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Children's human needs in intensive care
Insights
This study examined human needs in critically ill children post-heart surgery. The need for rest and leisure was consistently emphasized throughout intensive care, highlighting its importance for pediatric nursing.
Area of Science:
- Pediatric Nursing
- Critical Care Medicine
- Human Needs Theory
Background:
- Human needs serve as a foundational framework for effective nursing care.
- Understanding specific human needs is crucial for providing optimal care to critically ill children.
Purpose of the Study:
- To identify and evaluate the relevance of human needs in the nursing care of critically ill children.
- To compare the emphasis of human needs in pediatric patients undergoing intensive care after open-heart surgery.
Main Methods:
- Utilized Yura and Walsh's (1983) classification of 35 basic human needs.
- Compared the shifting emphasis of human needs in 30 pediatric patients during three phases of intensive care: operation day, middle day, and last day.
- Classified results into six groups based on need emphasis variation and nurse assessment accuracy.
Main Results:
- The need for rest and leisure was consistently emphasized throughout the entire intensive care period.
- Certain human needs were emphasized at the beginning or end of intensive care, while others were not emphasized at all.
- Nurses demonstrated limitations in assessing the full spectrum of human needs in these critically ill children.
Conclusions:
- The need for rest and leisure is paramount for critically ill children in intensive care.
- Further research is warranted to understand the fluctuating emphasis of human needs in critically ill children.
- Improved nursing assessment strategies are needed to effectively meet the diverse human needs of pediatric patients in critical care settings.
Abstract:
Human needs can be considered as a framework for nursing care. The purpose of this study was to find out which human needs are relevant to nursing critically ill children. Yura and Walsh (1983) listed 35 basic human needs and their classification was used in this study. The shifting emphasis of the human needs of 30 children after open-heart surgery was compared during the operation day, the middle day and the last day in intensive care. The results were classified in six groups, depending on how the emphasis of the needs varied and how well the nurses were able to evaluate the human needs. The need for rest and leisure was the only need that became strongly emphasised during the whole period of intensive care. Some of the human needs became emphasised at the beginning or at the end of intensive care and some of the needs did not become emphasised at all in intensive care. Nurses were not able to assess some of the human needs. This study can be used as a pilot study for further research when trying to find out why certain needs become emphasised in critically ill children and how the needs can be met more effectively.