Engaging Parents in Education for Discharge (ePED): Evaluating the Reach, Adoption & Implementation of an Innovative Discharge Teaching Method.
Norah L Johnson, Stacee Lerret, Carol G Klingbeil and 11 others
PMID 32531681WHAT IT FOUND
Only 24.2% of eligible parents were reached by the ePED discharge app, but nurses adopted it strongly: 86% of enrolled parents had full app use, and most screens were completed.
Key findings
01The ePED app was used with 245 of 1015 parents (24.2%) on the implementation unit, while 184 of 861 parents (21%) were reached on the control unit.
02Among 245 parents approached on the implementation unit, 211 completed the app discharge teaching and study questionnaires, an 86% adoption rate.
03Nurses completed app components with high fidelity for signs and symptoms and medications (85 to 97%), and with lowest fidelity for thinking forward to family adjustment (77 to 93%).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This paper reports Reach, Adoption, and Implementation, not parent discharge outcomes; effectiveness was reported separately. Reach was 24.2% on the implementation unit and 21% on the control unit, so results reflect parents who agreed to participate, not all eligible families. The study used only two units in one hospital, and the units had different patient types and acuity. The comparison was a different unit with usual discharge teaching, not a randomized control. Some floating nurses were not trained and were assigned to discharge patients, which limited enrollment. Nurse demographics were not collected, and only 30 nurses gave informal interview comments. Actual time to complete discharge and maintenance of the app over time were not measured.
The easy way to misread this
Do not conclude that the ePED app improves discharge outcomes or should replace usual discharge teaching. This paper measured Reach, Adoption, and Implementation, not effectiveness, and Reach was only 24.2% of eligible parents on the app unit.