Browse > Article
http://dx.doi.org/10.5762/KAIS.2019.20.12.493

Nurses' Perceptions toward Parent Participation in Pediatric Intensive Care Unit: A Content Analysis  

Kim, Cho Hee (College of Nursing, Seoul National University)
Chae, Sun Mi (College of Nursing, Seoul National University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.20, no.12, 2019 , pp. 493-501 More about this Journal
Abstract
This paper describes nurses' perceptions toward parental participation in pediatric intensive care units (PICU). Qualitative data were collected from five nurses working at two PICUs in Seoul through individual in-depth interviews. The interviews were conducted from January to February 2016 and analyzed using traditional content analysis. Five categories were found for the parent participation in PICU: needs, attributes, benefits, barriers, and facilitating strategies for parent participation in PICU. Nurses acknowledged the necessities and benefits of parent participation, particularly in PICU, considering the parents' emotional burdens due to the critical health condition of their child as well as the limited visiting policy. The major barriers were a lack of knowledge and the skills of nurses to facilitate parent participation, nurses' heavy workloads, and lack of policies and guidelines supporting parent participation within the PICUs and hospitals. The participants indicated that organizational facilitating-strategies, such as education for nurses about meaning and skills of parent participation in PICU, raising awareness for nurses as well as parents, and ensuring professional staff dedicated to promoting parent participation, to be significant factors. Further study will be needed to develop nursing interventions to integrate parent participation in PICU care.
Keywords
Family-Centered Care; Parent Participation; Pediatric Intensive Care Unit; Nurse; Perception;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 H.F. Hsieh, and S.E. Shannon, "Three approaches to qualitative content analysis", Qualitative Health Research, Vol.15, No.9, p.1277-1288, 2005. DOI: http://dx.doi.org/10.1177/1049732305276687   DOI
2 T.A. Schwandt, Y.S. Lincoln, and E.G. Guba, "Judging interpretations: But is it rigorous? Trustworthiness and authenticity in naturalistic evaluation", New Directions for Evaluation, Vol.2007, No.114, p.11-25, 2007. DOI: http://dx.doi.org/10.1002/ev.223   DOI
3 A. Frazier, H. Frazier, and N.A. Warren, "A discussion of family-centered care within the pediatric intensive care unit", Critical Care Nursing Quarterly, Vol.33, No.1, p.82-86, 2010. DOI: http://dx.doi.org/10.1097/CNQ.0b013e3181c8e015   DOI
4 A. Butler, G. Willetts, and B. Copnell, "Nurses' perceptions of working with families in the paediatric intensive care unit", Nursing in Critical Care, Vol.22, No.4, p.195-202, 2017. DOI: http://dx.doi.org/10.1111/nicc.12142   DOI
5 M. Garrouste-Orgeas et al., "Opinions of families, staff, and patients about family participation in care in intensive care units", Journal of Critical Care, Vol.25, No.4, p.634-640, 2010. DOI: http://dx.doi.org/10.1016/j.jcrc.2010.03.001   DOI
6 Coats, H., et al., "Nurses' reflections on benefits and challenges of implementing family-centered care in pediatric intensive care units", American Journal of Critical Care, Vol.27, No.1, p.52-58, 2018. DOI: http://dx.doi.org/10.4037/ajcc2018353   DOI
7 B. Hetland et al., "A qualitative study of factors that influence active family involvement with patient care in the ICU: Survey of critical care nurses", Intensive and Critical Care Nursing, Vol.44, p.67-75, 2018. DOI: http://dx.doi.org/10.1016/j.iccn.2017.08.008   DOI
