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Published on: April 7, 2023
Parent experiences and psychosocial needs during critical paediatric emergencies: A thematic network analysis
Alys-Marie Manguy1, Ed Oakley1, Rob Gordon2
1The Royal Children's Hospital, Melbourne, Australia; Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Australia.
Insights
Parents want family-centered care during critical pediatric emergencies. Enhancing communication and psychosocial support are key for improving their experience in pediatric emergency departments.
Area of Science:
- Pediatric Emergency Medicine
- Qualitative Research
- Family-Centered Care
Background:
- Family presence is increasingly accepted in pediatric emergency departments.
- Limited research exists on parent experiences during high-acuity, resuscitation-level pediatric emergencies.
Purpose of the Study:
- To explore parent experiences and psychosocial needs during critical pediatric emergencies.
- To identify factors contributing to family-centered care in pediatric emergency settings.
Main Methods:
- Qualitative study using thematic network analysis.
- Semi-structured telephone interviews with 20 parents whose child experienced a critical pediatric emergency.
- Study conducted at The Royal Children's Hospital, Melbourne, Australia.
Main Results:
- Identified 136 unique themes related to parent experiences and psychosocial needs.
- Organizing themes: 'Parent perspectives' and 'Emergency system interventions'.
- Global theme: 'Family responsive service protocols', emphasizing communication and psychosocial support.
Conclusions:
- Family-centered care approaches are valuable in pediatric emergency settings.
- Recommendations include enhancing communication, pre-arrival preparation, and physical environment.
- Implementing dedicated family support roles is crucial.
Background:
Family presence during critical paediatric emergencies is increasingly accepted practice in paediatric emergency departments, within Australia and internationally. However, limited research explores parent experiences in high-acuity, resuscitation-level presentations.
Methods:
This qualitative study used Attride-Stirling's thematic network analysis methodology to identify key themes. Semi-structured telephone interviews were undertaken with 20 parents whose child received care during a critical paediatric emergency at the Emergency Department of The Royal Children's Hospital, Melbourne, Australia.
Results:
Thematic network analysis identified 136 unique themes relating to parent experiences and self-identified psychosocial care needs, resulting in the two organising themes of 'Parent perspectives' and 'Emergency system interventions', and the global theme of 'Family responsive service protocols'. These findings highlight the value of family-centred care approaches in paediatric emergency settings, emphasising the importance of staff communication skills and peri-event psychosocial support throughout the episode of care.
Conclusions:
Recommendations for practice include enhancing communication strategies, improving pre-arrival preparation, optimising the physical environment, and implementing dedicated family support roles.
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