EXTENDED HOSPITALIZATION OF MEDICALLY STABLE CHILDREN DEPENDENT ON TECHNOLOGY: A FOCUS ON MUTABLE FAMILY FACTORS

This study identified three factors that influenced extended hospital stay in medically stable children dependent on medical technology. A retrospective review of 50 charts in a level II nursery was conducted. Bivariate analysis identified factors contributing to extended stay: parental factors, soc...

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Bibliographic Details
Published in:Issues in comprehensive pediatric nursing 1998, Vol.21 (2), p.63-84
Main Author: Diane Cross, Barbara J. Leonard, Carol L. Skay, Marguerite M. Rheinberger
Format: Article
Language:English
Subjects:
Analysis of Variance
Child, Hospitalized - psychology
Child, Hospitalized - statistics & numerical data
Family - psychology
Female
Humans
Infant, Newborn
Intensive Care, Neonatal - utilization
Length of Stay - statistics & numerical data
Male
Medical Laboratory Science
Nursing
Regression Analysis
Retrospective Studies
Risk Factors
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Summary:This study identified three factors that influenced extended hospital stay in medically stable children dependent on medical technology. A retrospective review of 50 charts in a level II nursery was conducted. Bivariate analysis identified factors contributing to extended stay: parental factors, societal factors, health care factors, and presence of disease. Multiple regression explained 98% of the variance in extended length of stay. Family factors accounted for 19.6%, nonfamily factors accounted for 42.5%, and the two sets of factors together accounted for an additional 35.9%. Family-related issues with a high potential for change were identified. Pediatric providers should develop family intervention strategies that identify the most appropriate level of care that both advocates in the best interest of the child and family and contains the rising cost of health care.
ISSN:0146-0862
1521-043X
DOI:10.1080/014608698265500