1
|
Kassam-Adams N, Butler L, Price J, Gawel M, Graham L, Myers S, Auerbach M. Trauma-informed and family-centered paediatric resuscitation: Defining domains and practices. Resusc Plus 2023; 14:100374. [PMID: 37007186 PMCID: PMC10064226 DOI: 10.1016/j.resplu.2023.100374] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Revised: 02/27/2023] [Accepted: 03/02/2023] [Indexed: 03/28/2023] Open
Abstract
Aim For paediatric patients and families, resuscitation can be an extremely stressful experience with significant medical and psychological consequences. Psychological sequelae may be reduced when healthcare teams apply patient- and family-centered care and trauma-informed care, yet there are few specific instructions for effective family-centered or trauma-informed behaviours that are observable and teachable. We aimed to develop a framework and tools to address this gap. Methods We reviewed relevant policy statements, guidelines, and research to define core domains of family-centered and trauma-informed care, and identified observable evidence-based practices in each domain. We refined this list of practices via review of provider/team behaviours in simulated paediatric resuscitation scenarios, then developed and piloted an observational checklist. Results Six domains were identified: (1) Sharing information with patient and family; (2) Promoting family involvement in care and decisions; (3) Addressing family needs and distress; (4) Addressing child distress; (5) Promoting effective emotional support for child; (6) Practicing developmental and cultural competence. A 71-item observational checklist assessing these domains was feasible for use during video review of paediatric resuscitation. Conclusion This framework can guide future research and provide tools for training and implementation efforts to improve patient outcomes through patient- and family-centered and trauma-informed care.
Collapse
Affiliation(s)
- Nancy Kassam-Adams
- Children’s Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, USA
- University of Pennsylvania Perelman School of Medicine, 3400 Civic Center Blvd, Philadelphia, PA 19104, USA
| | - Lucas Butler
- Yale School of Medicine, 333 Cedar St, New Haven, CT 06510, USA
| | - Julia Price
- Nemours Children’s Health, 1600 Rockland Road, Wilmington, DE 19803, USA
- Sidney Kimmel Medical College at Thomas Jefferson University, 1025 Walnut St, Philadelphia, PA 19107, USA
| | - Marcie Gawel
- Yale New Haven Hospital, 20 York St, New Haven, CT 06510, USA
| | - Leila Graham
- Children’s Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, USA
| | - Sage Myers
- Children’s Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, USA
- University of Pennsylvania Perelman School of Medicine, 3400 Civic Center Blvd, Philadelphia, PA 19104, USA
| | - Marc Auerbach
- Yale School of Medicine, 333 Cedar St, New Haven, CT 06510, USA
- Yale New Haven Children’s Hospital, 35 Park St, New Haven, CT 06511, USA
| |
Collapse
|
2
|
The Family Network Collaborative: engaging families in pediatric critical care research. Pediatr Res 2023; 93:453-456. [PMID: 35672385 PMCID: PMC9726989 DOI: 10.1038/s41390-022-02048-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/02/2021] [Revised: 03/16/2022] [Accepted: 03/21/2022] [Indexed: 11/08/2022]
|
3
|
Deacon A, O'Neill TA, Gilfoyle E. Family presence during resuscitation: a needs assessment of education, policy, and opinion in Canada. Can J Anaesth 2021; 68:1008-1017. [PMID: 33751457 DOI: 10.1007/s12630-021-01972-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2020] [Revised: 12/30/2020] [Accepted: 01/20/2021] [Indexed: 10/21/2022] Open
Abstract
PURPOSE Family presence during resuscitation (FPDR) has been widely endorsed. Nevertheless, there is limited information available on current education and training used to support FPDR implementation, including that of relevant policy. Understanding the current state of FPDR educational opportunities, policies, and practices across Canadian hospitals is crucial to advancing and standardizing these within our medical community. Our objective was to identify the current and desired state of education and policy on FPDR, as well as current practices and opinions of Canadian healthcare professionals. METHODS We selected questionnaire topics and employed a modified Delphi consensus technique using a group of subject matter experts in resuscitation. We contacted a stratified sample of Canadian healthcare professionals via select listservs and surveyed the cohort using RedCAP™. We used descriptive statistics and conducted quantitative analyses to describe and test for significant differences among groups. RESULTS In total, 635 surveys were completed. Only 46.3% of participants reported ever attending an educational opportunity involving learning how to manage FPDR; however, 92% wanted training. Only 11% knew if they had an official FPDR policy in their current hospital but 62.9% indicated they wanted one. In support of FPDR, 88% agreed that family members should be allowed to be present during a resuscitation. CONCLUSION While opinions are mostly positive towards FPDR, there exists a gap between the current and desired state of education and policy supporting it within Canada.
Collapse
Affiliation(s)
| | | | - Elaine Gilfoyle
- University of Calgary, Calgary, AB, Canada.,Hospital for Sick Children, Toronto, ON, Canada
| |
Collapse
|
4
|
Abstract
OBJECTIVES The purpose of this scoping review was to identify the extent, range, and nature of information currently available on family presence during pediatric resuscitation on resuscitation team members and their performance. DATA SOURCES A comprehensive search strategy was created and executed by identifying primary keywords in central articles, pretesting key words and combinations of them in databases to confirm articles returned fell within the search parameters, and checking that key articles were returned which confirmed the search strategy was not too narrow. STUDY SELECTION Two members of the research team independently conducted relevance screening using predetermined inclusion and exclusion parameters. Titles and abstracts of retrieved articles were reviewed using the set criteria involving. From the refined list of selected articles, full texts of each article were considered for final determination of inclusion. DATA EXTRACTION Key items of information were gathered from each article selected using a predefined extraction list. The extracted information was then sorted into themes and relevant issues. DATA SYNTHESIS Of the 3,012 studies initially identified, 48 met the inclusion criteria. Themes identified included as follows: 1) attitudes and opinions on family presence during pediatric resuscitation; 2) reasons in support of or against family presence during pediatric resuscitation; 3) education, training, and support; and 4) resuscitation performance and outcomes. Our review of the available information highlighted that the majority of work done to this point has focused heavily on healthcare provider opinions and relied mainly on survey method. CONCLUSIONS We propose that future research employ more rigorous research techniques, such as randomized control trials, place greater emphasis on healthcare provider behaviors and clinical outcomes during family presence during pediatric resuscitation, and increase exploration into the education and training needs of healthcare providers who already currently manage family presence during pediatric resuscitation.
Collapse
|
5
|
Patient- and Family-Centered Care and the Role of the Emergency Physician Providing Care to a Child in the Emergency Department. Ann Emerg Med 2019; 73:e29-e31. [DOI: 10.1016/j.annemergmed.2018.11.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2018] [Indexed: 11/28/2022]
|
6
|
Parra C, Mele M, Alonso I, Trenchs V, Luaces C. Parent experience in the resuscitation room: how do they feel? Eur J Pediatr 2018; 177:1859-1862. [PMID: 30196426 DOI: 10.1007/s00431-018-3236-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2018] [Revised: 08/16/2018] [Accepted: 08/27/2018] [Indexed: 12/30/2022]
Abstract
The aim of this study is to describe the experience of parents present in the resuscitation room during the attention given to their children in the pediatric emergency department, and to identify areas for improvement in this regard. This was a prospective study carried out in a third-level pediatric hospital. Children with life-threatening pathologies are treated in the resuscitation room of the pediatric emergency department. A survey was carried out among parents present in the resuscitation room during the period September 2016-August 2017. Excluded were the parents of children that died and those with a language barrier. The parents were interviewed in person or over the phone within 72 h of the care provided in the resuscitation room. Fifty surveys were completed (15 in person and 35 by phone). Forty mothers and 10 fathers responded, with an average age of 41. In the resuscitation room, 39 parents were accompanied by a health professional and 22 were given information about how the resuscitation room operated. The feelings most frequently reported by the parents were nervousness (39) and trust in the healthcare provided (20). All of the parents wished to be present. They felt that their presence was beneficial for the child (46), for themselves (50), and for the healthcare personnel (28).Conclusion: The experience of the parents in our resuscitation room is a positive one. Nevertheless, some aspects need to be improved, such as accompaniment of the parents and the information that they are provided. What is Known: • There is an international recommendation for parental presence during invasive procedures and cardiopulmonary resuscitation. • Few studies have been carried out on how parents in the resuscitation room feel and how they encounter the experience. What is New: • Even though most of the parents feel nervous in the resuscitation room, they expressed confidence in the medical team and they would wish to be present under similar circumstances.
