The impact on parents of a child’s admission to intensive care: Integration of qualitative findings from a cross-sectional study

Colville, Gillian; Darkins, Janet; Hesketh, Janet; Bennett, Virginia; Alcock, John; Noyes, Jane

doi:10.1016/j.iccn.2008.10.002

Cited by 148 publications

(156 citation statements)

References 31 publications

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“…Colville et al (2009) and Jee et al both called this need for closeness 'proximity to the child'. Parents wanted to be able to be close to their child at all times without visiting restrictions; having a place to rest in the hospital or unit assisted parents in meeting this need (Jee et al) 2.2.3 Need for maintenance of parental role.…”

Section: Purpose Of Studymentioning

confidence: 99%

“…Many authors noted a loss of parental role as one of the main stressors in PICU (Carnevale, 1990;Carter & Miles, 1989;Colville, et al, 2009;Jee et al, 2012;Noyes, 1998).…”

Section: Purpose Of Studymentioning

confidence: 99%

“…Two of these studies were conducted in the USA (Bouve, Rozmus, & Giordano, 1999;Van Waning, Kleiber, & Freyenberger, 2005), three in England (Colville et al, 2009;Haines & Childs, 2005;Keogh, 2001), and two in Australia (Caffin, Linton, & Pellegrini, 2006;Linton, Grant, & Pellegrini, 2008). There were no Canadian studies located.…”

Section: Parents and Transfer From Picu To The Hospital Wardmentioning

confidence: 99%

See 2 more Smart Citations

Parents' Experience of the Transition with their Child from a Pediatric Intensive Care Unit (PICU) to the Hospital Ward: Searching for Comfort Across Transitions

Berube

Fothergill‐Bourbonnais

Thomas

et al. 2014

Journal of Pediatric Nursing

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Section: Purpose Of Studymentioning

confidence: 99%

“…Many authors noted a loss of parental role as one of the main stressors in PICU (Carnevale, 1990;Carter & Miles, 1989;Colville, et al, 2009;Jee et al, 2012;Noyes, 1998).…”

Section: Purpose Of Studymentioning

confidence: 99%

Section: Parents and Transfer From Picu To The Hospital Wardmentioning

confidence: 99%

See 1 more Smart Citation

Parents' Experience of the Transition with their Child from a Pediatric Intensive Care Unit (PICU) to the Hospital Ward: Searching for Comfort Across Transitions

Berube

Fothergill‐Bourbonnais

Thomas

et al. 2014

Journal of Pediatric Nursing

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“…21 Por esto, la reducción del EP es un objetivo fundamental y ha sido evaluado por varios autores. 2,10,18,20,27,[31][32][33]35,36 En estas investigaciones, ellos sugieren la implementación de un plan de intervención para ser entregado a los padres de niños hospitalizados en una UCI. Esta intervención, además de reducir el EP y la ansiedad, aumenta los conocimientos de los padres respecto a la condición de su hijo, lo que puede disminuir el período de hospitalización y las posibilidades de rehospitalización.…”

Section: Programa De Intervención Para Padres De Niños Sometidos a CIunclassified

“…20,32,34 La influencia parental puede ser un factor decisivo en la experiencia de la hospitalización infantil, tanto para aliviar la propia ansiedad como la de sus hijos y así contribuir con la pronta recuperación de estos. 24,35,36 Finalmente, es necesario continuar con el trabajo de transformar la UCI en un espacio tan acogedor como sea posible tanto para los pacientes como sus familias. El rol del equipo clínico debe estar enfocado hacia el trabajo constante y continuo con los padres y así convertirse en un coadyuvante en el proceso de recuperación del niño y de su familia.…”

Section: Comentariounclassified

Estrés en padres de niños operados de cardiopatías congénitas

et al. 2014

Arch Argent Pediat

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Development and Internal Validation of a Clinical Risk Score for Treating Children With Mild Head Trauma and Intracranial Injury

et al. 2017

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The appropriate treatment of children with mild traumatic brain injury (mTBI) and intracranial injury (ICI) on computed tomographic imaging remains unclear. Evidence-based risk assessments may improve patient safety and reduce resource use.OBJECTIVE To derive a risk score predicting the need for intensive care unit observation in children with mTBI and ICI. DESIGN, SETTING, AND PARTICIPANTS This retrospective analysis of the prospective Pediatric Emergency Care Applied Research Network (PECARN) head injury cohort study included patients enrolled in 25 North American emergency departments from 2004 to 2006. We included patients younger than 18 years with mTBI (Glasgow Coma Scale [GCS] score, 13-15) and ICI on computed tomography. The data analysis was conducted from May 2015 to October 2016. MAIN OUTCOMES AND MEASURESThe primary outcome was the composite of neurosurgical intervention, intubation for more than 24 hours for TBI, or death from TBI. Multivariate logistic regression was used to predict the outcome. The C statistic was used to quantify discrimination, and model performance was internally validated using 10-fold cross-validation. Based on this modeling, the Children's Intracranial Injury Decision Aid score was created.RESULTS Among 15 162 children with GCS 13 to 15 head injuries who received head computed tomographic imaging in the emergency department, 839 (5.5%) had ICI. The median ages of those with and without a composite outcome were 7 and 5 years, respectively. Among those patients with ICI, 8.7% (n = 73) experienced the primary outcome, including 8.3% (n = 70) who had a neurosurgical intervention. The only clinical variable significantly associated with outcome was GCS score (odds ratio [OR], 3.4; 95% CI, 1.5-7.4 for GCS score 13 vs 15). Significant radiologic predictors included midline shift (OR, 6.8; 95% CI, 3.4-13.8), depressed skull fracture (OR, 6.5; 95% CI, 3.7-11.4), and epidural hematoma (OR, 3.4; 95% CI, 1.8-6.2). The model C statistic was 0.84 (95% CI, 0.79-0.88); the 10-fold cross-validated C statistic was 0.83. Based on this modeling, we developed the Children's Intracranial Injury Decision Aid score, which ranged from 0 to 24 points. The negative predictive value of having 0 points (ie, none of these risk factors) was 98.8% (95% CI, 97.3%-99.6%). CONCLUSIONS AND RELEVANCELower GCS score, midline shift, depressed skull fracture, and epidural hematoma are key risk factors for needing intensive care unit-level care in children with mTBI and ICI. Based on these results, the Children's Intracranial Injury Decision Aid score is a potentially novel tool to risk stratify this population, thereby aiding management decisions.

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The impact on parents of a child’s admission to intensive care: Integration of qualitative findings from a cross-sectional study

Cited by 148 publications

References 31 publications

Parents' Experience of the Transition with their Child from a Pediatric Intensive Care Unit (PICU) to the Hospital Ward: Searching for Comfort Across Transitions

Parents' Experience of the Transition with their Child from a Pediatric Intensive Care Unit (PICU) to the Hospital Ward: Searching for Comfort Across Transitions

Estrés en padres de niños operados de cardiopatías congénitas

Development and Internal Validation of a Clinical Risk Score for Treating Children With Mild Head Trauma and Intracranial Injury

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