Children's complex care needs: a systematic concept analysis of multidisciplinary language.
Barrett, Michael J
AffiliationSchool of Nursing & Midwifery, Trinity College Dublin
MetadataShow full item record
JournalEuropean Journal of Pediatrics
AbstractComplex care in the arena of child health is a growing phenomenon. Although considerable research is taking place, there remains limited understanding and agreement on the concept of complex care needs (CCNs), with potential for ambiguity. We conducted a systematic concept analysis of the attributes, antecedents, and consequences of children's CCNs from a multidisciplinary perspective. Our data sources included PubMed, Cumulative Index to Nursing and Allied Health Literature, and PsycINFO. Inclusion criteria included publications in peer-reviewed journals between January 1990 and December 2017, written in the English language. One hundred and forty articles were included. We found that children's CCNs refer to multidimensional health and social care needs, in the presence of a recognized medical condition or where there is no unifying diagnosis.Conclusion: Children's CCNs are individual and contextualized, are continuing and dynamic, and are present across a range of settings, impacted by family and healthcare structures. There remain extensive challenges to caring for these children and their families, precluding the possibility that any one profession can possess the requisite knowledge or scope to singularly provide high-quality competent care. What is Known: • Complex care is a growing phenomenon and population prevalence figures show that there is an increasing number of children with complex care needs (CCNs). However, the concept has not been systematically analyzed before, leaving it generally ill-defined and at times confusing. What is New: • This is the first time this concept has been systematically analyzed and this analysis provides a much-needed theoretical framework for understanding the multidimensional nature of CCNs in children. • Children's CCNs refer to multidimensional health and social care needs in the presence of a recognized medical condition or where there is no unifying diagnosis. They are individual and contextualized, are continuing and dynamic, and are present across a range of settings, impacted by family and healthcare structures. It is clear that the very nature of CCNs precludes the possibility that any one profession or discipline can possess the requisite knowledge or scope for high-quality competent care for this population.
The following license files are associated with this item:
- Creative Commons
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivs 3.0 United States
- Home-based care for special healthcare needs: community children's nursing services.
- Authors: Carter B, Coad J, Bray L, Goodenough T, Moore A, Anderson C, Clinchant A, Widdas D
- Issue date: 2012 Jul-Aug
- Family pediatrics: report of the Task Force on the Family.
- Authors: Schor EL, American Academy of Pediatrics Task Force on the Family.
- Issue date: 2003 Jun
- Integrating community children's nursing in urgent and emergency care: a qualitative comparison of two teams in North West England.
- Authors: Kyle RG, Banks M, Kirk S, Powell P, Callery P
- Issue date: 2012 Jul 16
- The Children's Health Insurance Program Reauthorization Act quality measures initiatives: moving forward to improve measurement, care, and child and adolescent outcomes.
- Authors: Dougherty D, Schiff J, Mangione-Smith R
- Issue date: 2011 May-Jun