Collapse
Affiliation(s)
- Cristina Parra
- Pediatric Emergency Department, Hospital Sant Joan de Déu Barcelona (Spain), Passeig Sant Joan de Déu, 2, Esplugues de Llobregat, 08950, Barcelona, Spain.
| | - Maria Mele
- Pediatric Emergency Department, Hospital Sant Joan de Déu Barcelona (Spain), Passeig Sant Joan de Déu, 2, Esplugues de Llobregat, 08950, Barcelona, Spain
| | - Iris Alonso
- Pediatric Emergency Department, Hospital Sant Joan de Déu Barcelona (Spain), Passeig Sant Joan de Déu, 2, Esplugues de Llobregat, 08950, Barcelona, Spain
| | - Victoria Trenchs
- Pediatric Emergency Department, Hospital Sant Joan de Déu Barcelona (Spain), Passeig Sant Joan de Déu, 2, Esplugues de Llobregat, 08950, Barcelona, Spain
| | - Carles Luaces
- Pediatric Emergency Department, Hospital Sant Joan de Déu Barcelona (Spain), Passeig Sant Joan de Déu, 2, Esplugues de Llobregat, 08950, Barcelona, Spain
| |
Collapse
|
7
|
Mureau-Haines RM, Boes-Rossi M, Casperson SC, Çoruh B, Furth AM, Haverland A, Herrera F, Hirai-Seaton T, Kummet C, Ngo H, Shushan S, Kritek PA, Greco SA. Family Support During Resuscitation: A Quality Improvement Initiative. Crit Care Nurse 2018; 37:14-23. [PMID: 29196584 DOI: 10.4037/ccn2017347] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
BACKGROUND Despite increasing support for family presence during cardiopulmonary resuscitation, a review of the literature revealed no published protocols or training curricula to guide hospitals in implementing a family support provider role. OBJECTIVES To develop a curriculum and train dedicated resuscitation team members whose role is to provide family support during in-hospital resuscitation events. METHODS An interdisciplinary team developed a 4-hour training session for the family support staff. The session included an introduction to the evidence for family presence during resuscitation and local data on resuscitations. The training was composed of 4 sections: (1) clinical aspects of resuscitation, (2) integration into the resuscitation team and steps for providing family support during resuscitation, (3) responding to families in distress, and (4) self-care practices. Before and after the training session, the participants completed surveys of self-rated knowledge and attitudes toward family presence during resuscitation. RESULTS Fifty-nine social workers and 8 spiritual care providers were trained in 2015. There was a significant increase in all rated aspects of knowledge of the family support role and self-care strategies. CONCLUSION Through the creation of an interdisciplinary curriculum, an institution can effectively train health care providers in a new resuscitation team role: the family support provider.
Collapse
Affiliation(s)
- Rache Marie Mureau-Haines
- Rache Marie Mureau-Haines is an adult-gerontology nurse practitioner and critical care clinical nurse specialist at the University of Washington School of Nursing, Seattle, Washington. She works both in the United States and East Africa. .,Mandy Boes-Rossi is a social worker in the medical intensive care unit at University of Washington Medical Center, Seattle, Washington. .,Susan Christine Casperson is a clinical instructor at the University of Washington School of Nursing and nurse manager at the Regional Hospital for Respiratory and Complex Care, Burien, Washington, Washington. .,Basak Çoruh is an assistant professor of pulmonary and critical care medicine at the University of Washington, Seattle, Washington. .,Amy M. Furth is an ordained minister in the United Church of Christ and has served in East Harlem, San Francisco, Southern California, and Seattle, Seattle, Washington. .,Amy Haverland is the nurse manager of the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington. .,Farah Herrera is a registered nurse in the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington. .,Tracy Hirai-Seaton is a social worker at University of Washington Medical Center and at Harborview Medical Center, Seattle, Washington. .,Carol Kummet is a palliative care social worker at University of Washington Medical Center. .,Hkori Ngo is a social worker at Harborview Medical Center and University of Washington Medical Center. .,Stephanie Shushan is a program operations specialist at University of Washington Medical Center and the University of Washington School of Medicine. .,Patricia A. Kritek is an associate medical director for critical care at University of Washington Medical Center. She is also the co-chair of the Medical Emergency Response Committee. .,Sheryl A. Greco is a critical care clinical nurse specialist at University of Washington Medical Center.
| | - Mandy Boes-Rossi
- Rache Marie Mureau-Haines is an adult-gerontology nurse practitioner and critical care clinical nurse specialist at the University of Washington School of Nursing, Seattle, Washington. She works both in the United States and East Africa.,Mandy Boes-Rossi is a social worker in the medical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Susan Christine Casperson is a clinical instructor at the University of Washington School of Nursing and nurse manager at the Regional Hospital for Respiratory and Complex Care, Burien, Washington, Washington.,Basak Çoruh is an assistant professor of pulmonary and critical care medicine at the University of Washington, Seattle, Washington.,Amy M. Furth is an ordained minister in the United Church of Christ and has served in East Harlem, San Francisco, Southern California, and Seattle, Seattle, Washington.,Amy Haverland is the nurse manager of the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Farah Herrera is a registered nurse in the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Tracy Hirai-Seaton is a social worker at University of Washington Medical Center and at Harborview Medical Center, Seattle, Washington.,Carol Kummet is a palliative care social worker at University of Washington Medical Center.,Hkori Ngo is a social worker at Harborview Medical Center and University of Washington Medical Center.,Stephanie Shushan is a program operations specialist at University of Washington Medical Center and the University of Washington School of Medicine.,Patricia A. Kritek is an associate medical director for critical care at University of Washington Medical Center. She is also the co-chair of the Medical Emergency Response Committee.,Sheryl A. Greco is a critical care clinical nurse specialist at University of Washington Medical Center
| | - Susan Christine Casperson
- Rache Marie Mureau-Haines is an adult-gerontology nurse practitioner and critical care clinical nurse specialist at the University of Washington School of Nursing, Seattle, Washington. She works both in the United States and East Africa.,Mandy Boes-Rossi is a social worker in the medical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Susan Christine Casperson is a clinical instructor at the University of Washington School of Nursing and nurse manager at the Regional Hospital for Respiratory and Complex Care, Burien, Washington, Washington.,Basak Çoruh is an assistant professor of pulmonary and critical care medicine at the University of Washington, Seattle, Washington.,Amy M. Furth is an ordained minister in the United Church of Christ and has served in East Harlem, San Francisco, Southern California, and Seattle, Seattle, Washington.,Amy Haverland is the nurse manager of the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Farah Herrera is a registered nurse in the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Tracy Hirai-Seaton is a social worker at University of Washington Medical Center and at Harborview Medical Center, Seattle, Washington.,Carol Kummet is a palliative care social worker at University of Washington Medical Center.,Hkori Ngo is a social worker at Harborview Medical Center and University of Washington Medical Center.,Stephanie Shushan is a program operations specialist at University of Washington Medical Center and the University of Washington School of Medicine.,Patricia A. Kritek is an associate medical director for critical care at University of Washington Medical Center. She is also the co-chair of the Medical Emergency Response Committee.,Sheryl A. Greco is a critical care clinical nurse specialist at University of Washington Medical Center
| | - Basak Çoruh
- Rache Marie Mureau-Haines is an adult-gerontology nurse practitioner and critical care clinical nurse specialist at the University of Washington School of Nursing, Seattle, Washington. She works both in the United States and East Africa.,Mandy Boes-Rossi is a social worker in the medical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Susan Christine Casperson is a clinical instructor at the University of Washington School of Nursing and nurse manager at the Regional Hospital for Respiratory and Complex Care, Burien, Washington, Washington.,Basak Çoruh is an assistant professor of pulmonary and critical care medicine at the University of Washington, Seattle, Washington.,Amy M. Furth is an ordained minister in the United Church of Christ and has served in East Harlem, San Francisco, Southern California, and Seattle, Seattle, Washington.,Amy Haverland is the nurse manager of the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Farah Herrera is a registered nurse in the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Tracy Hirai-Seaton is a social worker at University of Washington Medical Center and at Harborview Medical Center, Seattle, Washington.,Carol Kummet is a palliative care social worker at University of Washington Medical Center.,Hkori Ngo is a social worker at Harborview Medical Center and University of Washington Medical Center.,Stephanie Shushan is a program operations specialist at University of Washington Medical Center and the University of Washington School of Medicine.,Patricia A. Kritek is an associate medical director for critical care at University of Washington Medical Center. She is also the co-chair of the Medical Emergency Response Committee.,Sheryl A. Greco is a critical care clinical nurse specialist at University of Washington Medical Center
