Acute paediatric inpatient care of children and young people admitted with self-harm or eating disorders: A single centre evaluation.
Joseph C Manning, Tim Carter, Iszara Blake and 6 others
PMID 35703125WHAT IT FOUND
Children and young people admitted for self-harm or eating disorders identified privacy, holistic care, communication, shared care goals, and respect as key outcomes; self-harm and eating disorder groups wanted different ways and times for checking progress.
Key findings
01Five preliminary domains for a person-centred outcome measure were identified: privacy and surveillance, receiving holistic care, timely and relevant communication, working together on care goals, and respect and empowerment.
02Children admitted for self-harm wanted outcomes measured by an electronic device before discharge, while children admitted for eating disorders wanted to discuss outcomes with health professionals at 6 months after discharge or when they felt recovered.
03Both child groups rated care focused more on physical health than feelings as most important, and feeling pressured to talk or lacking privacy was also ranked in the top five.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only 15 children and young people and 8 parents or carers took part, and it is unknown whether they differed from those who did not participate. The study was conducted in one region of England, so transferability to other health systems may be limited. Participants had different reasons for admission and different time since admission, which may have affected their priorities. Ties in statement ranking made it hard to distinguish between statements. The study identified domains for a person-centred outcome measure but did not develop, test, or validate the measure. It was a qualitative service evaluation, so the findings describe experiences and priorities, not effects of care.
Declared interests
Dr Joseph Manning is funded through a HEE NIHR ICA Clinical Lectureship, and Dr Joanne Cooper is employed part-time by NHS England and NHS Improvement. The authors state that views expressed are not necessarily those of the NHS, the NIHR, or the Department of Health and Social Care.
The easy way to misread this
Do not read the five domains as a validated outcome measure or as proof that changing ward routines improves recovery; this single-centre qualitative service evaluation identified stakeholder priorities but did not test them.