The health and well-being of children with medical complexity and their parents' when admitted to inpatient care units: A scoping review.

The review did not appraise study quality, so included studies may contain bias that was not considered. Most included evidence was qualitative, so it describes experiences rather than measuring treatment effects. The search was limited to English articles and did not include grey literature, so relevant work may be missing. The included populations had many different diagnoses, so the findings should be generalized with caution. Few studies were conducted from children's own perspectives, so children's experiences may be underrepresented. The Borschuk intervention report included multiple components at once, so the effect of any single component cannot be separated.

Do not conclude that psychotherapy alone reduced parent distress. The Borschuk program also included structured multidisciplinary psychosocial rounds and support or training for nurses, respiratory therapists, and nurse practitioners on top of standard care, so the effect of any single component cannot be separated.