| | - Amy M Furth
- Rache Marie Mureau-Haines is an adult-gerontology nurse practitioner and critical care clinical nurse specialist at the University of Washington School of Nursing, Seattle, Washington. She works both in the United States and East Africa.,Mandy Boes-Rossi is a social worker in the medical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Susan Christine Casperson is a clinical instructor at the University of Washington School of Nursing and nurse manager at the Regional Hospital for Respiratory and Complex Care, Burien, Washington, Washington.,Basak Çoruh is an assistant professor of pulmonary and critical care medicine at the University of Washington, Seattle, Washington.,Amy M. Furth is an ordained minister in the United Church of Christ and has served in East Harlem, San Francisco, Southern California, and Seattle, Seattle, Washington.,Amy Haverland is the nurse manager of the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Farah Herrera is a registered nurse in the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Tracy Hirai-Seaton is a social worker at University of Washington Medical Center and at Harborview Medical Center, Seattle, Washington.,Carol Kummet is a palliative care social worker at University of Washington Medical Center.,Hkori Ngo is a social worker at Harborview Medical Center and University of Washington Medical Center.,Stephanie Shushan is a program operations specialist at University of Washington Medical Center and the University of Washington School of Medicine.,Patricia A. Kritek is an associate medical director for critical care at University of Washington Medical Center. She is also the co-chair of the Medical Emergency Response Committee.,Sheryl A. Greco is a critical care clinical nurse specialist at University of Washington Medical Center
| | - Amy Haverland
- Rache Marie Mureau-Haines is an adult-gerontology nurse practitioner and critical care clinical nurse specialist at the University of Washington School of Nursing, Seattle, Washington. She works both in the United States and East Africa.,Mandy Boes-Rossi is a social worker in the medical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Susan Christine Casperson is a clinical instructor at the University of Washington School of Nursing and nurse manager at the Regional Hospital for Respiratory and Complex Care, Burien, Washington, Washington.,Basak Çoruh is an assistant professor of pulmonary and critical care medicine at the University of Washington, Seattle, Washington.,Amy M. Furth is an ordained minister in the United Church of Christ and has served in East Harlem, San Francisco, Southern California, and Seattle, Seattle, Washington.,Amy Haverland is the nurse manager of the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Farah Herrera is a registered nurse in the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Tracy Hirai-Seaton is a social worker at University of Washington Medical Center and at Harborview Medical Center, Seattle, Washington.,Carol Kummet is a palliative care social worker at University of Washington Medical Center.,Hkori Ngo is a social worker at Harborview Medical Center and University of Washington Medical Center.,Stephanie Shushan is a program operations specialist at University of Washington Medical Center and the University of Washington School of Medicine.,Patricia A. Kritek is an associate medical director for critical care at University of Washington Medical Center. She is also the co-chair of the Medical Emergency Response Committee.,Sheryl A. Greco is a critical care clinical nurse specialist at University of Washington Medical Center
| | - Farah Herrera
- Rache Marie Mureau-Haines is an adult-gerontology nurse practitioner and critical care clinical nurse specialist at the University of Washington School of Nursing, Seattle, Washington. She works both in the United States and East Africa.,Mandy Boes-Rossi is a social worker in the medical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Susan Christine Casperson is a clinical instructor at the University of Washington School of Nursing and nurse manager at the Regional Hospital for Respiratory and Complex Care, Burien, Washington, Washington.,Basak Çoruh is an assistant professor of pulmonary and critical care medicine at the University of Washington, Seattle, Washington.,Amy M. Furth is an ordained minister in the United Church of Christ and has served in East Harlem, San Francisco, Southern California, and Seattle, Seattle, Washington.,Amy Haverland is the nurse manager of the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Farah Herrera is a registered nurse in the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Tracy Hirai-Seaton is a social worker at University of Washington Medical Center and at Harborview Medical Center, Seattle, Washington.,Carol Kummet is a palliative care social worker at University of Washington Medical Center.,Hkori Ngo is a social worker at Harborview Medical Center and University of Washington Medical Center.,Stephanie Shushan is a program operations specialist at University of Washington Medical Center and the University of Washington School of Medicine.,Patricia A. Kritek is an associate medical director for critical care at University of Washington Medical Center. She is also the co-chair of the Medical Emergency Response Committee.,Sheryl A. Greco is a critical care clinical nurse specialist at University of Washington Medical Center
| | - Tracy Hirai-Seaton
- Rache Marie Mureau-Haines is an adult-gerontology nurse practitioner and critical care clinical nurse specialist at the University of Washington School of Nursing, Seattle, Washington. She works both in the United States and East Africa.,Mandy Boes-Rossi is a social worker in the medical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Susan Christine Casperson is a clinical instructor at the University of Washington School of Nursing and nurse manager at the Regional Hospital for Respiratory and Complex Care, Burien, Washington, Washington.,Basak Çoruh is an assistant professor of pulmonary and critical care medicine at the University of Washington, Seattle, Washington.,Amy M. Furth is an ordained minister in the United Church of Christ and has served in East Harlem, San Francisco, Southern California, and Seattle, Seattle, Washington.,Amy Haverland is the nurse manager of the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Farah Herrera is a registered nurse in the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Tracy Hirai-Seaton is a social worker at University of Washington Medical Center and at Harborview Medical Center, Seattle, Washington.,Carol Kummet is a palliative care social worker at University of Washington Medical Center.,Hkori Ngo is a social worker at Harborview Medical Center and University of Washington Medical Center.,Stephanie Shushan is a program operations specialist at University of Washington Medical Center and the University of Washington School of Medicine.,Patricia A. Kritek is an associate medical director for critical care at University of Washington Medical Center. She is also the co-chair of the Medical Emergency Response Committee.,Sheryl A. Greco is a critical care clinical nurse specialist at University of Washington Medical Center
| | - Carol Kummet
- Rache Marie Mureau-Haines is an adult-gerontology nurse practitioner and critical care clinical nurse specialist at the University of Washington School of Nursing, Seattle, Washington. She works both in the United States and East Africa.,Mandy Boes-Rossi is a social worker in the medical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Susan Christine Casperson is a clinical instructor at the University of Washington School of Nursing and nurse manager at the Regional Hospital for Respiratory and Complex Care, Burien, Washington, Washington.,Basak Çoruh is an assistant professor of pulmonary and critical care medicine at the University of Washington, Seattle, Washington.,Amy M. Furth is an ordained minister in the United Church of Christ and has served in East Harlem, San Francisco, Southern California, and Seattle, Seattle, Washington.,Amy Haverland is the nurse manager of the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Farah Herrera is a registered nurse in the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Tracy Hirai-Seaton is a social worker at University of Washington Medical Center and at Harborview Medical Center, Seattle, Washington.,Carol Kummet is a palliative care social worker at University of Washington Medical Center.,Hkori Ngo is a social worker at Harborview Medical Center and University of Washington Medical Center.,Stephanie Shushan is a program operations specialist at University of Washington Medical Center and the University of Washington School of Medicine.,Patricia A. Kritek is an associate medical director for critical care at University of Washington Medical Center. She is also the co-chair of the Medical Emergency Response Committee.,Sheryl A. Greco is a critical care clinical nurse specialist at University of Washington Medical Center
