizations for children with medical complexity? Understanding parent perspectives.
                Academic Pediatrics. 2016; 16: 579-586
                https://doi.org/10.1016/j.acap.2016.04.009
                View in Article
                • Scopus (28)
                • PubMed
                • Abstract
                • Full Text
                • Full Text PDF
                • Google Scholar
                • Page M.J.
                • McKenzie J.E.
                • Bossuyt P.M.
                • Boutron I.
                • Hoffmann T.C.
                • Mulrow C.D.
                • Moher D.
                The PRISMA 2020 statement: An updated guideline for reporting systematic reviews.
                BMJ. 2021; 372n71
                https://doi.org/10.1136/bmj.n71
                View in Article
                • Google Scholar
                • Peters M.
                • Godfrey C.
                • Khalil H.
                • McInerney P.
                • Parker D.
                • Soares C.
                Guidance for conducting systematic scoping reviews.
                International Journal of Evidence-Based Healthcare. 2015; 13
                https://doi.org/10.1097/XEB.0000000000000050
                View in Article
                • Scopus (2592)
                • Crossref
                • Google Scholar
                • Peters MDJ G.C.
                • McInerney P.
                • Munn Z.
                • Tricco A.C.
                • Khalil H.
                Chapter 11: Scoping reviews (2020 version).
                in: Z A.E.M. JBI Manual for evidence synthesis: JBI. 2020
                View in Article
                • Crossref
                • Google Scholar
                • Prickett K.
                • Deshpande A.
                • Paschal H.
                • Simon D.
                • Hebbar K.B.
                Simulation-based education to improve emergency management skills in caregivers of tracheostomy patients.
                International Journal of Pediatric Otorhinolaryngology. 2019; 120: 157-161
                https://doi.org/10.1016/j.ijporl.2019.01.020
                View in Article
                • Scopus (26)
                • PubMed
                • Crossref
                • Google Scholar
                • Raines D.A.
                • Robinson J.
                Format of parent education material preferred by new mothers.
                Clinical Nursing Research. 2020; 29: 256-259
                https://doi.org/10.1177/1054773818790007
                View in Article
                • Scopus (3)
                • PubMed
                • Crossref
                • Google Scholar
                • Sobotka S.A.
                • Foster C.
                • Lynch E.
                • Hird-McCorry L.
                • Goodman D.M.
                Attributable delay of discharge for children with long-term mechanical ventilation.
                The Journal of Pediatrics. 2019; 212: 166-171
                https://doi.org/10.1016/j.jpeds.2019.04.034
                View in Article
                • Scopus (14)
                • PubMed
                • Abstract
                • Full Text
                • Full Text PDF
                • Google Scholar
                • Sobotka S.A.
                • Gaur D.S.
                • Goodman D.M.
                • Agrawal R.K.
                • Berry J.G.
                • Graham R.J.
                Pediatric patients with home mechanical ventilation: The health services landscape.
                Pediatric Pulmonology. 2019; 54: 40-46
                https://doi.org/10.1002/ppul.24196
                View in Article
                • Scopus (32)
                • PubMed
                • Crossref
                • Google Scholar
                • Sobotka S.A.
                • Lynch E.
                • Peek M.E.
                • Graham R.J.
                Readmission drivers for children with medical complexity: Home nursing shortages cause health crises.
                Pediatric Pulmonology. 2020; 55: 1474-1480
                https://doi.org/10.1002/ppul.24744
                View in Article
                • Scopus (12)
                • PubMed
                • Crossref
                • Google Scholar
                • Spratling R.
                • Faulkner M.S.
                • Chambers R.
                • Lawrence P.
                • Feinberg I.
                • Hayat M.J.
                Establishing fidelity for the creating opportunities for personal empowerment: Symptom and technology management resources (COPE-STAR) intervention.
                Journal of Advanced Nursing. 2020; 76: 3440-3447
                https://doi.org/10.1111/jan.14552
                View in Article
                • Scopus (3)
                • PubMed
                • Crossref
                • Google Scholar
                • Sterni L.M.
                • Collaco J.M.
                • Baker C.D.
                • Carroll J.L.
                • Sharma G.D.
                • Brozek J.L.
                • Halbower A.C.
                An official American Thoracic Society clinical practice guideline: Pediatric chronic home invasive ventilation.
                American Journal of Respiratory and Critical Care Medicine. 2016; 193: e16-e35
                https://doi.org/10.1164/rccm.201602-0276ST
                View in Article
                • Scopus (112)
                • PubMed
                • Crossref
                • Google Scholar
                • Szondy M.V.
                • Morton D.E.
                • Parrott H.M.
                • Bazzy-Asaad A.
                • Tolomeo C.
                Standardizing family education in a pediatric respiratory care unit.
