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Nurses' Experiences of the Prerequisites for Implementing Family-Centered Care to Prevent Pediatric Delirium
Tiina Saarenpää1, Miia Jansson, Heli Kerimaa
1Author Affiliations: Professor (Dr Pölkki), Research Unit of Health Sciences and Technology, University of Oulu, Finland (Saarenpää, Drs Jansson and Kerimaa, and Alanko); Royal Melbourne Institute of Technology (RMIT University), Australia (Dr Jansson); and MRC Oulu, Oulu University Hospital and University of Oulu (Drs Jansson, Kerimaa, Peltoniemi, Tervonen, and Pölkki); Department of Children and Adolescents, Oulu University Hospital (Drs Peltoniemi and Tervonen, and Lahtela); and Research Unit of Clinical Medicine, University of Oulu, Finland (Drs Peltoniemi and Tervonen).
Purpose:
The aim of this study was to describe nurses' experiences of the prerequisites for implementing family-centered care to prevent pediatric delirium.
Design:
The research employed a qualitative, descriptive study design.
Methods:
A total of 10 nurses working in the pediatric intensive care unit at 1 university hospital participated in the study. The quality data were collected using individual semistructured interviews, and the data were then analyzed by inductive content analysis.
Results:
The prerequisites for implementing family-centered care to prevent delirium among pediatric patients consisted of 30 subcategories that were grouped into 11 generic categories. The generic categories were further grouped into 5 main categories: (1) an environment that supports family presence, (2) psychosocial support for the family, (3) individual family involvement, (4) family participation in shared decision-making, and (5) nurses' professional competence.
Conclusions:
According to the nurses' experiences, the implementation of a family-centered approach to preventing delirium in pediatric patients requires creating a supportive environment for families, providing psychosocial support, encouraging family involvement in decision-making, and ensuring that all nurses have the necessary skills.
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