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When a child is hospitalized in a Covid-19 ward: An emotional roller coaster for parents
Michal Shteinbuk1, Anat Moskovich2, Vardit Shemesh-Mileguir3
1Head Nurse, Pediatric Department B, The Edmond and Lily Safra Children's Hospital, Chaim Sheba Medical Center Tel Hashomer, 5262000, Israel.
Insights
Parents experience a range of emotions, including anxiety, fear, and stress, when their children are hospitalized with COVID-19. Healthcare professionals play a crucial role in supporting these families during the challenging experience.
Area of Science:
- Pediatric healthcare
- Infectious disease management
- Parental mental health
Background:
- COVID-19 in children is often mild, but severe cases require intensive care.
- A dedicated pediatric COVID-19 ward was established in Israel in October 2020.
Purpose of the Study:
- To investigate the emotional experiences of parents whose children were hospitalized in a pediatric COVID-19 ward.
Main Methods:
- Qualitative interviews were conducted with 22 parents of hospitalized children.
- The study focused on children aged 3 weeks to 18 years.
Main Results:
- Parents reported anxiety and fear of the unknown upon recognizing their child's need for hospitalization.
- Hospitalization evoked fear for the child's condition, parental stress, shame, boredom, and eventual acceptance.
- Initial feelings of loneliness and loss of control evolved into confidence with healthcare staff support.
Conclusions:
- Parental emotional responses to pediatric COVID-19 hospitalization are diverse and complex.
- Healthcare professionals are vital in supporting parents and children, necessitating effective communication and involvement in care.
- A national strategy for inpatient childcare during epidemics is recommended to mitigate parental and child distress.
Purpose:
To examine the emotions demonstrated by parents of children hospitalized in a pediatric Covid-19 ward.
Background:
Although Covid-19 is mostly a mild disease in children, a small proportion develop severe disease requiring prolonged intensive care support.
Methods:
On October 1st, 2020, a unique ward for children with Covid-19 was established in a large hospital in Israel. Interviews were conducted with parents of children who had been hospitalized in a pediatric Covid-19 ward.
Findings:
A total of 22 parents of children aged 3 weeks to18 years were interviewed. Three themes emerged: Theme 1: Recognizing their child needed hospitalization in the Covid-19 ward, caused parents anxiety and fear of the unknown. Theme 2: Their child's hospitalization in the Covid-19 ward caused fear and worry at their child's condition, parental stress, shame, boredom, and acceptance. Theme 3: Parents initially felt emotional loneliness towards the healthcare staff in the Covid-19 ward, as well as loss of control, later replaced by feelings of confidence.
Conclusion:
Parents have diverse emotions in response to needing to accompany their children who are hospitalized and isolated in a closed ward due to Covid-19.
Practical Implications:
Health care professionals are immensely important in providing support for parents and for their children suffering from Covid-19. A national plan should be established to address inpatient childcare during an epidemic. Nurses can encourage parents and family to be involved in the child's care and communicate effectively to reduce both the parents' and the child's uncertainty, shame, fear and stress.
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