Exploration of the Evidence on Discharge From Hospital to Home for Children With Medical Complexity and Their Parents: A Review of the Literature

BackgroundChildren with medical complexity (CMC) require complex care that parents must independently provide and manage when discharged home from hospital. It is important that parents are adequately prepared to safely transition home from hospital with their child.MethodA synthesis of findings from research articles was conducted to map and summarize available evidence on CMC and their parents' experiences of discharge from hospital to home. A total of 32 studies were included in this review. Thematic analysis was used to analyze and describe the data.ResultsThe following key themes were developed during data analysis: preparation and readiness, aids for discharge, overwhelmed with the transition, frustration with time to get home, difficulties with transitions and discharge interventions.ConclusionThese findings demonstrate the importance of taking steps to ensure CMC and their parents undergo a thorough and planned discharge process to prepare parents to confidently provide safe care to their children in the home. Approaches and strategies for comprehensive and safe discharge are provided.