Priority 3 from the Paediatric Hospital Care PSP

UNCERTAINTY: What are best practices and support strategies for Indigenous parents, families and children and youth on the general paediatric inpatient unit? (JLA PSP Priority 3)
Overall ranking 3
JLA question ID 0114/03
Explanatory note Indigenous children and families face unique challenges, as such it is important to best practices for their care on the general paediatric inpatient unit 
Evidence

Disparities in infant hospitalizations in Indigenous and non-Indigenous populations in Quebec, Canada
Pediatric hospital admissions in Indigenous children: a population-based study in remote Australia
Functional outcomes during inpatient rehabilitation for American Indian and Alaska Native children with traumatic brain injury
Health Research Classification System category  Generic health relevance
Extra information provided by this PSP
Original uncertainty examples Understanding the impact of prolonged hospitalization of Inuit children and youth from Nunavut on their families and especially on the caregivers. Isuues include: family separation due to the 1 escort policy, isolation, mental health challenges, emotional breakdown due to displacement and lack of support etc...). ~ What is the impact of medical transport to a pediatric center on children youth and families from Nuanvut. What is the average length of stay. What are the factors that impact the longer length of stay? ~ How we can better take care of our indigenous patients/families, barriers to giving great care to this population. ~What are the experiences of Inuit children, youth and their families from Nunavut who require hospitalization at CHEO. ~ What are the factors that cause a medically complex child to be placed into foster care instead returning back home to Nunavut?  
Submitted by 3 x physician, 1 x nurse 
PSP information
PSP unique ID 0114
PSP name Paediatric Hospital Care (Canada)
Total number of uncertainties identified by this PSP. 75  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 18th and 19th August 2021