Priority 16 from the Paediatric Hospital Care PSP

UNCERTAINTY: 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? (JLA PSP Priority 16)
Overall ranking	16
JLA question ID	0114/16
Explanatory note	A multi-disciplinary team is reponsible for care of children within the general paediatric inpatient unit, as such it is important to know at what timepoint of the child's care is the ideal time to involve different allied health care professionals
Evidence	Bryant‐Lukosius, D., Carter, N., Reid, K., Donald, F., Martin‐Misener, R., Kilpatrick, K., ... & DiCenso, A. (2015). The clinical effectiveness and cost‐effectiveness of clinical nurse specialist‐led hospital to home transitional care: a systematic review. Journal of evaluation in clinical practice, 21(5), 763-781. Taylor, J., Booth, A., Beresford, B., Phillips, B., Wright, K., & Fraser, L. (2020). Specialist paediatric palliative care for children and young people with cancer: A mixed-methods systematic review. Palliative medicine, 34(6), 731-775.
Health Research Classification System category	Generic health relevance

Extra information provided by this PSP
Original uncertainty examples	increase in the number of resources available for patients such as child life specialists and OT/PT support. ~ Access to Child Therapist during hospitalization and family overall experience on the general paediatric ward. ~ Are there any specific coping mechanisms that healthcare professionals can help chronically ill children/families develop? ~ BC Children's Hospital does not have a Speech-Language Pathologist for it's inpatient patients, is this affecting that outcomes or patient stay? ~ Should acute care patients have access to Speech Language Pathologist?
Submitted by	2 x nurse, 2 x physician, 2 x speech language pathologist, 1 x friend/family member, 2 x respiratory therapist

Extra information provided by this PSP

Original uncertainty examples

increase in the number of resources available for patients such as child life specialists and OT/PT support. ~ Access to Child Therapist during hospitalization and family overall experience on the general paediatric ward. ~ Are there any specific coping mechanisms that healthcare professionals can help chronically ill children/families develop? ~ BC Children's Hospital does not have a Speech-Language Pathologist for it's inpatient patients, is this affecting that outcomes or patient stay? ~ Should acute care patients have access to Speech Language Pathologist?

Submitted by

2 x nurse, 2 x physician, 2 x speech language pathologist, 1 x friend/family member, 2 x respiratory therapist

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