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. 2022 Jan 5;6(1):e28895. doi: 10.2196/28895

Table 2.

Themes in communication and management of information in complex home care.

Themes and subthemes Codes
Continuous learning to provide care
  • Connecting with other families

  • Learning from health care professionals

  • Learning from therapists and technicians

  • Learning from training

  • Learning about medical technology

  • Learning by observing

  • Figure it out on my own

  • Navigating through information for complex children

  • Learning what to do in emergencies

  • Learning procedures

Updating the caregiver team

Maintaining records
  • Physical documentation

  • Identifying patterns

  • Burden of documentation

  • Documenting vitals, health status, and medications

  • Documenting holistic aspects of care

  • Documenting equipment settings

  • Desire for digital records

  • Adapting documentation as a child’s condition changes

  • Transparency of record keeping

  • Concerns for information security

  • Desire to ease record keeping


Sharing the right information with the right person at the right time in the right way
  • Posting information around the home for other caregivers

  • Feeling pressure

  • Financial consequences

  • Communicating with health care professionals

  • Ensuring situation awareness

  • Summarizing changes

  • Memorizing information


Strategizing care with the caregiver team
  • Sharing recent health information

  • Troubleshooting health care issues

  • Identifying appropriate therapies and treatments

Teaching caregivers about their care situation
  • Teaching through documentation

  • Requiring background knowledge of caregivers

  • Sharing their child’s journey

  • Share care expectations for home care tasks (eg, feeding)


Communication challenges in teaching caregivers
  • Struggling with the consensus of caregiver training

  • Effectiveness of training

  • Trust in caregivers

Communicating with their child’s educators
  • Receiving health updates from the school

  • Creating health care tracking documents for the school

Navigating bureaucratic processes
  • Transferring information to governing bodies

  • Preparing caregiver schedules

  • Negotiating personal care hours

  • Managing caregiver hiring

  • Acquiring funding

  • Documenting caregiver information

  • Impacts of COVID-19 on home care services