Maternal Experiences in the Pediatric Intensive Care Unit

Santos, Luciano Cincurá Silva; Oliveira, Verônica Maria de; Santana, Rosana; Fonseca, Maria de Jesus Mendes da; Neves, Elton; Santos, Márcia Vieira dos

doi:10.9789/2175-5361.2013v5n1p3432

Cited by 5 publications

(14 citation statements)

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“…In this respect, the first component of the process of empowerment, "discovering reality," is highlighted, in which concern regarding the health condition of their children is shown, and this is the emotional response described in this component (1,7) . Mothers whose children are hospitalized in a PICU experience intense suffering, in which feelings such as guilt, fear, anguish, nervousness, helplessness, and anxiety arise (1,17) . Therefore, the study evidenced the dissatisfaction of mothers regarding their absence during the undertaking of procedures in the PICU.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, simple gestures of care provided for the children are quite significant for them, because they know they may somehow contribute towards their recovery (1,7) . The participation of parents in the care for their children in an active and elucidative way, and in accordance with healthcare professionals, predisposes to an individualized care based on family as the promotor of decision-making.…”

Section: Discussionmentioning

confidence: 99%

“…This is present in the distance between healthcare teams and families, when families' needs for information are not completely met, and when there is a conflicting relationship between professionals and families, thus encouraging families to seek autonomy when facing their children's hospitalization in the PICU. Some of them prefer to accept the norms and routines established by the unit and subject themselves to this, in order to avoid hindering the work of the team (1,4) . Therefore, it is of utmost importance that healthcare professionals value the approach based on family.…”

Section: Discussionmentioning

confidence: 99%

“…This is because there is a family reorganization so that one of the members, usually the mother, must be able to perform a new role due to modifications in the family routine. In this setting, mothers have to empower themselves to provide care for their children during illness (1) . Studies point out that mothers are those who often accompany their children during hospitalization.…”

mentioning

confidence: 99%

“…With this, they renounce the rest of their family and their social lives, living only for the hospitalized child, and distancing themselves from home and other family members (2)(3) . This happens because mothers, in the PICU, hope to protect their children from the unknown, psychological and physical suffering, pain, anguish, sadness and crying, invasive procedures and, especially, from family rupture, which is often inherent to this whole process (1) . Therefore, in order to feel more participatory with regard to the care provided for their children in the PICU, most mothers try to get involved in the unit's routine, question the behaviors of the health team, and obtain information with the purpose of deepening their knowledge of the illness and the treatments available, in order to express their needs and their children's (3)(4) .…”

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confidence: 99%

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Empowerment of the mothers of children in a pediatric intensive care unit

et al. 2018

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Objective: to analyze the process of empowerment of the mothers of children hospitalized in a pediatric intensive care unit (PICU) according to Cheryl H. Gibson's framework. Method: a qualitative study with a non-directive interview in groups was carried out with 14 mothers in the PICU of a pediatric teaching hospital in the state of Rio de Janeiro, whose data were submitted to thematic analysis. Results: all mothers underwent at least one phase of the process of empowerment. Some of them achieved the phase of participatory competence in the care for their children, being heard by the team and expressing their needs, opinions, and questions. Final considerations: attentive listening and information sharing with mothers is necessary, in order to provide essential support so that they undergo the process of empowerment, thus involving themselves in care and decision-making regarding their children. Descriptors: Power; Pediatric Nursing; Mothers; Hospitalization; Pediatric Intensive Care Units. RESUMO Objetivo: analisar o processo de empoderamento de mães de crianças internadas numa Unidade de Terapia Intensiva Pediátrica (UTIP) à luz do referencial de Cheryl H. Gibson. Método: pesquisa qualitativa, com entrevista não diretiva, em grupo, de 14 mães de uma UTIP de um hospital universitário pediátrico do Rio de Janeiro, cujos dados foram submetidos à análise temática. Resultados: todas as mães passaram por, pelo menos, uma fase do processo de empoderamento. Parte delas atingiu a fase da competência participativa no cuidado ao fi lho, sendo ouvida pela equipe e manifestando suas necessidades, opiniões e questionamentos. Considerações fi nais: é necessário escuta atenta e compartilhamento de informações com as mães, de modo a proporcionar os subsídios essenciais para que passem pelo processo de empoderamento e, assim, envolvam-se nos cuidados e nas tomadas de decisão relacionadas a seus fi lhos. Descritores: Empoderamento; Enfermagem Pediátrica; Mães; Hospitalização; Unidades de Terapia Intensiva Pediátrica. RESUMENObjetivo: analizar el proceso de empoderamiento de madres de niños internados en una Unidad de Terapia Intensiva Pediátrica (UTIP) a la luz del referencial de Cheryl H. Gibson. Método: investigación cualitativa, con entrevista no directiva, en grupo, de 14 madres de una UTIP de hospital universitario pediátrico de Rio de Janeiro, cuyos datos fueron sometidos a análisis temático. Resultados: todas las madres pasaron, por, al menos, una fase del proceso de empoderamiento. Parte de ellas alcanzó la fase de la competencia participativa en el cuidado del niño, siendo oídas por el equipo y manifestando necesidades, opiniones y cuestionamientos. Consideraciones fi nales: es necesario escuchar atentamente y compartir la información con las madres, de manera de brindar las ayudas esenciales para que pasen por el proceso de empoderamiento y, así, involucrarse en la atención y en las tomas de decisiones relacionadas con sus hijos.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Empowerment of the mothers of children in a pediatric intensive care unit

