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Supporting parents during pediatric resuscitation: A sequential exploratory mixed-methods study for development and
Arezoo Ghavi1, Kathleen L Meert2, Hadi Hassankhani3
1Department of Nursing, Fe.C., Islamic Azad University, Ferdows, Iran.
Journal of Pediatric Nursing
|November 21, 2025
Summary
A new instructional framework helps healthcare professionals support parents during pediatric resuscitation. This evidence-based approach reduces parental stress and enhances family-centered care in critical situations.
Area of Science:
- Pediatric critical care
- Family-centered care
- Healthcare professional training
Background:
- Supporting parents is crucial in pediatric settings, aligning with family-centered care principles.
- Current evidence-based guidelines for supporting parents during pediatric resuscitation are insufficient.
Purpose of the Study:
- To develop and evaluate an instructional framework for healthcare professionals.
- The framework aims to guide support for parents before, during, and after pediatric resuscitation.
Main Methods:
- A sequential exploratory mixed-methods design was used.
- Phase 1 involved qualitative interviews, systematic reviews, and Delphi rounds to identify parental needs.
- Phase 2 focused on developing an evidence-based instructional framework, followed by quantitative evaluation in Phase 3.
Main Results:
- An instructional framework with 138 items was developed, covering support before, during, and after resuscitation (successful and unsuccessful).
- Implementation of the framework led to reduced acute stress in parents.
- Health professionals reported improved perceptions of family-centered care.
Conclusions:
- An instructional framework for supporting parents during pediatric resuscitation can be beneficial in clinical practice.
- Standardized, evidence-based training enhances parental well-being and family-centered care in acute settings.
- Understanding parental needs and support preferences is key to implementing family-centered care during resuscitation.
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