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Nursing the child who is alone in the hospital
1University of Texas Medical Branch, School of Nursing, Galveston, TX, USA.
Insights
Pediatric nurses provide crucial holistic care to critically burned children who are alone in the hospital. Their practices focus on parental connection, human connection, child reception, and spirit renewal for improved healing.
Area of Science:
- Pediatric Nursing
- Critical Care
- Child Psychology
Background:
- Advances in medical technology improve survival rates for critically burned children.
- Critically burned children in pediatric burn intensive care units (BICUs) often lack parental presence due to circumstances.
- Nurses in BICUs have significant contact with these vulnerable children.
Purpose of the Study:
- To identify nursing practices that promote holistic healing in critically burned children who are alone in the hospital.
- To understand the unique challenges and care strategies for pediatric patients in a BICU setting.
Main Methods:
- Thematic analysis of qualitative data.
- 112 hours of interviews and 134 hours of observation with 16 nurses.
- Focus on nurses' practices in a southwestern United States hospital BICU.
Main Results:
- Four categories of nurses' practices were identified:
- Being a parent-minded nurse.
- Sustaining human connections.
- Receiving the patient as a child.
- Renewing the spirit of the child.
Conclusions:
- Nurses' specific practices significantly contribute to the holistic healing of critically burned, isolated children.
- These identified practices offer a framework for enhancing psychosocial support in pediatric critical care.
- Further research can explore the impact of these practices on patient outcomes.
Abstract:
Because of advances in medical technology, many critically burned children now survive horrendous injures that they would not have survived less than 10 years ago. Pediatric burn intensive care unit (BICU) nurses provide around the clock care, giving them greater contact with the children than any other health care professional. Often the children are alone in the hospital because their parents or care providers were injured or killed in the accident, live in another country, or are at home caring for other family members. Thematic analysis of data obtained during 112 hours of interviews and 134 hours of observation with 16 BICU nurses resulted in the identification of four categories of nurses' practices that helped the holistic healing of children who were alone on the BICU of a hospital in the southwestern United States: (a) being a parent-minded nurse; (b) sustaining human connections; (c) receiving the patient as a child; and (d) renewing the spirit of the child.
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