{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T12:22:06Z","timestamp":1788524526736,"version":"build-2803163510"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,8,9]],"date-time":"2021-08-09T00:00:00Z","timestamp":1628467200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Specialist Pediatric Nursing"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Clinical Problem<\/jats:title><jats:p>Children with cerebral palsy (CP) typically receive care from multiple specialty providers including Developmental Pediatrics, Orthopedics, Physical Medicine, Occupational Therapy, Physical Therapy, Speech Therapy, Clinical Social Work, Clinical Nutrition, Nursing and Orthotists, which often require many individual visits to the hospital annually. The potential for conflicting plans of care is increased by this fragmented approach, which may lead to duplication of services and increased healthcare costs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Solution<\/jats:title><jats:p>To address the problem and alleviate burden for families, the Comprehensive Cerebral Palsy Program implemented a nurse\u2010led comprehensive interdisciplinary team approach to provide optimal care coordination to patients and families, using an Integrative Holistic Care Plan (IHCP). During an annual 3\u20134\u2009hour Comprehensive CP Clinic appointment, a team of specialists meets with the family, and a holistic, evidence\u2010based plan of care is developed. The family\u2010centered care plan includes summaries of each discipline's plan of care with individualized goals, recommendations, and evidence\u2010based outcomes. After the visit, the plan of care is communicated with the family, primary care provider, and other community providers to ensure continuity of care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Early in the program and electronic IHCP development stage, clinical, and financial outcomes were improved. In addition to significant cost savings, family satisfaction surveys showed continuous improvement in the areas of access, communication, and coordination of care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Practice Implications<\/jats:title><jats:p>Nurses working in interdisciplinary clinics are in a position to facilitate improved outcomes by developing and implementing a family\u2010centered care plan that provides a comprehensive holistic approach to impacting the areas of quality, effectiveness, and efficiency of care delivery. The use of an IHCP decreases fragmentation of care and duplication of services leading to healthcare cost savings and enhanced patient satisfaction.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jspn.12354","type":"journal-article","created":{"date-parts":[[2021,8,10]],"date-time":"2021-08-10T04:39:54Z","timestamp":1628570394000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Lessons learned in the development of a nurse\u2010led family centered approach to developing a holistic comprehensive clinic and integrative holistic care plan for children with cerebral palsy"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6315-5902","authenticated-orcid":false,"given":"Lamara","family":"Love","sequence":"first","affiliation":[{"name":"Comprehensive Cerebral Palsy Program Nationwide Children's Hospital Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Newmeyer","sequence":"additional","affiliation":[{"name":"The Center for Biobehavioral Health Nationwide Children's Hospital Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4925-2159","authenticated-orcid":false,"given":"Nancy","family":"Ryan\u2010Wenger","sequence":"additional","affiliation":[{"name":"The Ohio State University College of Nursing Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7308-3810","authenticated-orcid":false,"given":"Garey","family":"Noritz","sequence":"additional","affiliation":[{"name":"Comprehensive Cerebral Palsy Program Nationwide Children's Hospital Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6786-8128","authenticated-orcid":false,"given":"Micah A.","family":"Skeens","sequence":"additional","affiliation":[{"name":"Comprehensive Cerebral Palsy Program Nationwide Children's Hospital Columbus Ohio USA"},{"name":"Professional Development Nationwide Children's Hospital Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,8,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-0956"},{"key":"e_1_2_8_3_1","unstructured":"CDC.Centers for Disease Control and Prevention. (2020 December 31). Causes and risk factors of cerebral palsy. Centers for Disease Control and Prevention.https:\/\/www.cdc.gov\/ncbddd\/cp\/causes.html"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-018-3920-9"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/pop.2016.0076"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpn.2018.10.005"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arrct.2020.100054"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleh.2019.08.006"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-019-04859-1"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.13227"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2015.05.034"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dhjo.2019.01.005"},{"key":"e_1_2_8_13_1","unstructured":"The American Holistic Nurses Credentialing Corporation Core Essentials for the Practice of Basic Holistic Nursing. (2012). Retrieved October 1 2020 fromhttps:\/\/docplayer.net\/13030809-The-american-holistic-nurses-credentialing-corporation-core-essentials-for-the-practice-of-basic-holistic-nursing.html"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-3482"},{"key":"e_1_2_8_15_1","unstructured":"U.S. Department of Health and Human Services. (2020). Cerebral palsy: Hope through research. National Institute of Neurological Disorders and Stroke.https:\/\/www.ninds.nih.gov\/Disorders\/Patient-Caregiver-Education\/Hope-Through-Research\/Cerebral-Palsy-Hope-Through-Research#3104_2"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-2872"},{"issue":"5","key":"e_1_2_8_17_1","first-page":"e1249","article-title":"Interventions to reduce behavioral problems in children with cerebral palsy: An RCT","volume":"133","author":"Whittingham K.","year":"2014","journal-title":"Journal of the American Academy of Pediatrics"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-1656"}],"container-title":["Journal for Specialists in Pediatric Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jspn.12354","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jspn.12354","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jspn.12354","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T04:05:21Z","timestamp":1693195521000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jspn.12354"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,9]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["10.1111\/jspn.12354"],"URL":"https:\/\/doi.org\/10.1111\/jspn.12354","archive":["Portico"],"relation":{},"ISSN":["1539-0136","1744-6155"],"issn-type":[{"value":"1539-0136","type":"print"},{"value":"1744-6155","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,8,9]]},"assertion":[{"value":"2020-12-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-07-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-08-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e12354"}}