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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.
Insights
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.
Background:
Supporting parents is a key component of family-centered care in pediatric settings. Evidence-based guidelines for supporting parents during pediatric resuscitation are lacking.
Purpose:
This study aimed to develop and evaluate an instructional framework to guide healthcare professionals in supporting parents before, during, and after pediatric resuscitation.
Design And Methods:
A sequential exploratory mixed-methods design was employed, comprising three phases: (1) qualitative exploration through semi-structured interviews with parents and health professionals, systematic reviews, and two Delphi rounds to identify parental needs; (2) development of an evidence-based instructional framework based on these findings; and (3) implementation of the framework in the quantitative phase to evaluate its effect on parents' acute stress and health professionals' perceptions of family-centered care.
Results:
The instructional framework included 138 items on supporting parents during pediatric resuscitation, which were categorized into four components: supporting parents before (41 items), during (19 items), after successful (14 items), and after unsuccessful (64 items) pediatric resuscitation. The instructions reduced acute stress among parents and improved the perception of family-centered care among health professionals.
Conclusion:
The findings suggest that the use of an instructional framework to support parents before, during, and after their child's resuscitation may be beneficial in clinical practice. Standardized, evidence-based training to support parents during pediatric resuscitation may enhance both parental well-being and family-centered care in acute settings.
Implications To Practice:
Knowledge about parental needs and support preferences provides new information that can be used to support parents during resuscitation according to family-centered care principles in clinical practice.
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