Clark ME, Carleton ME, Cummings BM, Noviski N. Children's Drawings With Narratives in the Hospital Setting: Insights Into the Patient Experience.
Hosp Pediatr 2020;
9:495-500. [PMID:
31227550 DOI:
10.1542/hpeds.2018-0170]
[Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
OBJECTIVES
To explore PICU patients' experiences and perceptions through their drawings with explanatory narratives.
METHODS
Single-center prospective study in a 14-bed PICU in a tertiary care, academic-affiliated hospital. Pediatric patients age 6 to 17 years admitted to the PICU were approached to participate within 12 hours of transfer out of the PICU. Patients completed a brief study interview to identify the best and worst things about their PICU experience. Patients were asked to draw a picture of their experiences and then explain their drawings to study staff.
RESULTS
Forty patients (median age 11 [6-17] years) agreed to participate. The median length of PICU stay was 2 days. The best aspects of the PICU stay included staff (25%), entertainment devices (15%), and food (13%). The worst aspects of the PICU stay that were reported were the intravenous line (25%), alarms (10%), and physical discomfort (10%). The most common elements in drawings were self-depictions (88%), monitors (53%), the intravenous line (50%), registered nurses (35%), and television (33%). Patient narratives related to their drawings provided additional insights regarding patient experiences in the PICU and identified various coping mechanisms used by patients to adapt to their experiences.
CONCLUSIONS
Drawing, along with explanation, enables patients admitted to a PICU to disclose additional unique descriptive information about their experiences as patients. Facilitating this mode of communication may increase providers' awareness of positive and negative aspects of a PICU admission and may be used to improve pediatric patients' experiences in the hospital setting.
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