                Journal of Pediatric Nursing. 2014; 29: 272-278
                https://doi.org/10.1016/j.pedn.2013.12.010
                View in Article
                • Scopus (3)
                • PubMed
                • Abstract
                • Full Text
                • Full Text PDF
                • Google Scholar
                • Thrasher J.
                • Baker J.
                • Ventre K.M.
                • Martin S.E.
                • Dawson J.
                • Cox R.
                • Baker C.D.
                Hospital to home: A quality improvement initiative to implement high-fidelity simulation training for caregivers of children requiring long-term mechanical ventilation.
                Journal of Pediatric Nursing. 2018; 38: 114-121
                https://doi.org/10.1016/j.pedn.2017.08.028
                View in Article
                • Scopus (36)
                • PubMed
                • Abstract
                • Full Text
                • Full Text PDF
                • Google Scholar
                • Tofil N.M.
                • Rutledge C.
                • Zinkan J.L.
                • Youngblood A.Q.
                • Stone J.
                • Peterson D.T.
                • White M.L.
                Ventilator caregiver education through the use of high-fidelity pediatric simulators: A pilot study.
                Clinical Pediatrics. 2013; 52: 1038-1043
                https://doi.org/10.1177/0009922813505901
                View in Article
                • Scopus (40)
                • PubMed
                • Crossref
                • Google Scholar
                • Tolomeo C.
                • Major N.E.
                • Szondy M.V.
                • Bazzy-Asaad A.
                Standardizing care and parental training to improve training duration, referral frequency, and length of stay: Our quality improvement project experience.
                Journal of Pediatric Nursing. 2017; 32: 72-79
                https://doi.org/10.1016/j.pedn.2016.10.004
                View in Article
                • Scopus (9)
                • PubMed
                • Abstract
                • Full Text
                • Full Text PDF
                • Google Scholar
                • Toly V.B.
                • Musil C.M.
                • Zauszniewski J.A.
                Resourcefulness training intervention: A promising approach to improve mental health of mothers with technology-dependent children.
                Applied Nursing Research. 2014; 27: 87-90
                https://doi.org/10.1016/j.apnr.2013.11.003
                View in Article
                • Scopus (26)
                • PubMed
                • Crossref
                • Google Scholar
                • Tricco A.C.
                • Lillie E.
                • Zarin W.
                • O’Brien K.K.
                • Colquhoun H.
                • Levac D.
                • Straus S.E.
                PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation.
                Annals of Internal Medicine. 2018; 169: 467-473
                https://doi.org/10.7326/m18-0850
                View in Article
                • Scopus (8180)
                • PubMed
                • Crossref
                • Google Scholar
                • Van Orne J.
                • Branson K.
                • Cazzell M.
                Boot camp for caregivers of children with medically complex conditions.
                AACN Advanced Critical Care. 2018; 29: 382-392
                https://doi.org/10.4037/aacnacc2018873
                View in Article
                • Scopus (14)
                • PubMed
                • Crossref
                • Google Scholar
                • Whalen M.
                The feasibility and use of simulation to assess parent learning.
                Clinical Simulation in Nursing. 2020; 38: 23-26
                https://doi.org/10.1016/j.ecns.2019.10.003
                View in Article
                • Scopus (3)
                • Abstract
                • Full Text
                • Full Text PDF
                • Google Scholar
                • Woodgate R.L.
                • Edwards M.
                • Ripat J.D.
                • Borton B.
                • Rempel G.
                Intense parenting: A qualitative study detailing the experiences of parenting children with complex care needs.
                BMC Pediatrics. 2015; 15: 197
                https://doi.org/10.1186/s12887-015-0514-5
                View in Article
                • Scopus (115)
                • PubMed
                • Crossref
                • Google Scholar
                • Yuen A.
                • Rodriguez N.
                • Osorio S.N.
                • Nataraj C.
                • Ward M.J.
                • Clapper T.C.
                • Ching K.
                Simulation-based discharge education program for caregivers of children with tracheostomies.
                Hospital Pediatrics. 2021; 11: 571-578
                https://doi.org/10.1542/hpeds.2020-000984
                View in Article
                • Scopus (3)
                • PubMed
                • Crossref
                • Google Scholar

              Article info

              Publication history

              Published online: July 04, 2022
              Accepted: June 17, 2022
              Received in revised form: May 22, 2022
              Received: February 18, 2022

              Identification

              DOI: https://doi.org/10.1016/j.pedn.2022.06.009

              Copyright

              © 2022 Published by Elsevier Inc.

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