A family-centered care for the professional activities of medical staff in pediatric ICU: a multicenter questionnaire study
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Keywords

child
ICU
family centered care
medical-staff

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Lazarev VV, Vartanova KA, Tarakanova EG, Klyuev AL, Kopytov MV, Zaguzova TA, Ryzhenenkova IN, Nasyrova GF, Samolina IV, Panov ID A family-centered care for the professional activities of medical staff in pediatric ICU: a multicenter questionnaire study. Annals of Critical Care. 2022;(4):74–82. doi:10.21320/1818-474X-2022-4-74-82.

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Abstract

INTRODUCTION: Medical staff limits often the presence of parents in ICU with their children, citing the fact that parents can bring serious difficulties to the work of the department. OBJECTIVE: To evaluate social and psycho-emotional aspects of joint stay of a family member (parents) with a patient (child) in ICU from the viewpoint of the medical stuff. MATERIALS AND METHODS: The study included hospitals, which followed the principles of a family centered care (FCC) approach in the treatment of patients (median and quartiles years — 4.00 (2.00; 10.00)). The 417 questionnaires were analyzed. The data were subjected to descriptive analysis. RESULTS: Respondents assessed the working conditions and the level of their wages not higher than satisfactory in more than 30 % of the answers. In the spectrum of assistance provided by family members to a patient in the ICU, the medical staff indicated 89 % and 91.5 % respectively sanitary and hygienic care, 82 % and 81.9 % — feeding him, 32 % and 47.1 % — assistance in transportation patient. The first level of preparation of parents for caring for a patient in the ICU was 3 (2; 3) — doctors and 3 (2; 3) — nurses, and when the patient was transferred from the ICU — 4 (3; 4) and 3 (3; 4) respectively. Claims in the opinion of the medical staff from patients and parents were due to their underestimation of the complexity of the situation with the patient (58 % and 48.6 %), the characteristics of patients (33 % and 36.3 %) and their parents (48 % and 39.8 %), insufficient awareness of the patientʼs health status (nurses — 23.2 %). CONCLUSIONS: The FCC in the ICU does not introduce significant psycho-emotional and labor loads in the professional activities of medical staff and creates positive conditions for increasing the level of knowledge and skills of parents in caring for their children.

https://doi.org/10.21320/1818-474X-2022-4-74-82
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