Provider’s Perception of Parental Anxiety in the Pediatric Intensive Unit

Aljabari, Salim; Bırıscı, Esma; Kummerfeld, Faith

doi:10.7759/cureus.28589

Cited by 2 publications

(2 citation statements)

References 21 publications

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“…Consensus on outcome measures is growing (29) and the recent research on risk factors for poorer psychological outcomes (30–32) has identified several potentially useful screening instruments that could be used with families while the child is still in hospital. This is important because although the implicit assumption is that PICU staff refers those families in the greatest distress, recent research suggests that staff may not always judge levels of parental anxiety accurately (33). Recent research has also demonstrated that parental PTSD can impact child PTSD (34) and quality of life (35) over time.…”

Section: Discussionmentioning

confidence: 99%

Mental Health Provision in PICU: An Analysis of Referrals to an Embedded Psychologist Over 20 Years at a Single Center*

Colville

2023

Pediatric Critical Care Medicine

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Objectives: The main aim of this study was to illustrate the type of mental health provision possible on PICU by describing the nature of referrals of child patients and their parents to an embedded psychologist over a 20-year period, adding to the literature on intervention and service development. Design: Retrospective evaluation of anonymized departmental database. Setting: Twelve-bed PICU at a teaching hospital in a major urban center. Patients: Five hundred forty-five consecutive referrals for support for parent and/or child by PICU staff between 1998 and 2017. Interventions: None. Measurements and Main Results: Referrals increased from seven of 288 (2.4%) in 1998 to 85 of 643 (13.2%) in 2017. The majority were for parent support initially (456/545, 84%). Mean (sd) number of contacts was 4.5 (10.2), range 1 to 143, and mode was 1. Patient gender and age typical of the total PICU population, but referrals were more common where children had an oncology or trauma diagnosis (p < 0.001). Comparisons with other inpatient referrals at the same hospital revealed a higher proportion of requests were made for parent support on PICU (456/545 [84%] vs 789/1,997 [40%]; p < 0.001) and that nurses were more likely to initiate referrals on PICU than on the other wards (437/543 [80%] vs 1,190/1,993 [60%]; p < 0.001). In other respects, the two groups were similar in terms of number of sessions, waiting times, and attendance rates. Conclusions: Growing appreciation of the psychological impact of a child’s admission to PICU has been associated with increasing referral to an embedded psychologist over a 20-year period, at this center. Clinical and service implications are outlined in the context of the latest research on the mitigation of post-intensive care syndrome in this population.

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Section: Discussionmentioning

confidence: 99%

Mental Health Provision in PICU: An Analysis of Referrals to an Embedded Psychologist Over 20 Years at a Single Center*

Colville

2023

Pediatric Critical Care Medicine

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“…Furthermore, PFCC also has an impact on the psychological response of parents. According to Aljabari et al (2022), parental involvement in childcare can reduce anxiety in parents. Parental involvement in care will provide opportunities for them to care for their children directly, receive information on their children's health conditions, and improve relationships with care providers (McCabe, 2014).…”

Section: Discussionmentioning

confidence: 99%

Effects of Patient and Family-Centered Care on Quality of Care in Pediatric Patients: A Systematic Review

Seniwati

Wanda

Nurhaeni

2023

Nurs. Med. J. Nursing

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Background: Patient and family-centered care is one approach that is applied in pediatric care in various hospital settings to improve the quality of care. However, information related to the results of the entire study and its intervention model has not been identified effectively in child health care.Purpose: This study aimed to describe and assess the effects of patient and family-centered care on the quality of care in pediatric patients.Methods: A systematic review was used as a method in this study. Seven databases were used, including ScienceDirect, Scopus, ProQuest, EBSCO, Sage Journal, Tailor and Francis, and PubMed to search the literature for relevant published reviews that determined patient and family-centered care interventions between 2011 and 2021. The synthesis without meta-analysis guidelines was used to analyze the data in this review. The data were further analyzed by critically assessing the quality of the articles using the JBI and CASP checklists.Results: From a total of 29.780 articles identified, fifteen articles were included in this review. Several models of patient and family-centered care interventions were identified, such as family-centered care, family-centered communication program, family-integrated care, family nurture intervention, family empowerment, parent participation, close collaboration, mother-nurse partnership program, and the newborn individualized developmental care and assessment program. From those models, the outcomes for quality of care were related to the pediatric quality of life, length of stay, patient safety, parent satisfaction, parent psychological response, and parent involvement and partnership with staff.Conclusion: The shreds of evidence indicate that patient and family-centered care can improve the quality of care in the pediatric patients. It is recommended that patient and family-centered care can be implemented in pediatric care by increasing the participation of family during treatment.

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Provider’s Perception of Parental Anxiety in the Pediatric Intensive Unit

Cited by 2 publications

References 21 publications

Mental Health Provision in PICU: An Analysis of Referrals to an Embedded Psychologist Over 20 Years at a Single Center*

Mental Health Provision in PICU: An Analysis of Referrals to an Embedded Psychologist Over 20 Years at a Single Center*

Effects of Patient and Family-Centered Care on Quality of Care in Pediatric Patients: A Systematic Review

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