| | - Hkori Ngo
- Rache Marie Mureau-Haines is an adult-gerontology nurse practitioner and critical care clinical nurse specialist at the University of Washington School of Nursing, Seattle, Washington. She works both in the United States and East Africa.,Mandy Boes-Rossi is a social worker in the medical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Susan Christine Casperson is a clinical instructor at the University of Washington School of Nursing and nurse manager at the Regional Hospital for Respiratory and Complex Care, Burien, Washington, Washington.,Basak Çoruh is an assistant professor of pulmonary and critical care medicine at the University of Washington, Seattle, Washington.,Amy M. Furth is an ordained minister in the United Church of Christ and has served in East Harlem, San Francisco, Southern California, and Seattle, Seattle, Washington.,Amy Haverland is the nurse manager of the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Farah Herrera is a registered nurse in the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Tracy Hirai-Seaton is a social worker at University of Washington Medical Center and at Harborview Medical Center, Seattle, Washington.,Carol Kummet is a palliative care social worker at University of Washington Medical Center.,Hkori Ngo is a social worker at Harborview Medical Center and University of Washington Medical Center.,Stephanie Shushan is a program operations specialist at University of Washington Medical Center and the University of Washington School of Medicine.,Patricia A. Kritek is an associate medical director for critical care at University of Washington Medical Center. She is also the co-chair of the Medical Emergency Response Committee.,Sheryl A. Greco is a critical care clinical nurse specialist at University of Washington Medical Center
| | - Stephanie Shushan
- Rache Marie Mureau-Haines is an adult-gerontology nurse practitioner and critical care clinical nurse specialist at the University of Washington School of Nursing, Seattle, Washington. She works both in the United States and East Africa.,Mandy Boes-Rossi is a social worker in the medical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Susan Christine Casperson is a clinical instructor at the University of Washington School of Nursing and nurse manager at the Regional Hospital for Respiratory and Complex Care, Burien, Washington, Washington.,Basak Çoruh is an assistant professor of pulmonary and critical care medicine at the University of Washington, Seattle, Washington.,Amy M. Furth is an ordained minister in the United Church of Christ and has served in East Harlem, San Francisco, Southern California, and Seattle, Seattle, Washington.,Amy Haverland is the nurse manager of the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Farah Herrera is a registered nurse in the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Tracy Hirai-Seaton is a social worker at University of Washington Medical Center and at Harborview Medical Center, Seattle, Washington.,Carol Kummet is a palliative care social worker at University of Washington Medical Center.,Hkori Ngo is a social worker at Harborview Medical Center and University of Washington Medical Center.,Stephanie Shushan is a program operations specialist at University of Washington Medical Center and the University of Washington School of Medicine.,Patricia A. Kritek is an associate medical director for critical care at University of Washington Medical Center. She is also the co-chair of the Medical Emergency Response Committee.,Sheryl A. Greco is a critical care clinical nurse specialist at University of Washington Medical Center
| | - Patricia A Kritek
- Rache Marie Mureau-Haines is an adult-gerontology nurse practitioner and critical care clinical nurse specialist at the University of Washington School of Nursing, Seattle, Washington. She works both in the United States and East Africa.,Mandy Boes-Rossi is a social worker in the medical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Susan Christine Casperson is a clinical instructor at the University of Washington School of Nursing and nurse manager at the Regional Hospital for Respiratory and Complex Care, Burien, Washington, Washington.,Basak Çoruh is an assistant professor of pulmonary and critical care medicine at the University of Washington, Seattle, Washington.,Amy M. Furth is an ordained minister in the United Church of Christ and has served in East Harlem, San Francisco, Southern California, and Seattle, Seattle, Washington.,Amy Haverland is the nurse manager of the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Farah Herrera is a registered nurse in the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Tracy Hirai-Seaton is a social worker at University of Washington Medical Center and at Harborview Medical Center, Seattle, Washington.,Carol Kummet is a palliative care social worker at University of Washington Medical Center.,Hkori Ngo is a social worker at Harborview Medical Center and University of Washington Medical Center.,Stephanie Shushan is a program operations specialist at University of Washington Medical Center and the University of Washington School of Medicine.,Patricia A. Kritek is an associate medical director for critical care at University of Washington Medical Center. She is also the co-chair of the Medical Emergency Response Committee.,Sheryl A. Greco is a critical care clinical nurse specialist at University of Washington Medical Center
| | - Sheryl A Greco
- Rache Marie Mureau-Haines is an adult-gerontology nurse practitioner and critical care clinical nurse specialist at the University of Washington School of Nursing, Seattle, Washington. She works both in the United States and East Africa.,Mandy Boes-Rossi is a social worker in the medical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Susan Christine Casperson is a clinical instructor at the University of Washington School of Nursing and nurse manager at the Regional Hospital for Respiratory and Complex Care, Burien, Washington, Washington.,Basak Çoruh is an assistant professor of pulmonary and critical care medicine at the University of Washington, Seattle, Washington.,Amy M. Furth is an ordained minister in the United Church of Christ and has served in East Harlem, San Francisco, Southern California, and Seattle, Seattle, Washington.,Amy Haverland is the nurse manager of the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Farah Herrera is a registered nurse in the surgical intensive care unit at University of Washington Medical Center, Seattle, Washington.,Tracy Hirai-Seaton is a social worker at University of Washington Medical Center and at Harborview Medical Center, Seattle, Washington.,Carol Kummet is a palliative care social worker at University of Washington Medical Center.,Hkori Ngo is a social worker at Harborview Medical Center and University of Washington Medical Center.,Stephanie Shushan is a program operations specialist at University of Washington Medical Center and the University of Washington School of Medicine.,Patricia A. Kritek is an associate medical director for critical care at University of Washington Medical Center. She is also the co-chair of the Medical Emergency Response Committee.,Sheryl A. Greco is a critical care clinical nurse specialist at University of Washington Medical Center
| |
Collapse
|
8
|
Fallat ME, Barbee AP, Forest R, McClure ME, Henry K, Cunningham MR. Perceptions by Families of Emergency Medical Service Interventions During Imminent Pediatric Out-of-Hospital Death. PREHOSP EMERG CARE 2018; 23:241-248. [PMID: 30118366 DOI: 10.1080/10903127.2018.1495283] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
OBJECTIVE To understand how family members view the ways Emergency Medical Services (EMS) and other first responders interact with distressed family members during an intervention involving a recent or impending pediatric death. METHODS In depth interviews with 11 grieving parents of young children and survey results from 4 additional grieving parents of adult children were conducted as part of a larger study on effective ways for EMS providers to interact with distressed family members during a pediatric death in the field. The responses were analyzed using qualitative content analyses. RESULTS Family reactions to the crisis and the professional response by first responders were critical to family coping and getting necessary support. There were several critical competencies identified to help the family cope including: (1) that first responders provide excellent and expeditious care with seamless coordination, (2) allowing family to witness the resuscitation including the attempts to save the child's life, and (3) providing ongoing communication. Whether the child is removed from the scene or not, keeping the family apprised of what is happening and why is critical. Giving tangible forms of support by calling friends, family, and clergy, along with allowing the family time with the child after death, giving emotional support, and follow-up gestures all help families cope. CONCLUSION The study generated hypothetical ways for first responders to interact with distressed family members during an OOH pediatric death.
Collapse
|
9
|
Affiliation(s)
- Mohsen Saidinejad
- Department of Emergency Medicine, Harbor UCLA Medical Center, David Geffen School of Medicine at UCLA, 1000 West Carson Street, Torrance, CA 90502, USA.
