Paediatric Hospital Care (Canada) Top 10

  1. What best practices and/or care models exist for inpatient care for children and youth with medical complexity on the general paediatric inpatient unit?
  2. What methods of communication are most effective between patients, caregivers and health care providers on a general paediatric inpatient unit?
  3. What are best practices and support strategies for Indigenous parents, families and children and youth on the general paediatric inpatient unit?
  4. How can we ensure that healthcare delivery in hospital meets the needs of children and youth with developmental disabilities on the general paediatric inpatient unit?
  5. What are effective support strategies for parents, families and children and youth hospitalized on the general paediatric inpatient unit? (e.g. support groups, private rooms/sleeping arrangements, breastfeeding support, physical activity, making the ward more adolescent-friendly, screen time)
  6. What mental health supports can be provided to parents, families and children and youth while hospitalized on the general paediatric inpatient unit?
  7. What are effective ways to incorporate shared decision-making with parents and children/youth hospitalized on the general paediatric inpatient unit? ("Effectiveness” defined as length of stay, caregiver confidence)
  8. What are effective strategies to mitigate the impacts of prolonged inpatient hospitalizations on the general paediatric inpatient unit? (e.g. addressing unmet needs, prolonged separation from family)
  9. What are effective alternatives to shorten length of stay for hospitalized children and youth on the general paediatric inpatient unit? (e.g. hospitalization at home, early discharge with close and regular follow-up)
  10. What are the most effective communication methods (e.g. handover, rounds, etc.) between healthcare providers on a general paediatric inpatient unit?

The following questions were also discussed and put in order of priority at the workshop:

  1. What is the most effective way to conduct medical rounds, including how to involve caregivers and patients in the decision making while on the general paediatric inpatient unit? 
  2. Are ongoing mental health assessments for patients admitted to a general paediatric inpatient unit beneficial?
  3. What is the impact of the patient’s room/environment on health outcomes on the general paediatric inpatient unit? (e.g. noise, lights, private/shared room, window/no window)
  4. What is the most effective way to obtain and maintain intravenous (IV) access in children and youth hospitalized on the general paediatric inpatient unit?
  5. What are effective methods (e.g. education) to prepare families for discharge from the general paediatric inpatient unit?
  6. When is it appropriate to involve allied health care professionals (e.g. occupational therapy [OT], physiotherapy [PT], child life specialists) in the care of children/youth hospitalized on the general paediatric inpatient unit?