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Related Experiment Videos

Pediatric intensive care: the parents' experience

E C Meyer1, L K Snelling, L K Myren-Manbeck

  • 1Department of Pediatrics, Brown University School of Medicine, Providence, Rhode Island, USA.

AACN Clinical Issues
|March 20, 1998
PubMed
Summary

Parents experience significant stress when a child is admitted to the pediatric intensive care unit (PICU). Addressing parental needs for information, access, and participation can improve their experience during critical illness.

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Area of Science:

  • Pediatric Critical Care Medicine
  • Parental Psychosocial Support
  • Nursing Practice

Background:

  • Emergent pediatric intensive care unit (PICU) admission induces parental fear and helplessness.
  • Critical illness disrupts parents' roles as protectors and providers, undermining their sense of control.
  • Key stressors include role displacement, child's condition, and communication barriers.

Purpose of the Study:

  • To identify parental stress factors in the PICU setting.
  • To highlight essential parental needs during a child's critical illness.
  • To explore the role of advanced practice nurses in supporting these parents.

Main Methods:

  • Qualitative analysis of parental experiences and needs in the PICU.
  • Review of factors contributing to parental stress.

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  • Examination of intervention strategies for psychosocial support.

    • Main Results:

    • Parental stress is linked to loss of familiar roles, child's appearance/behavior, and staff communication issues.
    • Parents prioritize accurate information, child access, and involvement in care.
    • Advanced practice nurses can significantly enhance psychosocial services.

    Conclusions:

    • Understanding parental stress in the PICU is crucial for effective support.
    • Meeting parental needs for information, access, and participation improves coping.
    • Advanced practice nurses are pivotal in delivering and improving psychosocial care for families in the PICU.