Parental psychosocial needs in Brazilian paediatric intensive care units
Rosyan Carvalho Andrade1, Ana Carolina Andrade Biaggi Leite2, Willyane de Andrade Alvarenga3
1Centro Universitário de Lavras, Rua Padre José Poggel, 506, Centenario, Lavras, Minas Gerais 37200-000, Brazil.
Insights
Parents of children in pediatric intensive care units have significant psychosocial needs. Understanding these needs, including support systems and healthcare team interactions, is crucial for effective family-centered care.
Area of Science:
- Pediatric Intensive Care Nursing
- Parental Psychosocial Health
- Family-Centered Care
Background:
- Admission of a child to an intensive care unit presents significant challenges for parents.
- Identifying parental psychosocial needs is essential for healthcare teams to provide appropriate support.
- Parental experiences in pediatric intensive care units (PICUs) are demanding and complex.
Purpose of the Study:
- To identify the psychosocial needs of parents whose children are in pediatric intensive care units in Brazil.
- To explore the diverse psychosocial experiences of parents during their child's PICU stay.
Main Methods:
- Qualitative descriptive study utilizing individual semi-structured interviews.
- Thematic analysis was employed to analyze data from 11 parents.
- Ethical approval and informed consent were obtained from all participants.
Main Results:
- Four key themes emerged: family/peer support, healthcare team support, parental role, and emotional recovery.
- Parents' psychosocial needs varied based on social support, child's condition, and healthcare environment.
- Specific needs related to the structure, norms, and routines of healthcare teams were identified.
Conclusions:
- Nursing assessment of parental psychosocial experiences is vital in PICUs.
- Findings guide the development of individualized interventions to enhance family-centered care.
- Addressing identified psychosocial needs can improve the overall PICU experience for families.
Background:
Having children admitted in the intensive care unit is a demanding experience for parents. They encounter several difficulties during this process, and it is important to properly identify their psychosocial needs for the health team to address appropriately.
Objective:
The aim of the study is to identify the psychosocial needs encountered by parents of children in pediatric intensive care units in Brazil.
Methods:
A descriptive study with a qualitative approach was used to increase understanding of psychosocial experiences of parents. Individual semi-structured interviews were conducted with 11 parents of hospitalized children in pediatric intensive care units in Brazil. Thematic analysis was used to analyze the data. The university ethics review committee approved the research protocol. All parents were informed on study details and provided written consent prior to the interview.
Results:
Four themes were constructed: 1) Support from family and peers; 2) Support from the healthcare team; 3) Parental role; and 4) Emotional recovery. Parents expressed diverse psychosocial needs based on family and peer social support, child's clinical condition, as well as the structure, norms, and routines of health care teams during hospitalization.
Conclusions:
The findings highlight the importance of nursing assessment of psychosocial experiences encountered by parents of children in pediatric intensive care units, which will guide planning of individualized interventions and to increase family-centered care in pediatric intensive care units.
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