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Influence of Therapeutic Play on the anxiety of hospitalized school-age children: Clinical trial

et al. 2017

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Objective: To evaluate the effects of Dramatic Therapeutic Play (DTP) technique on the degree of anxiety in hospitalized schoolage children. Method: Randomized clinical trial performed in two hospitals of São Paulo, between May and October 2015. The intervention consisted of the application of DTP and the outcome was evaluated through the Child Drawing: Hospital (CD: H) instrument. The Wilcoxon-Mann Whitney, Corrected t, Fisher's exact and Chi-square tests were used in the analysis. Statistical significance was set at 5%. Results: In all, 28 children participated in the study. The majority of children (75%) had a low anxiety score, with a mean CD: H score of 73.9 and 69.4 in the intervention and control groups respectively, and with no significant difference. Conclusion: Children submitted to DTP had the same degree of anxiety as those in the control group. However, it is suggested that new studies be performed with a larger number of children in different hospitalization scenarios. Descriptors: Hospitalized Child; Games and Toys; Anxiety; Randomized Controlled Clinical Trial; Pediatric Nursing. RESUMO Objetivo: Avaliar os efeitos da aplicação da técnica do Brinquedo Terapêutico Dramático (BTD) no grau de ansiedade em crianças escolares hospitalizadas. Método: Ensaio clínico randomizado realizado em dois hospitais de São Paulo, entre maio e outubro de 2015. A intervenção consistiu na aplicação do BTD e o desfecho foi avaliado por meio do instrumento Child Drawing: Hospital (CD:H). Utilizaram-se na análise os testes Wilcoxon-Mann Whitney, T corrigido, Exato de Fisher e Qui-quadrado com significância de 5%. Resultados: Participaram do estudo 28 crianças. A maioria das crianças de ambos os grupos (75%) apresentou classificação de baixo grau de ansiedade, sendo o escore médio do instrumento CD: H no grupo intervenção de 73,9 e no grupo controle de 69,4, sem diferença significativa. Conclusão: As crianças submetidas ao BTD apresentaram o mesmo grau de ansiedade que as do grupo controle. Entretanto, sugere-se que novos estudos sejam realizados com maior número de crianças em variados cenários da hospitalização. Descritores: Criança Hospitalizada; Jogos e Brinquedos; Ansiedade; Ensaio Clínico Controlado Aleatório; Enfermagem Pediátrica. RESUMENObjetivo: Evaluar los efectos de la aplicación de la técnica del Juguete Terapéutico Dramático (BTD) en el grado de ansiedad en niños en edad escolar hospitalizados. Método: Ensayo clínico aleatorizado realizado en dos hospitales de São Paulo, entre mayo y octubre de 2015. La intervención consistió en la aplicación del BTD y el resultado fue evaluado por medio del instrumento Child Drawing: Hospital (CD:H). Se utilizó en el análisis los testesWilcoxon-Mann Whitney, T corregido, Exacto de Fisher y Qui-cuadrado con significancia de 5%. Resultados: Participaron del estudio 28 niños. La mayoría de los niños de ambos los grupos (75%) presentó clasificación de bajo grado de ansiedad, siendo la puntuación media del instrumento CD:H Rev Bras Enferm [Internet]. 2017 nov-dez;70(6)...

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A técnica como modo de ser de profissionais de enfermagem na Unidade de Terapia Intensiva pediátrica

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Maternal Experiences in the Pediatric Intensive Care Unit

Cited by 5 publications

References 1 publication

Empowerment of the mothers of children in a pediatric intensive care unit

Empowerment of the mothers of children in a pediatric intensive care unit

Influence of Therapeutic Play on the anxiety of hospitalized school-age children: Clinical trial

A técnica como modo de ser de profissionais de enfermagem na Unidade de Terapia Intensiva pediátrica

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