Improving patient-provider communication during hospital consultations is advocated to enhance self-management planning and transition readiness of adolescents with chronic conditions. This longitudinal mixed methods study evaluates the implementation and the outcomes of independent split-visit consultations and individual transition plans by 22 hospital teams participating in the Dutch Action Program 'On Your Own Feet Ahead!'. The interventions raised awareness in adolescents and professionals, improved adolescents' display of independent behaviors and led to more discussions about non-medical issues. Successful implementation required a team-based approach and clear explanation to parents and adolescents. Pediatric nurses played a pivotal role in improving transitional care.

Adolescent transition, Confidentiality, Independent consultations, Individual Transition Plans, Quality Improvement program, Self-management
dx.doi.org/10.1016/j.pedn.2015.05.028, hdl.handle.net/1765/88476
Journal of Pediatric Nursing
Erasmus School of Health Policy & Management (ESHPM)

van Staa, A.L, Sattoe, J.N.T, & Strating, M.M.H. (2015). Experiences with and Outcomes of Two Interventions to Maximize Engagement of Chronically Ill Adolescents During Hospital Consultations: A Mixed Methods Study. Journal of Pediatric Nursing, 30(5), 757–775. doi:10.1016/j.pedn.2015.05.028