Marking the 50th anniversary of the Platt Report: from exclusion, to toleration and parental participation in the care of the hospitalized child

Davies, Ruth

doi:10.1177/1367493509347058

Cited by 46 publications

(31 citation statements)

References 30 publications

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“…In the Nordic countries, children have the right to have at least one of their parents with them during a hospital stay (Davies, 2010). Taking the parents into the hospitals during the child's admission has been encouraged both by family interest groups and by professionals over the last decades (Stremler, Wong, & Parshuram, 2008).…”

Section: Introductionmentioning

confidence: 99%

A systematic integrative review of parents' experience and perception of sleep when they stay overnight in the hospital together with their sick children

Løyland

Angelhoff

Kristjánsdóttir

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To elucidate knowledge available on parents' experience and perception of sleep when they stay overnight in hospital together with their sick children. Background In Nordic countries, children are entitled to have at least one parent with them during hospitalisation. Parents' sleep, when accommodated at the hospital during the child's admission, may be a challenge. Design A systematic literature search was conducted in EMBASE, MEDLINE and PsycINFO; period is restricted from 1 January 2007 to 1 April 2019. Studies included were those in which parents were accommodated in hospital with their child, 0–18 years of age, for at least one night. Original peer‐reviewed scientific research papers conducting qualitative, quantitative or mixed designs were included. Systematic reviews were not included. This systematic integrative review was registered in PROSPERO and performed according to the PRISMA guidelines. All authors participated in study selection, data extraction and quality assessment of the literature. Results Fifteen studies were included, and they varied in terms of origin, aims, design, methods used and sample size. Three overall main themes appeared: sleep quality, factors affecting sleep and consequences of sleep loss. Combined psychological factors were found to affect parents' sleep, as well as isolated psychological factors, for example, stress, anxiety, worries and difficult thoughts. Environmental and social factors were also identified, for example, privacy and caring for family. Conclusion Study of this subject is still in its exploratory phase. There is a need for the development of theory of substance in the clarification of the meaning of sleep among parents during difficult times such as children's hospitalisation. Relevance to clinical practice Understanding risk factors associated with sleep and sleep deprivation in parents staying overnight in the hospital with their sick child is important, since lack of sleep may lead to serious stress‐related outcomes for the parents.

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Section: Introductionmentioning

confidence: 99%

A systematic integrative review of parents' experience and perception of sleep when they stay overnight in the hospital together with their sick children

Løyland

Angelhoff

Kristjánsdóttir

et al. 2019

Journal of Clinical Nursing

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“…The literature clearly supports the fact that involving patients and/or families in care improves patient outcomes, particularly patient satisfaction. [33][34][35][36] Small Cycles of Change Goal Sheets Daily patient goal sheets were used on the unit before initiation of the IHI project; however, the use was sporadic and lacked standardization of content as well as patient/parent involvement. Up to that time, daily goals were written on letter-sized paper that was posted on a bedside bulletin board.…”

Section: Phasementioning

confidence: 99%

Implementing Small Tests of Change to Improve Patient Satisfaction

MacDavitt

Cieplinski²,

Walker³

2011

JONA: The Journal of Nursing Administration

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The Institute of Medicine supports proposed changes in the overall delivery of healthcare and the nurses' work environment to achieve improved patient outcomes and protect the public from unnecessary harm. Allowing nurses to have a voice in decision making and influence over their practice, in an environment that fosters autonomy and interdisciplinary collaboration, enhances nurse satisfaction while improving the quality of patient care. The authors describe how a pediatric medical unit engaged in small tests of change to improve communication and patient satisfaction on an inpatient unit.

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“…Those studies also showed that hospitalized infants were typically separated from their families; remained bedridden and inactive; rarely received analgesia or anaesthesia; and had prolonged hospital stays. Such studies prompted changes in the practices related to the hospitalization of infants, the most important change being that mothers are now allowed to keep their babies with them day and night (a practice known as "rooming-in") during the immediate post-partum period, as well as being allowed to be present throughout the hospitalization of the infant 27 .…”

Section: Introductionmentioning

confidence: 99%

Hospitalization in the first years of life and development of psychiatric disorders at age 6 and 11: a birth cohort study in Brazil

et al. 2018

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This study aimed to evaluate the medium-term effects that hospitalization in the first 48 months of life has on the development of psychiatric disorders at 6 and 11 years of age among individuals in a birth cohort in a middle-income country. We analyzed data from a 2004 birth cohort (N = 4,231) in the city of Pelotas, Rio Grande do Sul State, Brazil. The frequency of hospitalization was investigated at 12, 24 and 48 months of life. When the children were 6 and 11 years old, psychiatric disorders were investigated with the Development and Well-Being Assessment. We used logistic regression to adjust for potential confounders. The overall frequency of hospitalization during the first 48 months of life was 33.1% (95%CI: 31.4; 34.7). Among the hospitalized children 25.6% (95%CI: 24.1; 27.1), 4.7% (95%CI: 4.0; 5.5) and 2.8% (95%CI: 2.3; 3.5) were hospitalized 1, 2 or ≥ 3 times during this period, respectively. After adjustment for potential confounders, the chance of presenting any psychiatric disorder at 6 and 11 years of age was higher for the children who had been hospitalized during the first 48 months of life than for those who had not, with OR of 1.50 (95%CI: 1.19; 1.88) and 1.63 (95%CI: 1.28; 2.07), respectively. Our results support the hypothesis that hospitalization in the early stages of life has an effect on the subsequent mental health of children. Preventive measures are needed in order to minimize the negative experiences of children who are hospitalized during infancy.

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Marking the 50th anniversary of the Platt Report: from exclusion, to toleration and parental participation in the care of the hospitalized child

Cited by 46 publications

References 30 publications

A systematic integrative review of parents' experience and perception of sleep when they stay overnight in the hospital together with their sick children

A systematic integrative review of parents' experience and perception of sleep when they stay overnight in the hospital together with their sick children

Implementing Small Tests of Change to Improve Patient Satisfaction

Hospitalization in the first years of life and development of psychiatric disorders at age 6 and 11: a birth cohort study in Brazil

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