| |
Collapse
|
10
|
Hoyle L, Brown M, Donaldson J, Karatzias T. Invasive Clinical Intervention Education for Social Care Support Workers of Adults: A Review of the Current Literature. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2017. [DOI: 10.1111/jppi.12211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Louise Hoyle
- The School has now changed to the School of Health and Social Care; Edinburgh Napier University; Edinburgh UK
| | - Michael Brown
- The School has now changed to the School of Health and Social Care; Edinburgh Napier University; Edinburgh UK
| | - Jayne Donaldson
- The School has now changed to the School of Health and Social Care; Edinburgh Napier University; Edinburgh UK
| | - Thanos Karatzias
- The School has now changed to the School of Health and Social Care; Edinburgh Napier University; Edinburgh UK
| |
Collapse
|
11
|
Barbee AP, Antle BF, Fallat ME, Forest R, McClure ME. EMS Treatment of Families in an Ambiguous Out-of-Hospital Child Death: The Role of Attribution Errors. JOURNAL OF LOSS & TRAUMA 2017. [DOI: 10.1080/15325024.2017.1358572] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Anita P. Barbee
- Kent School of Social Work, University of Louisville, Louisville, Kentucky, USA
| | - Becky F. Antle
- Kent School of Social Work, University of Louisville, Louisville, Kentucky, USA
| | - Mary E. Fallat
- Department of Surgery, School of Medicine, University of Louisville, Louisville, Kentucky, USA
| | - Richard Forest
- Pediatric Bereavement Care Program, Norton Children’s Hospital and Norton Healthcare, Louisville, Kentucky, USA
| | - Mary E. McClure
- Department of Surgery, School of Medicine, University of Louisville, Louisville, Kentucky, USA
| |
Collapse
|
12
|
Abstract
Understanding the significance of rituals at the end-of-life enables health care professionals to offer meaningful and compassionate interventions that enhance quality of life and support those dying and those who grieve. Rituals contribute to the strength, capacity, and health of providers who cope with death events. Rituals help the living create continuing bonds with those dying, help with coping skills, and allow healthy growth through opportunities for naming, honoring, and memorializing. The display of respect and a nonjudgmental attitude create a space for support, trust, sharing of emotion, empowerment, and quality of care during end-of-life events.
Collapse
Affiliation(s)
- James C Pace
- NYU Rory Meyers College of Nursing, 433 First Avenue, New York, NY 10010, USA.
| | | |
Collapse
|
13
|
Gomez DBCA, Vidal SA, Lima LCS. Brazilian adaptation and validation of the Empowerment of Parents in the Intensive Care-Neonatology (EMPATHIC-N) questionnaire. J Pediatr (Rio J) 2017; 93:156-164. [PMID: 27565641 DOI: 10.1016/j.jped.2016.06.007] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2015] [Revised: 06/03/2016] [Accepted: 06/14/2016] [Indexed: 10/21/2022] Open
Abstract
OBJECTIVES Considering the lack of questionnaires that propose to evaluate parental satisfaction with the Neonatal Intensive Care Unit (NICU) in Brazil, this study aimed to carry out the translation of the EMPATHIC-N questionnaire into Brazilian Portuguese, the cross-cultural adaptation and validation of its contents. METHOD The translation and cultural adaptation of the questionnaire was carried out according to the protocol established by the Translation and Cross-Cultural Adaptation Group of the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) in 2005. The validation of the content was carried out by a panel of experts, who evaluated each item from "very irrelevant" to "very relevant". Items with a mean Likert scale value <3.5 were excluded. Cronbach's alpha of the domains was calculated. RESULTS The questionnaire was submitted to two pilot tests with mothers of newborns admitted to the NICU of the study, after which some terms were modified to achieve global understanding. Cronbach's alpha remained above 0.7 in all items. CONCLUSION The tool resulting from the translation, cultural adaptation, and validation of the EMPATHIC-N questionnaire showed to be adequate to assess satisfaction of parents of newborns admitted to the NICU in Brazil.
Collapse
Affiliation(s)
- Dafne B C A Gomez
- Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), Recife, PE, Brazil.
| | - Suely A Vidal
- Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), Recife, PE, Brazil; Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), Grupo de Estudos em Gestão e Avaliação em Saúde (GEAS), Recife, PE, Brazil
| | - Luciana C S Lima
- Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), Programa de Residência Médica, Recife, PE, Brazil
| |
Collapse
|
14
|
Gomez DB, Vidal SA, Lima LC. Brazilian adaptation and validation of the Empowerment of Parents in the Intensive Care‐Neonatology (EMPATHIC‐N) questionnaire. JORNAL DE PEDIATRIA (VERSÃO EM PORTUGUÊS) 2017. [DOI: 10.1016/j.jpedp.2016.08.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
|
15
|
Ayub EM, Sampayo EM, Shah MI, Doughty CB. Prehospital Providers' Perceptions on Providing Patient and Family Centered Care. PREHOSP EMERG CARE 2016; 21:233-241. [PMID: 27858502 DOI: 10.1080/10903127.2016.1241326] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND A gap exists in understanding a provider's approach to delivering care that is mutually beneficial to patients, families, and other providers in the prehospital setting. The purpose of this study was to identify attitudes, beliefs, and perceived barriers to providing patient and family centered care (PFCC) in the prehospital setting and to describe potential solutions for improving PFCC during critical pediatric events. METHODS We conducted a qualitative, cross-sectional study of a purposive sample of Emergency Medical Technicians (EMTs) and paramedics from an urban, municipal, fire-based EMS system, who participated in the Pediatric Simulation Training for Emergency Prehospital Providers (PediSTEPPS) course. Two coders reviewed transcriptions of audio recordings from participants' first simulation scenario debriefings and performed constant comparison analysis to identify unifying themes. Themes were verified through member checking with two focus groups of prehospital providers. RESULTS A total of 122 EMTs and paramedics participated in 16 audiotaped debriefing sessions and two focus groups. Four overarching themes emerged regarding the experience of PFCC by prehospital providers: (1) Perceived barriers included the prehospital environment, limited manpower, multi-tasking medical care, and concern for interference with patient care; (2) Providing emotional support comprised of empathetically comforting caregivers, maintaining a calm demeanor, and empowering families to feel involved; (3) Effective communication strategies consisted of designating a family point person, narration of actions, preempting the next steps, speaking in lay terms, summarizing during downtime, and conveying a positive first impression; (4) Tactics to overcome PFCC barriers were maintaining a line of sight, removing and returning a caregiver to and from the scene, and providing situational awareness. CONCLUSIONS Based on debriefings from simulated scenarios, some prehospital providers identified the provision of emotional support and effective communication as important components to the delivery of PFCC. Other providers revealed several perceived barriers to providing PFCC, though potential solutions to overcome many of these barriers were also identified. These findings can be utilized to integrate effective communication and emotional support techniques into EMS protocols and provider training to overcome perceived barriers to PFCC in the prehospital setting.
Collapse
|
16
|
McBride ME, Floh A, Krishnamurthy G, Checchia P, Klugman D. Advancing Cardiac Critical Care: A Call for Training, Collaboration, and Family Engagement. World J Pediatr Congenit Heart Surg 2016; 7:135-8. [PMID: 26957394 DOI: 10.1177/2150135115623962] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The evolution and development of pediatric cardiac critical care as a distinct subspecialty have occurred rapidly over the past 20 years. As the field has grown, models for education, training, and care delivery have changed as well. This review will highlight the current state of education, training, and parental involvement in care delivery for pediatric cardiac critical care as initially.
Collapse
Affiliation(s)
- Mary E McBride
- Division of Cardiology & Critical Care Medicine, Northwestern University Feinberg School of Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL,USA
| | - Alejandro Floh
- Department of Pediatrics, Hospital for Sick Kids, Toronto, ON, Canada Department of Critical Care Medicine, Hospital for Sick Children, Toronto, ON, Canada
| | - Ganga Krishnamurthy
- Division of Neonatology, Department of Pediatrics, Columbia University Medical Center, New York, NY, USA
| | - Paul Checchia
- Section of Critical Care Medicine, Texas Children's Hospital, Houston, TX, USA
| | - Darren Klugman
- Divisions of Critical Care Medicine & Cardiology, Children's National Health System, The George Washington University School of Medicine, Washington, DC, USA
| |
Collapse
|
17
|
Enriquez D, Mastandueno R, Flichtentrei D, Szyld E. Relatives' Presence During Cardiopulmonary Resuscitation. Glob Heart 2016; 12:335-340.e1. [PMID: 27264608 DOI: 10.1016/j.gheart.2016.01.007] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2015] [Revised: 01/26/2016] [Accepted: 01/28/2016] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND The question of whether or not to allow family to be present during resuscitation is relevant to everyday professional health care assistance, but it remains largely unexplored in the medical literature. OBJECTIVES We conducted an online survey with the aim of increasing our knowledge and understanding of this issue. METHODS This is a cross-sectional, multicenter, descriptive, national, and international study using a web-based, voluntary survey. The survey was designed and distributed through a medical website in Spanish, targeting physicians who frequently deal with critical patients. RESULTS A total of 1,286 Argentine physicians and 1,848 physicians from other countries responded to this voluntary survey. Of Argentine respondents, 15.8% (203) treat only children, 68.2% (877) treat adults, and 16% (206) treat patients of any age. The survey found that 23% (296) of Argentine and 20% of other respondents favor the presence of family members during cardiopulmonary resuscitation (p = 0.03). This practice was more common among physicians treating pediatric and neonatal patients than among those who treat adults. The most commonly reported reason (21.8%) for avoiding the presence of relatives was concerns that physicians, communications, and medical practices might be misunderstood or misinterpreted. CONCLUSIONS Avoiding relatives' presence while performing cardiopulmonary resuscitation is the most frequent choice made by the surveyed physicians who treat critical Argentine patients. The main causes for discouraging family presence during cardiopulmonary resuscitation or other critical procedures include the following: risk of misinterpretation of the physician's actions and/or words; risk of a relative's decompensation; uncertainty about possible reactions; and interpretation of the relative's presence as negative.
