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Sibling Presence in the PICU: Single-Site Point Prevalence Study.
Jessica Appleyard1,2,3, Beverley Copnell4, Alyssia Haling2
1Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Bundoora, VIC, Australia.
Around two-thirds of pediatric intensive care unit (PICU) patients have siblings, but sibling visits to the PICU are infrequent, mainly occurring on weekends. These findings can guide family-centered care models.
Area of Science:
- Pediatric critical care medicine
- Family-centered care
Background:
- The presence and impact of siblings on pediatric intensive care unit (PICU) patients are not well understood.
- Family-centered care models aim to integrate families into patient care, but sibling involvement requires specific consideration.
Purpose of the Study:
- To determine the point prevalence of PICU patients with siblings.
- To investigate the frequency and nature of sibling visits to the PICU.
- To explore factors influencing sibling visitation and interactions.
Main Methods:
- A single-site point prevalence study was conducted in an Australian quaternary care PICU.
- Survey data were collected from bedside nurses at eight time points over three weeks in 2025.
- Information on patient demographics, sibling presence, sibling visits, and nursing concerns was gathered and analyzed using descriptive and inferential statistics.
Main Results:
- Of 159 patients surveyed, 62.9% had siblings.
- Only 28% of patients with siblings had one or more sibling visits during the study period.
- Sibling visits were more common on weekends (20 visits) than weekdays (8 visits), with younger siblings (1-4 years) visiting more frequently.
Conclusions:
- Approximately two-thirds of PICU admissions have siblings, yet sibling visitation rates are low.
- Sibling visits are predominantly observed on weekends, suggesting a need for tailored support.
- Findings can inform the development of enhanced family-centered care strategies, including out-of-hours support for siblings in the PICU.
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