Parental presence during invasive pediatric procedures: what does it depend on?

González, Laura Palomares; Caravaca, Iván Hernández; García, Carmen Isabel Gómez; Sánchez-Solís, Manuel

doi:10.1590/1518-8345.6101.3828

Cited by 4 publications

(3 citation statements)

References 64 publications

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“…Geographical location of the NICU/hospital as well as the health care professional's age, gender, experience, status, education level, expertise, and confidence, can contribute or hamper parent-led pain management ( 88 , 89 , 95 ). In general, nurses appear to be more in favour of involving the parents in pain management compared with physicians and a north-to-south gradient has been observed in Europe, where barriers to the presence of parents and other family members in European NICUs remain higher in southern European countries ( 88 ).…”

Section: Reviewmentioning

confidence: 99%

Parent-led neonatal pain management—a narrative review and update of research and practices

Ullsten,

Campbell-Yeo,

Eriksson

2024

Front. Pain Res.

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IntroductionResearch related to parent-led neonatal pain management is increasing, as is the clinical implementation. Skin-to-skin contact, breastfeeding and parents' vocalizations are examples of pain reducing methods that give parents an opportunity to protect their infant from harm while alleviating their anxiety and developing their parenting skills.MethodsIn this paper we will provide a narrative review and describe the current research about parent-led neonatal pain management. Based on this we will discuss clinical challenges, implementation strategies and implications for future research.ResultsParents express great readiness to embrace opportunities to increase their self-efficacy in their ability to address infant pain. Parent-led pain-reducing methods are effective, feasible, cost-effective, culturally sensitive, and can be individualized and tailored to both the parent's and infant's needs. Both barriers and facilitators of parent-led pain care have been studied in research highlighting structural, organizational, educational, and intra- and interpersonal aspects. For example, health care professionals' attitudes and beliefs on parent-led methods, and their concern that parental presence during a procedure increases staff anxiety. On the other hand, the presence of a local pain champion whose duty is to facilitate the adoption of pain control measures and actively promote parent-professional collaboration, is crucial for culture change in neonatal pain management and nurses have a key role in this change. The knowledge-to-practice gap in parent-led management of infants' procedure-related pain highlight the need for broader educational applications and collaborative professional, parental and research initiatives to facilitate practice change.ConclusionParent-led neonatal pain management is more than simply a humane and compassionate thing to do. The inclusion of parent-led pain care has been scientifically proven to be one of the most effective ways to reduce pain associated with repeated painful procedures in early life and parents report a desire to participate. Focus on enablers across interprofessional, organizational and structural levels and implementation of recommended pediatric pain guidelines can support the provision of optimal evidence-based family-centered neonatal pain management.

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Section: Reviewmentioning

confidence: 99%

Parent-led neonatal pain management—a narrative review and update of research and practices

Ullsten,

Campbell-Yeo,

Eriksson

2024

Front. Pain Res.

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“…Мы полагаем, что можно уменьшить стресс у ребенка, позволив родителям сопровождать его до операционного стола, однако целесообразность этого до сих пор обсуждается в медицинском сообществе. По мнению авторов одного из исследований [12], это может нарушить санитарно-эпидемиологический режим операционной и, кроме того, увеличивает общее время индукции, хотя и вызывает бо льшую удовлетворенность родителей [13].…”

Section: окончание анестезии и этап пробужденияunclassified

Organization and Implementation of Patient-Centered Anesthesia in Children in Terms of the Surgical Department in the Multidisciplinary Hospital

Roytberg,

Kondratova,

Strunin

et al. 2024

Vopr. sovr. pediatr.

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Providing medical care based on a patient-centered medicine model supposes close collaboration with patients and their families based on partnership. The development of action plan aimed on implementation of comfortable conditions for the child during surgery and anesthesia, considering his needs and age characteristics, is a topical issue in pediatrics. This article provides an organizational model for anesthesia in child-friendly environment and covers all the main stages of the patient's stay in the hospital.

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“…Research proposes that family-focused care is supportive of guardians being available and engaged with their kids' considerations nonstop in clinics (Handayani & Daulima, 2020). In light of studies, guardians' presence and contribution during a kid's hospitalization can assist them with adapting to the circumstances and limit their enduring during obtrusive systems (Palomares González et al, 2023). Due to this being the primary way that children adapt when they are in the clinic, medical caretakers encourage guardians to remain with their youngsters consistently.…”

Section: Introductionmentioning

confidence: 99%

Parents’ Participation in Atraumatic Care During Children Hospitalization: Systematic Review

Alfiyanti,

Arief,

Krisnana

et al. 2024

MJN

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Introduction: Atraumatic care for children undergoing hospitalization requires parental participation. Parental participation is an important aspect of atraumatic care for hospitalized children. Parental participation is expected to reduce child pain and anxiety. Aim: This study aimed to describe the participation of parents in atraumatic care while the child is hospitalized. Methods: The methodology used in this study was a systematic review, which began with topic selection and entails searching several databases, including Proquest, PubMed, ScienceDirect, Ebscohost, CINAHL, Scopus, and Google Scholar, by entering keywords "parents' participation" AND "atraumatic care" AND "hospitalized children." Articles were reviewed from 2019 to 2023. Protocol and evaluation of the literature review using the PRISMA checklist. Results: All databases provided 263 articles published in the years 2019-2023. There were forty articles left after duplicates were removed and inclusion and exclusion criteria were applied. Ten articles were left for quality assessment after the full-text review, and all of them scored higher than seven parental participations in atraumatic care while the child is hospitalized based on the results of the review of the articles above, including emotional support, distraction techniques, comfort measures, communication and education, advocacy, collaboration with the healthcare team, participating in care routines, and providing postprocedure comfort. Conclusion: Parental participation in atraumatic care while the child is hospitalized includes emotional support, distraction techniques, comfort measures, communication and education, advocacy, collaboration with the healthcare team, participating in care routines, and providing post-procedure comfort. This literature review provides a viewpoint for thinking about how to enhance the way that parents are currently being prepared to participate in the traumatic care of their children during hospitalization. Further research is expected to be able to develop research on specific interventions related to each form of parental participation in childcare during hospitalization.

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Parental presence during invasive pediatric procedures: what does it depend on?

Cited by 4 publications

References 64 publications

Parent-led neonatal pain management—a narrative review and update of research and practices

Parent-led neonatal pain management—a narrative review and update of research and practices

Organization and Implementation of Patient-Centered Anesthesia in Children in Terms of the Surgical Department in the Multidisciplinary Hospital

Parents’ Participation in Atraumatic Care During Children Hospitalization: Systematic Review

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