Collapse
Affiliation(s)
- Diego Enriquez
- Simulación Médica Roemmers (SIMMER) Buenos Aires, Argentina
| | | | | | - Edgardo Szyld
- Department of Preventive Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
| |
Collapse
|
18
|
Brown M, Hoyle L, Karatzias T. The experiences of family carers in the delivery of invasive clinical interventions for young people with complex intellectual disabilities: policy disconnect or policy opportunity? J Clin Nurs 2016; 25:534-42. [PMID: 26818378 DOI: 10.1111/jocn.13090] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/26/2015] [Indexed: 11/29/2022]
Abstract
AIMS AND OBJECTIVES To explore the experiences of family carers in the delivery of invasive clinical interventions within community settings. BACKGROUND Many young people with intellectual disabilities present with complex health needs and require clinical interventions to sustain life. As the population lives into older age there is growing demand for the delivery of these interventions within the community setting. DESIGN An interpretivist qualitative design. METHODS Ten family carers of children with intellectual disabilities and complex care needs requiring invasive clinical interventions participated in semi-structured interviews. RESULTS There are barriers identified regarding the delivery of invasive clinical interventions in the home setting by social care support workers. These include a reluctance to carry out invasive clinical interventions both for family carers and staff, anxiety, a lack of knowledge and training and difficulties in recruiting appropriate staff. CONCLUSIONS There needs to be strategic policy developments focusing on this population who are cared for in the community and require invasive clinical interventions. RELEVANCE TO CLINICAL PRACTICE Registered Nurses have a key role in educating and preparing families and social care support workers to safely deliver invasive clinical interventions in community settings for both children and adults with intellectual disabilities.
Collapse
Affiliation(s)
- Michael Brown
- Faculty of Health, Life & Social Sciences, Edinburgh Napier University, Edinburgh, UK.,NHS Lothian, Edinburgh, UK
| | - Louise Hoyle
- Faculty of Health, Life & Social Sciences, Edinburgh Napier University, Edinburgh, UK
| | - Thanos Karatzias
- Faculty of Health, Life & Social Sciences, Edinburgh Napier University, Edinburgh, UK.,NHS Lothian, Edinburgh, UK
| |
Collapse
|
19
|
Heitschmidt M. Family presence in the congenital catheterization laboratory. Heart Lung 2015; 44:230-7. [DOI: 10.1016/j.hrtlng.2015.02.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2010] [Revised: 01/27/2015] [Accepted: 02/01/2015] [Indexed: 10/23/2022]
|
20
|
|
21
|
Abstract
The death of a child in the emergency department (ED) is one of the most challenging problems facing ED clinicians. This revised technical report and accompanying policy statement reaffirm principles of patient- and family-centered care. Recent literature is examined regarding family presence, termination of resuscitation, bereavement responsibilities of ED clinicians, support of child fatality review efforts, and other issues inherent in caring for the patient, family, and staff when a child dies in the ED. Appendices are provided that offer an approach to bereavement activities in the ED, carrying out forensic responsibilities while providing compassionate care, communicating the news of the death of a child in the acute setting, providing a closing ritual at the time of terminating resuscitation efforts, and managing the child with a terminal condition who presents near death in the ED.
Collapse
|
22
|
|
23
|
O'Malley PJ, Barata IA, Snow SK, Shook JE, Ackerman AD, Chun TH, Conners GP, Dudley NC, Fuchs SM, Gorelick MH, Lane NE, Moore BR, Wright JL, Benjamin LS, Barata IA, Alade K, Arms J, Avarello JT, Baldwin S, Brown K, Cantor RM, Cohen A, Dietrich AM, Eakin PJ, Gausche-Hill M, Gerardi M, Graham CJ, Holtzman DK, Hom J, Ishimine P, Jinivizian H, Joseph M, Mehta S, Ojo A, Paul AZ, Pauze DR, Pearson NM, Rosen B, Russell WS, Saidinejad M, Sloas HA, Schwartz GR, Swenson O, Valente JH, Waseem M, Whiteman PJ, Woolridge D, Snow SK, Vicioso M, Herrin SA, Nagle JT, Cadwell SM, Goodman RL, Johnson ML, Frankenberger WD, Renaker AM, Tomoyasu FS. Death of a Child in the Emergency Department. Ann Emerg Med 2014; 64:e1-17. [DOI: 10.1016/j.annemergmed.2014.05.011] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
24
|
Tripon C, Defossez G, Ragot S, Ghazali A, Boureau-Voultoury A, Scépi M, Oriot D. Parental presence during cardiopulmonary resuscitation of children: the experience, opinions and moral positions of emergency teams in France. Arch Dis Child 2014; 99:310-5. [PMID: 24395644 DOI: 10.1136/archdischild-2013-304488] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
OBJECTIVE To evaluate the experience, opinions and moral positions of French emergency physicians (EP) who had taken a paediatric university course on parental presence during child cardiopulmonary resuscitation (CPR), and to compare it with the responses of nurses on their teams. METHODS A questionnaire was sent to 550 EPs who had taken the course during the previous 6 years; the EPs were also asked to give a copy of the questionnaire to nurses on their staff. Data were collected on experience of parental presence during child CPR, opinions on the practice, arguments for and against parental presence, and the moral positions of respondents regarding their perception of life and the sharing of medical/parental power in the decision-making process. RESULTS 343 responses were analysed, 47% from EPs (29% response rate) and 53% from nurses. 52% of respondents had experienced parental presence during child CPR, but it had been the physician's wish on only 6% of these occasions. Only 17% of respondents favoured parental presence, with EPs (27%) being favourable more often than nurses (12%). The reasons against parental presence were psychological trauma for the parents, risk of interference with medical management, and care team stress. Respondents not in favour of parental presence expressed this view more for medical reasons than for parent-related reasons. The physicians not in favour of parental presence espoused a moral position predicated on medical power. CONCLUSIONS A majority of EPs and nurses were reluctant to have parents present during child CPR. Their attitude involved medical paternalism.
Collapse
Affiliation(s)
- Cédric Tripon
- Pediatric Emergency Department, University Hospital, , Poitiers, France
| | | | | | | | | | | | | |
Collapse
|
25
|
Rellensmann G, Laumann K, Gillner J, Kosmann F, Roth B. Anwesenheit der Eltern bei Notfallsituationen in der Pädiatrie. Monatsschr Kinderheilkd 2013. [DOI: 10.1007/s00112-013-3053-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|
26
|
Colbert JA, Adler JN. Clinical decisions. Family presence during cardiopulmonary resuscitation--polling results. N Engl J Med 2013; 368:e38. [PMID: 23802541 DOI: 10.1056/nejmclde1307088] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
|
27
|
Litak D. Parental presence during child resuscitation: a critical review of a research article. J Perioper Pract 2012; 22:63-6. [PMID: 22724305 DOI: 10.1177/175045891202200204] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The article reviewed is: Parental presence during resuscitation in the PICU: the parents' experience. Sharing and surviving the resuscitation: a phenomenological study (Maxton 2008). The article provides an insight into parents' experiences of being present or absent during successful or unsuccessful resuscitation attempts on their child. It can help healthcare practitioners to understand what parents' perspectives and needs may be during this difficult time. Lack of such understanding could potentially lead healthcare practitioners to neglect or misjudge the parents' needs and apply inappropriate interventions which may result in long-lasting and detrimental effects on parental welfare (Dingeman et al 2007). Patient care on this particular occasion extends to a family and therefore it becomes a professional duty of the healthcare practitioners to ensure best practice through provision of a well informed support (HPC 2008).
