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Published on: January 7, 2020
Parents' Challenges beyond the Pediatric Intensive Care Unit: Fraying at the Seams while Balancing between Two
Zainab Alzawad1, Frances Marcus Lewis2,3, Amy Walker2
1College of Nursing, The University of Iowa, Iowa City, IA 52242, USA.
Parents hospitalized with a child in the pediatric intensive care unit (PICU) experience significant strain balancing home and hospital demands. This dual focus leads to feelings of inadequacy in fulfilling parental roles.
Area of Science:
- Pediatric intensive care unit (PICU) nursing
- Family-centered care
- Parental well-being
Background:
- Traditional research on parental responses to pediatric intensive care unit (PICU) hospitalization overlooks challenges outside the hospital environment.
- Parents face concurrent stressors beyond the immediate PICU setting that impact their experience.
Purpose of the Study:
- To describe parents' experiences of managing home and hospital environments during a child's PICU admission.
- To examine the impact of this dual responsibility on parents' lives.
Main Methods:
- Semi-structured interviews were conducted with 15 parents whose children were admitted to a PICU.
- Grounded theory guided the data analysis and interpretation.
Main Results:
- Parents described "Fraying at the Seams while Balancing between Two Worlds, Home and Hospital."
- Key themes included "Bringing My Life to a Halt" and "Throwing Our Whole Life Off."
Conclusions:
- Parents felt emotionally and physically stretched, struggling to manage responsibilities for their hospitalized child and children at home.
- The strain of balancing these two worlds led to feelings of inadequacy in their parental roles.
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