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Updated: Jun 5, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Qualitative research on clinical risk perception in Pediatric Intensive Care Unit
Angela Prendin1, Paola Claudia Fazio2, Benedicta Tabacco3
1MSc, BSc, Neonatal Intensive Care Unit; University-Hospital of Padua, Padua, Italy.
Insights
Nurses in Pediatric Intensive Care Units (PICUs) perceive clinical risk through themes like teamwork and communication. Addressing these factors can enhance patient safety and improve care quality in critical pediatric settings.
Area of Science:
- Pediatric Intensive Care
- Nursing
- Patient Safety
Background:
- Pediatric Intensive Care Units (PICUs) manage critically ill newborns and children, requiring complex care.
- Optimal integration and teamwork among healthcare professionals are crucial in PICUs.
Purpose of the Study:
- To explore nurses' perceptions of clinical risk in pediatric intensive care.
- To identify adverse events and associated risk factors from the nurses' perspective.
Main Methods:
- A focus group methodology was employed to identify and analyze potential risks in pediatric intensive care.
- Nine nurses with varying PICU experience participated, alongside moderators and an observer.
Main Results:
- Qualitative analysis revealed nine key themes in nurses' clinical risk perception.
- These themes include teamwork, training, time management, communication, clinical management, individual errors, facility issues, patient factors, and standardization.
Conclusions:
- A culture of safety can be fostered by management.
- Encouraging a learning spirit and open communication without fear of negative repercussions is vital for promoting safety.
Background:
the Pediatric Intensive Care field is characterized by the criticality of newborns and children who access it, as well as by a high complexity of care. This entails the need of an optimal integration between the various professional figures working in Pediatric Intensive Care Units (PICUs) and their ability to work in team.
Purpose:
to describe how nurses perceive clinical risk and relate to it; to identify adverse events and related risk factors.
Methods:
the focus group was used to identify and analyze the risks, or possible risks, that may occur in the intensive pediatric field. Nine nurses with different work experience in PICU, two moderators and one external observer participated in the focus group.
Results:
through qualitative analysis, 9 themes describing the clinical risk perception by nurses working in PICUs were identified: teamwork, specific training, time management, team communication, clinical management, individual errors, facility criticalities, patient factors/characteristics, standardization.
Conclusions:
the culture of safety can be promoted by management through learning spirit and free speech without fearing negative effects.
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