Unaccompanied Hospitalized Children

Roberts, Cristine; Messmer, Patricia R.

doi:10.1177/0898010111423422

Cited by 7 publications

(12 citation statements)

References 15 publications

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“…A study of nurses' perception of unaccompanied hospitalized children suggested that nurses were concerned about their patients' safety during the absence of their parents. The nurses were placed in a difficult situation by having to put toddlers into cribs to keep them safe, which caused them to feel sorry for the child or by placing the child on a regular bed with a high risk of fall (Roberts, 2012).…”

Section: Discussionmentioning

confidence: 99%

“…Roberts (2010) revealed that one-third of hospitalized children were not accompanied by their parents for at least part of the hospitalisation. A qualitative follow-up study was conducted, and it was discovered that financial issues and not being able to leave work were the main reasons for not being with the child in the hospital (Roberts, 2012). These findings contrast with typical Indonesian hospitals where a guardian must stay with the hospitalized child.…”

Section: Methodsmentioning

confidence: 98%

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Development and Trial of a Paediatric Falls Screening Tool for Use in an Indonesian Context

Yulianti

Noviandini

Kasmirah³

et al. 2019

Nurs. Med. J. Nursing

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Background: Falls in the hospital have become an important issue internationally with numerous studies and assessment tools developed with a focus mainly on elderly adults. However, little has been written about falls in children in the hospital, which reveals evidence that falls and the sequels are significant problems.Purpose: This study aimed to develop a culturally-based instrument for paediatric falls prevention.Methods: In this action research study, participants, in this case, clinical nurses, joined the researcher in progressive problem-solving in two phases, starting with composing tool items based on the previous tools and research, then conducting validity and reliability tests. The instrument, the Paediatric Risk of Falls (PROF) Scale, was developed based on a literature review, contemporary models and the local context, and its content validity. In phase two, the staff of one local hospital participated in an education programme in the use of the tool, then were involved in the screening of all falls within two months on 156 paediatric patients in the paediatric ward in a local hospital in Indonesia. Data were analysed to examine the validity and reliability of the PROF Scale using Pearson Product Moment and Cronbach's alpha coefficients.Results: Two of nine items related to medication and surgery were judged as not valid, possibly because of study parameters and technical problems in completing the items. One item on parental involvement, which was developed based on cultural practice in Central Java, was judged as a valid item. All items demonstrated acceptable reliability statistics.Conclusion: The PROF Scale demonstrates satisfactory validity and reliability as a scale for assessing falls in pediatric settings in an Indonesian context, but needs to be tested in other settings to further test validity and reliability as well as its application and acceptability.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 98%

Development and Trial of a Paediatric Falls Screening Tool for Use in an Indonesian Context

Yulianti

Noviandini

Kasmirah³

et al. 2019

Nurs. Med. J. Nursing

View full text Add to dashboard Cite

show abstract

“…Nurses reported feelings of guilt and distress when having to implement necessary interventions that caused children fear, pain, or distress (Livesley, 2005;Roberts & Messmer, 2012). Nurses worried about children's safety in the hospital alone, parents' ability to care for their child when discharged, and the negative effects of being a child alone (Roberts & Messmer, 2012). Some nurses tried to empathize with absent parents, while many judged them; almost all nurses believed a parent should accompany a hospitalized child (Roberts & Messmer, 2012).…”

Section: Nurses' Perceptionsmentioning

confidence: 99%

“…Nurses worried about children's safety in the hospital alone, parents' ability to care for their child when discharged, and the negative effects of being a child alone (Roberts & Messmer, 2012). Some nurses tried to empathize with absent parents, while many judged them; almost all nurses believed a parent should accompany a hospitalized child (Roberts & Messmer, 2012).…”

Section: Nurses' Perceptionsmentioning

confidence: 99%

“…Before the development of the family-centered care model it was the norm to leave children in the hospital alone and for parents to return when children were ready to be discharged (Jolley & Shields, 2009). This past practice of separation is attributed to the paternalistic attitude of healthcare and the fear of spreading infectious diseases (Jolley & Shields, 2009;Roberts & Messmer, 2012). The psychological effects of separation with hospitalization were not considered until the evacuation of hundreds of thousands of children during World War II raised concerns of parent and child separation (Jolley & Shields, 2009).…”

Section: Introductionmentioning

confidence: 99%

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Unaccompanied Hospitalized Children: An Integrative Review

Lulgjuraj

Maneval

2021

Journal of Pediatric Nursing

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A child's hospitalization is often associated with stress that is exacerbated when the child is left unaccompanied by parents/caregivers. Parental presence, as part of a family-centered approach to care, is a strategy to mitigate the stressors and negative effects of hospitalization. However, due to a variety of circumstances, some children continue to remain unaccompanied in the hospital. This integrative review explored the phenomenon of unaccompanied hospitalized children. Eligibility criteria: Relevant articles available in full-text and written in English were identified through electronic searches of CINAHL, PubMed, and PsycINFO and through hand searches of reference lists. Sample: Eleven studies were included, analyzed, and synthesized into themes. Study quality was assessed using Bowling and Pearson's appraisal checklists. Results: Distress of hospitalized children is evident when children are unaccompanied in the hospital and left to experience the stressors of hospitalization alone. The compounding effects of hospitalization and separation can cause distress and psychological trauma during and after the hospitalization period. Pediatric nurses strive to provide care to unaccompanied children that lessens these negative effects. Conclusions: Unaccompanied hospitalized children represent a vulnerable population. While the literature provides some insight into the experiences, research does not adequately explore the unaccompanied hospitalized child's experience. Implications: Pediatric nurses hold a position that enable them to support the physical and psychosocial needs of unaccompanied hospitalized children. By recognizing and addressing the stressors and distress unaccompanied children experience, nurses can help alleviate the subsequent effects resulting from separation and hospitalization.

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The experience of parents in Ronald McDonald houses in France

Cosquer

Jousselme²

2023

Archives de Pédiatrie

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Unaccompanied Hospitalized Children

Cited by 7 publications

References 15 publications

Development and Trial of a Paediatric Falls Screening Tool for Use in an Indonesian Context

Development and Trial of a Paediatric Falls Screening Tool for Use in an Indonesian Context

Unaccompanied Hospitalized Children: An Integrative Review

The experience of parents in Ronald McDonald houses in France

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