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Published on: February 14, 2022
The needs and experiences of long term ventilated children and their families
1PICU, Bristol Royal Hospital for Children.
Insights
Long-term ventilated children and their families face significant unmet needs, including prolonged intensive care stays and challenges with home life. Understanding their experiences is crucial for effective healthcare planning.
Area of Science:
- Pediatric critical care medicine
- Family-centered healthcare
Background:
- Effective planning for long-term ventilated children requires understanding family needs.
- Current healthcare provisions may not fully address the complexities faced by these families.
Purpose of the Study:
- To synthesize existing research on the needs and experiences of long-term ventilated children and their families.
- To identify key themes and persistent challenges in their care journey.
Main Methods:
- Systematic review of eight small-scale studies focusing on long-term ventilated children.
- Analysis of reported themes including intensive care unit (ICU) stay, discharge planning, and home life.
Main Results:
- Identified recurring themes: prolonged ICU stays, challenges in discharge planning, difficulties with life at home, and the dual role of parent and nurse.
- Children reported a lack of control and inability to live a normal life.
- Significant unmet needs persist, especially concerning prolonged ICU stays.
Conclusions:
- Despite improvements, long-term ventilated children and their families experience substantial unmet needs.
- Healthcare professionals must prioritize understanding and addressing these needs for better care delivery.
- The intensive care unit environment is often unsuitable for prolonged stays, highlighting a critical gap in care.
Abstract:
To effectively plan and deliver complex multidisciplinary healthcare packages for long term ventilated children and their families, health professionals need to understand their needs and experiences. A search for published research in this issue revealed eight small-scale studies that reported similar themes: the prolonged stay in paediatric intensive care, discharge planning, life at home and dual role: parent and nurse. Two studies explored children's views which included not having control and not being able to live a normal life. Although there have been improvements, these children and their families still have significant unmet needs, particularly when they must remain in the unsuitable environment of the intensive care unit.
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