Collapse
Affiliation(s)
- Dominika Litak
- Great Ormond Street Hospital for Children NHS Trust, Great Ormond Street, London, WC1N 3JH.
| |
Collapse
|
28
|
Should I stay or should I go? Parental struggles when witnessing resuscitative measures on another child in the pediatric intensive care unit. Pediatr Crit Care Med 2012; 13:146-51. [PMID: 21760568 DOI: 10.1097/pcc.0b013e3182257a13] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE The aim of this study was to examine the experiences of parents encountering the critical deterioration and resuscitative care of other children in the pediatric intensive care unit where their own child was admitted. DESIGN Grounded theory qualitative methodology. SETTING Pediatric intensive care unit of a pediatric tertiary care center in Montreal, Canada. SUBJECTS Ten parents of critically ill children who witnessed resuscitative measures on another child. INTERVENTIONS None. MEASUREMENTS AND MAIN RESULTS Semistructured interviews were conducted. While witnessing resuscitation, parents struggled with "Should I stay or should I go?" Their decision depended on specific contributing factors that were intrinsic to parents (curiosity or apprehension, the child's sake, trust or distrust) or extrinsic (limited space). These parents were not "spectators." Despite using coping strategies, the experiences were distressing in the majority of cases, although sometimes comforting. The impact on witnessing critical events had divergent effects on parental trust with healthcare professionals. CONCLUSIONS Pediatric intensive care unit teams have to be attentive to the benefits and burdens for parents to be present when resuscitative measures are required for another child to arrange for the provision of psychosocial support by pediatric intensive care unit physicians, nurses, and/or psychosocial consultants.
Collapse
|
29
|
McQueen AA, Mitchell DL, Joseph-Griffen MA. "Not little adults": pediatric considerations in medical simulation. Dis Mon 2011; 57:780-8. [PMID: 22153735 DOI: 10.1016/j.disamonth.2011.08.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Affiliation(s)
- Alisa A McQueen
- Section of Pediatric Emergency Medicine, Department of Pediatrics, The University of Chicago Comer Children's Hospital, Chicago, IL, USA
| | | | | |
Collapse
|
30
|
Govindarajan P, Larkin GL, Rhodes KV, Piazza G, Byczkowski TL, Edwards M, Baren JM. Patient-centered integrated networks of emergency care: consensus-based recommendations and future research priorities. Acad Emerg Med 2010; 17:1322-9. [PMID: 21122014 DOI: 10.1111/j.1553-2712.2010.00939.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Patient-centered care is defined by the Institute of Medicine (IOM) as care that is responsive to individual patient needs and values and that guides the treatment decisions. This article is a result of a breakout session of the 2010 Academic Emergency Medicine (AEM) consensus conference and describes the process of developing consensus-based recommendations for providing patient-centered emergency care. The objectives of the working group were to identify and describe the critical gaps in the provision of patient-centered care, develop a consensus-based research agenda, and create a list of future research priorities. Using e-mail and in-person meetings, knowledge gaps were identified in the areas of respect for patient preferences, coordination of clinical care, and communication among health care providers. Four consensus-based recommendations were developed on the following themes: enhancing communication and patient advocacy in emergency departments (EDs), facilitating care coordination after discharge, defining metrics for patient-centered care, and placing the locus of control of medical information into patients' hands. The set of research priorities based on these recommendations was created to promote research and advance knowledge in this dimension of clinical care.
Collapse
|
31
|
Eldridge C, Kennedy R. Nonpharmacologic Techniques for Distress Reduction During Emergency Medical Care: A Review. CLINICAL PEDIATRIC EMERGENCY MEDICINE 2010. [DOI: 10.1016/j.cpem.2010.09.001] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
|
32
|
Pediatric resuscitation: should parents be present? MCN Am J Matern Child Nurs 2010; 35:314-5. [PMID: 20975388 DOI: 10.1097/nmc.0b013e3181f131fb] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
33
|
Feagan LM, Fisher NJ. The impact of education on provider attitudes toward family-witnessed resuscitation. J Emerg Nurs 2010; 37:231-9. [PMID: 21550455 DOI: 10.1016/j.jen.2010.02.023] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2009] [Revised: 02/23/2010] [Accepted: 02/28/2010] [Indexed: 11/15/2022]
Abstract
INTRODUCTION The majority of acute care facilities have not developed policies or guidelines to facilitate family presence during cardiopulmonary resuscitation. Prior studies have shown that the personal beliefs and attitudes of hospital personnel involved in resuscitation efforts are the primary reasons family presence is not offered. METHODS This 2-phase, before/after study was conducted in a 388-bed academic trauma center, and in a 143-bed community hospital in eastern Washington State in 2008. In phase I, a convenience sample of physicians and registered nurses from both facilities were surveyed about their opinions and beliefs regarding family-witnessed resuscitation (FWR). Spearman's rho and independent t-tests were used to compare support of FWR between and within roles and practice location subgroups. In phase II of the study, clinician subgroups in the community hospital were re-surveyed following an educational program that used evidence-based information. Independent t-test and one-way ANOVA were used to compare pre and post-education mean scores of subgroups on indicators of effective teaching strategies and improved FWR support. RESULTS Opinions on FWR vary within and between practice roles and locations, with the strongest variable of support being prior experience with FWR. Following FWR education, mean scores improved for survey variables chosen as indicators of FWR support and teaching effectiveness. DISCUSSION When CPR providers are presented with FWR education, their opinion-based beliefs may be modified, decreasing barriers to family witnessed resuscitation and improving overall support of FWR as an extension of family-centered care.
Collapse
|
34
|
Gamell Fullà A, Corniero Alonso P, Parra Cotanda C, Trenchs Sainz de la Maza V, Luaces Cubells C. [Are parents present during invasive procedures? Assessment in 32 Spanish hospitals]. An Pediatr (Barc) 2010; 72:243-9. [PMID: 20149769 DOI: 10.1016/j.anpedi.2009.11.014] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2009] [Revised: 11/04/2009] [Accepted: 11/06/2009] [Indexed: 11/27/2022] Open
Abstract
INTRODUCTION Parental participation in medical decisions involving their children is essential and family presence during invasive procedures (IP) is fundamental. OBJECTIVES 1) To determine the frequency of parental presence during different IP in Spanish Paediatrics Emergency Departments (PED). 2) To assess the reasons for restricting parental presence. 3) To evaluate the agreement of health care professionals with regards to parental presence. MATERIALS AND METHODS Descriptive multicentre study based on questionnaires sent to physicians in charge of different Spanish PED. RESULTS Thirty-two out of 43 questionnaires were replied. Family presence during IP is never allowed in 11 hospitals. In the rest, this varies depending on the type of IP: blood sampling (15 hospitals), wound suture (14), urethral catheterization (9), lumbar puncture (7), intubation (1) and cardiopulmonary resuscitation (1), with no significant differences between hospitals. The main arguments for restricting parental presence are parental anxiety (26/30) and a lower performance by health personnel (23/30). Occasional problems, such as nausea (22/28), have arisen due to family presence. The interviewed physicians in charge think that health care professionals' agreement rates for parental presence decrease significantly with the increasing invasiveness of the procedure. Two hospitals have a working group and one a specific protocol to address parental presence. CONCLUSIONS Parental presence during IP is limited in Spanish PED, due to parental anxiety and is detrimental to the success of the procedure. Physicians and nurses disagree with family presence, especially during the most invasive procedures.
