Validation of instruments about family presence on invasive procedures and cardiopulmonary resuscitation in pediatrics

Abstract

Objective:to develop and validate instruments to identify health professionals’ beliefs related to the presence of the child’s family in invasive procedures and in cardiopulmonary resuscitation. Method:study based on Psychometrics to conduct the theoretical, empirical and analytical stages, developed in a neonatal unit of a university hospital. The two instruments were constructed based on the literature and applied to 96 health professionals. Results:the Cronbach’s Alpha of the instrument related to the professionals’ beliefson invasive procedures was 0.863 and the instrument on cardiopulmonary resuscitation was 0.882. In both instruments, the tests performed indicated a correlation between the items. From the factorial analysis, four factors were generated: (1) benefits of the presence of the family; (2) impairment for professional practice; (3) strategies for the inclusion of the family; and (4) limitation of learning and decision making by the professional. Conclusion:the instruments analyzed obtained a good internal consistency and are indicators of the professionals’ beliefs with the potential to evaluate the quality of family care in this context.

From theory to practice: the inclusion of hospitalized children’s families in painful procedures

“…The benefits of including the family in painful procedures are already reported in the literature ( 3 , 12 , 13 , 14 ) , corroborating this study. In a systematic review that aimed to assess families’ experiences in this context, it was observed that parents want to be present, because they believe in the benefits to the dyad, with emotional and physical security for children, in addition to reducing anxiety and increasing satisfaction with family care, and partnership with professionals ( 6 ) .…”

“…It is necessary to go further, because the construction of symbols is not only based on what individuals know, but also on what they experience and implicit interactions ( 11 ) . Other indicated predictors are working time and education ( 13 ) , but in this sample, there is a predominance of professionals with more than five years of experience and with a lato sensu graduate degree completed. To understand this scenario, it is necessary to address professional beliefs and attitudes.…”

Da teoria à prática: a inclusão da família de crianças hospitalizadas nos procedimentos dolorosos

“…Os benefícios da inclusão da família nos procedimentos dolorosos já são relatados na literatura (3,(12)(13)(14) , corroborando com este estudo. Em uma revisão sistemática que visou avaliar a experiência das famílias nesse contexto, observou-se que os pais desejam estar presentes, por acreditarem nos benefícios à tríade, com segurança emocional e física à criança, além de redução Quadro 2 -Relatos referentes às subcategorias da categoria "Perspectiva prática: vivências, desafios e estratégias nos procedimentos dolorosos para inserção da família".…”

“…É necessário ir além, pois a construção de símbolos não se dá apenas pelo que o indivíduo conhece, mas sim pelo que vivencia e as interações implícitas (11) . Outros preditores indicados são tempo de trabalho e escolaridade (13) , mas, nesta amostra, predominamse profissionais com mais de cinco anos de experiência e com pós-graduação lato sensu concluída. Para compreender esse cenário, é necessário abordar as crenças e as atitudes profissionais.…”

A Concept Analysis of Family Presence During COVID-19

“…Definitions of FP in the early literature were mainly as parental presence specific to the type of clinical situations, such as during cardiopulmonary resuscitation. Family presence during resuscitation is defined as Ferreira et al 26 defined FP during invasive procedures and cardiopulmonary resuscitation, as “the presence of one or more family members in a place with physical and/or visual contact with patient.” (p2) Similarly, İşlekdemir and Kaya 27 defined FP as the ability of a family member to have contact with a patient in a health care area during resuscitation or emergency procedure. Parental presence is a synonymous term to FP when used in pediatrics.…”