Nurses Perceptions of Pediatric Intensive Care Unit Environment and Work Experience After Transition to Single-Patient Rooms

Kudchadkar, Sapna R.; Beers, M. Claire; Ascenzi, Judith; Jastaniah, Ebaa; Punjabi, Naresh M.

doi:10.4037/ajcc2016463

Cited by 20 publications

(13 citation statements)

References 42 publications

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“…The most plausible reason seems to be the more centralized organization of paediatric intensive care in Switzerland when compared to the other two countries. Despite the fact that is been shown that the use of single-patient rather than multi-patient rooms improves nurses’ perceptions of the PICU environment for promoting patients’ sleep and the nurses’ own work experience [ 22 ], the recommended single and double bedrooms were available in only a low number of PICUs. A possible underlying reason may be the fact that most hospitals in the studied countries are based on older buildings with architectural limitations.…”

Section: Discussionmentioning

confidence: 99%

A multinational survey on the infrastructural quality of paediatric intensive care units

Warncke

Hoffmann

Sasse

et al. 2018

Ann. Intensive Care

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BackgroundThe aim of the present study was to assess whether paediatric intensive care units (PICUs) in three central European countries comply with guidelines concerning infrastructure provided by the European Society of Intensive Care Medicine (ESICM). Between July 2016 and May 2017, a survey was conducted based on the ESICM guidelines. The questionnaire was structured into four categories: structural quality, diagnostic/therapeutic equipment, personnel and organization. All PICUs treating paediatric patients in the D–A–CH region [Germany (D), Austria (A) and Switzerland (CH)] were researched through the national societies. A total of 126 PICUs were contacted (D: 106; A: 12; and CH: 8).ResultsEighty-five of 126 PICUs responded (D: 67%; A: 61%; and CH: 100%). A median of 500 patients was treated annually (D: 500; A: 350; and CH: 600) with a median of 12 beds (D: 12; A: 8; and CH: 12). Recommendations regarding infrastructure were met as follows: structural quality 62% in D, 71% in A and 75% in CH; diagnostic/therapeutic equipment: 87% in D, 91% in A and 89% in CH; personnel: 65% in D, 87% in A and 85% in CH; and organization: 75% in D, 73% in A and 88% in CH.ConclusionsThis survey reveals deficits concerning structural quality in all countries. Furthermore, shortcomings regarding personnel were found in Germany and for organization in Germany and Austria. These issues need to be addressed urgently to further improve treatment quality and patient safety in the future.Electronic supplementary materialThe online version of this article (10.1186/s13613-018-0451-1) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

A multinational survey on the infrastructural quality of paediatric intensive care units

Warncke

Hoffmann

Sasse

et al. 2018

Ann. Intensive Care

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“…It should include setting up a big bed, baby bed, safe bed, baby seat, children's tableware [ 22 ]. Each sheet unit should be equipped with curtains to strengthen privacy protection for shading in cloth or include a knob, which could control and adjust the light intensity independently in their own area [ 23 ]. For children under 6 years old, an activity area should be set up in zones with air circulation, equipped with toys and game props that can be disinfected repeatedly [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Psychological experience of Juvenile patients’ parents in Fangcang shelter hospital during the Omicron wave of COVID-19 pandemic in Shanghai, China: a qualitative study

Liao

Yang

et al. 2022

BMC Public Health

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Objective To explore the psychological experience of Juvenile patient’s parents in Fangcang shelter hospital during the Omicron wave of COVID-19 pandemic. Methods A qualitative study was conducted by using a phenomenological research method. Sixteen parents of juvenile patients with COVID-19 were recruited from National Exhibition and Convention Center (Shanghai, China) Fangcang shelter hospital (FSH) using purposive sampling. Data were collected by face-to-face in-depth interviews over 27 days, from April 9 to May 6, 2022. The interview data were analyzed using Colaizzi seven-step analysis method. Results The psychological experiences of the parents of juvenile patients in the Fangcang shelter hospital were summarized into three themes: "perception regarding the FSH", "worried about the unmet needs of juvenile patients ", and "the psychological burden after discharge". These themes were classified into 9 sub-themes, including the acceptance of FSH, adaptability to FSH, concerns about cross-infection in the FSH, special needs of infants and young children, psychological needs of preschool children, the learning demands of school-age children, concern about re-positive, fear of sequelae, worry about social acceptance. Conclusion Juvenile patients and their parents in the Fangcang shelter hospitals have both positive and negative experiences. It is suggested that facilities for minors should be planned in advance. Humanistic care for adolescent patients and health education for the public are also critical.

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“…The PICU environment can be particularly stressful for both children and their families, with monitors, alarms, and staff conversation contributing to sleep disruption in critically ill children. (55) In a recent survey of pediatric intensivists, only 16% of respondents were aware of any protocols in place for sleep promotion, such as lighting or noise reduction efforts. (56) Circadian rhythm disturbance is a risk factor for delirium, with a prevalence of approximately 25% in PICU patients.…”

Section: Discussionmentioning

confidence: 99%

Day-Night Activity in Hospitalized Children after Major Surgery: An Analysis of 2271 Hospital Days

Kudchadkar

Aljohani

Johns

et al. 2019

The Journal of Pediatrics

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Objectives: To characterize the day-night activity patterns of children after major surgery and describe differences in children's activity patterns between the PICU and inpatient floor setting. Study design: In this prospective observational study, we characterized the daytime activity ratio estimate (DARE; ratio between mean daytime activity [08:00-20:00] and mean 24-h activity [00:00-24:00]) for children admitted to the hospital after major surgery. The study sample included 221 infants and children ages 1 day to 17 years admitted to the pediatric intensive care unit (PICU) at a tertiary, academic children's hospital. Subjects were monitored with continuous accelerometry from postoperative day 1 until hospital discharge. NHANES accelerometry data were utilized for normative data to compare DARE in a community sample of U.S. children to hospitalized children. Results: The mean DARE over 2,271 hospital days was 57.8%, with a significant difference between the average DARE during PICU days and inpatient floor days (56% vs. 61%, P <.0001). The average subject DARE ranged from 43% to 73%. In a covariate-adjusted mixed effects model, PICU location, lower age, orthopedic or urologic surgery, and intubation time were associated with decreased DARE. Hospitalized children had significantly lower DARE than NHANES subjects in all age groups studied, with the largest difference in the youngest PICU group analyzed *

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Nurses Perceptions of Pediatric Intensive Care Unit Environment and Work Experience After Transition to Single-Patient Rooms

Cited by 20 publications

References 42 publications

A multinational survey on the infrastructural quality of paediatric intensive care units

A multinational survey on the infrastructural quality of paediatric intensive care units

Psychological experience of Juvenile patients’ parents in Fangcang shelter hospital during the Omicron wave of COVID-19 pandemic in Shanghai, China: a qualitative study

Day-Night Activity in Hospitalized Children after Major Surgery: An Analysis of 2271 Hospital Days

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