The experience of children and family in pediatric home hospitalization: A systematic review of qualitative evidence.

To synthesize the experiences of children and parents/caregivers in the process of pediatric home hospitalization (PHH). The practice of home hospitalization (HH), while not a new concept has expanded in recent years. This model of care consists of continuous care at home for children with acute illness or acute chronic disease and presents itself as an alternative to conventional hospitalization (Middel, 2007; Parab et al., 2013). Excellence in pediatric healthcare is fundamental and this review provides a necessary understanding towards the experiences of children and their families in HH. Research was carried out in three phases and included both published and grey literature in the CINAHL, MEDLINE, MedicLatina, PubMed, Cochrane Library , Psychology and Behavioral Sciences Collection, and OpenAIRE databases to find relevant articles. Studies published in Portuguese, English, Spanish, and French with no time limit were considered. Findings were aggregated into five categories: communication and care experiences, parental dynamics and role carers, benefits and challenges for parents and children, relationship between parents, children's, and healthcare professionals and enhancing continuity of care and family support. According to ConQual the confidence level of the results was moderate in all articles. Through PHH, it is possible to avoid the impact of a conventional hospitalization since it promotes family union, increases the affective bond, the feeling of security, comfort, tranquillity, relief, confidence, and autonomy, reducing stressors such as anxiety, fear, nervousness, uncertainty, and fear. • Pediatric home hospitalization is a model of care that is more humanized than conventional hospitalization. • Pediatric home hospitalization allows them to bring out the child's voice and give her more empowerment. • Parent capacitation in Pediatric home hospitalization enables healthcare partnership. • Telemedicine was an excellent option to maintain quality of care 24 h a day. [ABSTRACT FROM AUTHOR]