Parental presence during invasive procedures in a Spanish pediatric emergency department

Gamell, Anna; Corniero, Patricia; Cotanda, Cristina Parra; Trenchs, Victoria; Luaces, Carles

doi:10.1097/mej.0b013e32834490dc

Cited by 13 publications

(6 citation statements)

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“… 13 According to Gamell et al, most of the parents wish to stay beside their children during invasive procedures. 14 Furthermore, they also reported that 51.6% of the respondents in their study believed that parents should decide on their own whether their presence was desirable. These findings from different studies obviously demonstrate that parents should be included in all steps of a child's treatment process.…”

Section: Discussionmentioning

confidence: 85%

Pediatric Fractures Through the Eyes of Parents

et al. 2015

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The present study is an observational cross-sectional study. The main purpose of this research was to analyze the perception and behaviors of parents in a series of pediatric upper extremity fracture cases.Hundred and seventeen patients younger than 12 years who were conservatively treated for the upper extremity fracture were included in our study. Parents of the patients were requested to answer a family-centered questionnaire related to their child's fracture and its treatment.When the parents were asked whether they believe casting would be sufficient or not as the treatment of their child's fracture, 84.6% answered ‘yes’, 13.7% answered ‘I am not sure,’ and 1.7% answered ‘no.’ Sixty-four of the parents were not worried about any residual defect in joint or extremity functions related to fracture, whereas 21 were worried and 32 were not sure on this. The rate of searching further information about the child's fracture was 34.2% and the mostly used source was the Internet. Twenty-eight of the 117 respondents (23.9%) emphasized that they would reduce the time their child spend outside the home at least for a while after the removal of cast.When conservatively treating a child's fracture, physicians dealing with traumatology should always consider the parents’ perception and behaviors as critically important.

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Section: Discussionmentioning

confidence: 85%

Pediatric Fractures Through the Eyes of Parents

et al. 2015

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“…Also, only 51.6% of parents believed that they should have the choice to be present. 20 This discrepancy in responses, particularly between the desire to stay and to have the choice to be present, may be attributable to many factors, including differences in culture, facility resources and institutional guidelines, but warrants further investigation into reasons behind each desire and how those desires might be reconciled.…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Family Presence During Fracture Reduction in the Pediatric Emergency Department

Zhang

Yocum

Repplinger

et al. 2018

WestJEM

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IntroductionAsking family members to leave during invasive procedures has historically been common practice; however, evidence-based recommendations have altered the trend of family presence during pediatric procedures. The aim of this study was to determine factors related to family members’ choice to be present or absent during fracture reductions in a pediatric emergency department (ED), and their satisfaction with that choice.MethodsWe administered role-specific, anonymous surveys to a convenience sample of patients’ family members in the ED of a Level I pediatric trauma center. All family members were given a choice of where to be during the procedure.ResultsTwenty-five family members of 18 patients completed surveys. Seventeen family members chose to stay in the room. Family member satisfaction with their decision to be inside or outside the room during the procedure (median = very satisfied) was almost uniformly high and not associated with any of the following variables: previous presence during a medical procedure; provider-reported procedure difficulty, or anxiety levels. Family member perception of procedure success (median = extremely well) was also high and not associated with other variables. Location during the procedure was associated with a desire to be in the same location in the future (Fisher’s exact test, p=0.001). Common themes found among family members’ reasons for their location decisions and satisfaction levels were a desire to support the patient, high staff competence, and their right as parents to choose their location.ConclusionFamily members self-select their location during their child’s fracture reduction to high levels of satisfaction, and they considered the ability to choose their location as important.

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“…Overall, family members are supportive of FPDR in adult and pediatric patients (11,16,20,48,(53)(54)(55)(56)(57)(58)(59)(60)(61)(62)(63)(64)(65)(66). Even families who would not want to be present often believe they should at least be given the option (20,54,61).…”

Section: Family Membersmentioning

confidence: 99%

“…In the pediatric setting, physicians were generally more supportive of FPDR and invasive procedures (37)(38)(39)(40)(41)(42)(43)(44). FPDR has been a well-established practice in Canada and the United States in the pediatric realm and, thus, most studies in which physicians were opposed to family presence were conducted outside of North America (45)(46)(47)(48)(49)(50). Almost all studies investigating nursing attitudes toward FPDR in pediatrics were supportive of the practice, especially in the intensive care unit (38,39,42,43,51,52).…”

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confidence: 99%

Family Presence during Resuscitation: A Canadian Critical Care Society Position Paper

Oczkowski

Mazzetti

Cupido

et al. 2015

Canadian Respiratory Journal

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Parental presence during invasive procedures in a Spanish pediatric emergency department

Abstract: Most of the parents wish to stay beside their children during IPs. In our PED, parents were present for more than 95% of IPs. The more invasive the procedure is, the more anxious parents feel.

Cited by 13 publications

References 0 publications

Pediatric Fractures Through the Eyes of Parents

Pediatric Fractures Through the Eyes of Parents

Factors Affecting Family Presence During Fracture Reduction in the Pediatric Emergency Department

Family Presence during Resuscitation: A Canadian Critical Care Society Position Paper

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