Collapse
Affiliation(s)
- A Gamell Fullà
- Hospital Universitario de Sant Joan de Déu, Esplugues de Llobregat, Barcelona, España
| | | | | | | | | |
Collapse
|
35
|
Turkish patient relativesʼ attitudes towards family-witnessed resuscitation and affecting sociodemographic factors. Eur J Emerg Med 2009; 16:188-93. [DOI: 10.1097/mej.0b013e328311a8dc] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
36
|
Quest TE, Marco CA, Derse AR. Hospice and Palliative Medicine: New Subspecialty, New Opportunities. Ann Emerg Med 2009; 54:94-102. [DOI: 10.1016/j.annemergmed.2008.11.019] [Citation(s) in RCA: 62] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2007] [Revised: 11/17/2008] [Accepted: 11/25/2008] [Indexed: 10/21/2022]
|
37
|
Construction of a parent satisfaction instrument: Perceptions of pediatric intensive care nurses and physicians. J Crit Care 2009; 24:255-66. [DOI: 10.1016/j.jcrc.2008.06.002] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2007] [Revised: 05/13/2008] [Accepted: 06/01/2008] [Indexed: 11/18/2022]
|
38
|
Williams MA, Rushton CH. Justified Use of Painful Stimuli in the Coma Examination: A Neurologic and Ethical Rationale. Neurocrit Care 2009; 10:408-13. [DOI: 10.1007/s12028-009-9196-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2009] [Accepted: 01/27/2009] [Indexed: 11/25/2022]
|
39
|
Parra Cotanda C, Luaces Cubells C, Pou Fernández J. ¿Deberían estar presentes los padres durante los procedimientos invasivos en urgencias? An Pediatr (Barc) 2009; 70:293-6. [DOI: 10.1016/j.anpedi.2008.09.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2008] [Revised: 09/08/2008] [Accepted: 09/09/2008] [Indexed: 10/20/2022] Open
|
40
|
[Presence of parents in the emergency room during invasive procedures: do they prefer to be present?]. An Pediatr (Barc) 2009; 70:230-4. [PMID: 19409240 DOI: 10.1016/j.anpedi.2008.10.017] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2008] [Revised: 10/28/2008] [Accepted: 10/31/2008] [Indexed: 11/23/2022] Open
Abstract
INTRODUCTION Parents are not usually present during procedures in the paediatric emergency room (ER), although an increasing number of them would like to. Our goal was to find out how parents felt about them being present in ER during procedures. MATERIAL AND METHODS This is an observational study. Questionnaires were distributed among parents of patients in the ER during January and February 2007. Data included demographic questions as well as the opinion regarding their preference on being present during venipuncture, stitching, lumbar puncture or cardiopulmonary resuscitation. They were also asked about who should take the decision whether to allow the family to be present or not. RESULTS A total of 98 questionnaires were analyzed. The median age of participants was 32 years-old, of which 84.5% would prefer to be present for venipuncture, 70.4% for stitching, 66.3% for lumbar puncture and 61.2% for cardiopulmonary resuscitation. Venipuncture was performed on 21% of the children, stitching on 4%, and lumbar puncture on 2%. There was no cardiopulmonary resuscitation. Parents considered that the decision about being present should be taken by the professional in 74% (venipuncture), 75% (stitching), 80% (lumbar puncture) and 81% (cardiopulmonary resuscitation). The mean age of the group that preferred to be present was lower (32 vs. 40 years; p = 0.039). CONCLUSIONS Most parents surveyed preferred to be present during invasive procedures in ER. The more invasive the procedure is the higher reluctance from parents to be present. Most parents thought the decision should be taken by the health care professional, particularly when the procedure is more invasive.
Collapse
|
41
|
Abstract
Patient and family-centred care (PFCC) is an approach to health care that recognizes the integral role of the family and encourages mutually beneficial collaboration between the patient, family and health care professionals. Specific to the pediatric population, the literature indicates that the majority of families wish to be present for all aspects of their child's care and be involved in medical decision-making. Families who are provided with PFCC are more satisfied with their care. Integration of these processes is an essential component of quality care. This article reviews the principles of PFCC and their applicability to the pediatric patient in the emergency department; and it discusses a model for integrating PFCC that is modifiable based on existing resources.
Collapse
|
42
|
Levetown M. Communicating with children and families: from everyday interactions to skill in conveying distressing information. Pediatrics 2008; 121:e1441-60. [PMID: 18450887 DOI: 10.1542/peds.2008-0565] [Citation(s) in RCA: 279] [Impact Index Per Article: 17.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
Health care communication is a skill that is critical to safe and effective medical practice; it can and must be taught. Communication skill influences patient disclosure, treatment adherence and outcome, adaptation to illness, and bereavement. This article provides a review of the evidence regarding clinical communication in the pediatric setting, covering the spectrum from outpatient primary care consultation to death notification, and provides practical suggestions to improve communication with patients and families, enabling more effective, efficient, and empathic pediatric health care.
Collapse
|
43
|
Effect of emergency department care on outcomes in pediatric trauma: what approaches make a difference in quality of care? ACTA ACUST UNITED AC 2008; 63:S136-9. [PMID: 18091205 DOI: 10.1097/ta.0b013e31815acd19] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Deriving evidence-based best practice for each phase or setting of trauma care is necessary to maximize best outcomes. There is a paucity of studies examining the association of provider training on pediatric trauma outcomes. Pivotal decisions (whether and where to transfer, diagnostic workup, and initial resuscitation) occur in this setting, yet there is little evidence relating to best practices in those areas. Classic process-performance measures such as time intervals during care (e.g., time to computerized tomography scan, time to operating room, etc.) or utilization measures (American College of Surgeons designation) are commonly used in the trauma center certification process, yet process-outcome links relevant to children are lacking. Although great advances have been made in the trauma care delivered to children, scientific proof is lacking and much more needs to be done to establish the evidence-based need to deliver the highest quality of pediatric trauma care.
Collapse
|
44
|
Abstract
Weigh the pros and cons of family presence during a crisis, then tell us what you think.
Collapse
|
45
|
O'Malley P, Mace SE, Brown K. Patient- and Family-Centered Care and the Role of the Emergency Physician Providing Care to a Child in the Emergency Department. Ann Emerg Med 2006; 48:643-5. [PMID: 17052577 DOI: 10.1016/j.annemergmed.2006.09.011] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Patient- and family-centered care (PFCC) is an approach to health care that recognizes the role of the family in providing medical care, encourages collaboration between the patient, family, and health care professionals; and honors individual and family strengths, cultures, traditions, and expertise. Although there are many opportunities for providing PFCC in the emergency department, there are also challenges to doing so. The American Academy of Pediatrics and American College of Emergency Physicians support the following: promoting patient dignity, comfort, and autonomy; recognizing the patient and family as key decision makers in the patient's medical care; recognizing the patient's experience and perspective in a culturally sensitive manner; acknowledging the interdependence of child and parent as well as the pediatric patient's evolving independence; encouraging family member presence; providing information to the family during interventions; encouraging collaboration with other health care professionals; acknowledging the importance of the patient's medical home; and encouraging institutional policies for PFCC.
Collapse
|
46
|
O'Malley P, Brown K, Mace SE. Patient- and family-centered care and the role of the emergency physician providing care to a child in the emergency department. Pediatrics 2006; 118:2242-4. [PMID: 17079599 DOI: 10.1542/peds.2006-2588] [Citation(s) in RCA: 69] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Patient- and family-centered care is an approach to health care that recognizes the role of the family in providing medical care; encourages collaboration between the patient, family, and health care professionals; and honors individual and family strengths, cultures, traditions, and expertise. Although there are many opportunities for providing patient- and family-centered care in the emergency department, there are also challenges to doing so. The American Academy of Pediatrics and the American College of Emergency Physicians support promoting patient dignity, comfort, and autonomy; recognizing the patient and family as key decision-makers in the patient's medical care; recognizing the patient's experience and perspective in a culturally sensitive manner; acknowledging the interdependence of child and parent as well as the pediatric patient's evolving independence; encouraging family-member presence; providing information to the family during interventions; encouraging collaboration with other health care professionals; acknowledging the importance of the patient's medical home; and encouraging institutional policies for patient- and family-centered care.
Collapse
|
47
|
Ersoy G, Yanturali S. Family witness resuscitation. Allow or deny? Which is true? Int J Nurs Stud 2006; 43:653-4. [PMID: 16569406 DOI: 10.1016/j.ijnurstu.2006.02.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2006] [Accepted: 02/14/2006] [Indexed: 11/25/2022]
Affiliation(s)
- Gurkan Ersoy
- Department of Emergency Medicine, University of Dokuz Eylul, School of Medicine, 35340 Inciralti, Izmir, Turkey.
| | | |
Collapse
|