8 B. Hetland et al., "Factors influencing active family engagement in care among critical care nurses", AACN Advanced Critical Care, Vol.28, No.2, p.160-170, 2017. DOI: http://dx.doi.org/10.4037/aacnacc2017118   DOI
9 E. Y. Hong & Y. J. Yang, "Factors affecting job stress of pediatric nurses: focusing on self-efficacy, emotional labor, pediatric nurse-parent partnership", Child Health Nursing Research, Vol.21, No.3, p236-243, 2015. DOI: http://dx.doi.org/10.4094/chnr.2015.21.3.236   DOI
10 T. Tidwell et al., "A nursing pilot study on bedside reporting to promote best practice and patient/family-centered care", Journal of the American Association of Neuroscience Nurses, Vol.43, No.4, p.E1-E5, 2011. DOI: http://dx.doi.org/10.1097/JNN.0b013e3182212a1d   DOI
11 K.L. Meert, J. Clark, and S. Eggly, "Family centered care in the pediatric intensive care unit", Pediatric Clinics, Vol.60, No.3, p.761-772, 2013. DOI: http://dx.doi.org/10.1016/j.pcl.2013.02.011
12 Agency for Healthcare Research and Quality, How patient and family engagement benefits your hospital. Available From: http://www.ahaphysicianforum.org/resources/appropriate-use/ACSC/content/AHRQ-PFEGuide-selections.pdf (accessed Jan. 28, 2018)
13 I. Coyne et al., "A survey of nurses' practices and perceptions of family-centered care in Ireland", Journal of Family Nursing, Vol.19, No.4, p.469-488, 2013. DOI: http://dx.doi.org/10.1177/1074840713508224   DOI
14 B. McConnell, and T. Moroney, "Involving relatives in ICU patient care: critical care nursing challenges", Journal of Clinical Nursing, Vol.24, No.7-8, p.991-998, 2015. DOI: http://dx.doi.org/10.1111/jocn.12755   DOI
15 C. Hill, K.A. Knafl, and S.J. Santacroce, "Familycentered care from the perspective of parents of children cared for in a pediatric intensive care unit: an integrative review", Journal of Pediatric Nursing, Vol.41, p.22-33, 2018. DOI: http://dx.doi.org/10.1016/j.pedn.2017.11.007   DOI
16 L. Shields, J. Pratt, and J. Hunter, "Family centred care: a review of qualitative studies", Journal of Clinical Nursing, Vol.15, No.10, p.1317-1323, 2006. DOI: http://dx.doi.org/10.1111/j.1365-2702.2006.01433.x   DOI
17 Institute for Patient- and Family-Centered Care, What is patient- and family-centered health care? Available From: http://www.ipfcc.org/about/pfcc.html (accessed Jan. 28, 2018)
18 M.S. Newton, "Family-centered care: Current realities in parent participation", Pediatric Nursing, Vol.26, No.2, p.164, 2000.
19 S. Y. Jung, Y. R. Tak, "Family-centered care for hospitalized children: Concept analysis", Child Health Nursing Research, Vol.23, No.1, p,28-36, 2017. DOI: https://doi.org/10.4094/chnr.2017.23.1.28   DOI
20 I. Coyne, "Disruption of parent participation: Nurses' strategies to manage parents on children's wards", Journal of Clinical Nursing, Vol.17, No.23, p.3150-3158, 2008. DOI: http://dx.doi.org/10.1111/j.1365-2702.2006.01928.x   DOI
21 M. Y. Choi, "Parent participation in care of hospitalized chlidren: Concept analysis", Child Health Nursing Research, Vol.20, No.2, p.105-112, 2014. DOI: http://dx.doi.org/10.4094/chnr.2014.20.2.105   DOI
22 S. Y. Jung, "Health care providers' perceptions of family-centered care in pediatrics", Child Health Nursing Research, Vol.24, No.4, p.465-474, 2018. DOI: https://doi.org/10.4094/chnr.2018.24.4.465   DOI
23 M. Sandelowski, "Whatever happened to qualitative description?" Research in Nursing & Health, Vol.23, No.4, p.334-340, 2000. DOI: http://dx.doi.org/10.1002/1098-240X(200008)23 :4%3C334::AID-NUR9%3E3.0.CO;2-G   DOI
24 Elo S. & Kyngas H, "The qualitative content analysis process", Journal of Advanced Nursing, Vol.62, No.1, p107-115, 2008. DOI: http://dx.doi.org/10.1111/j.1365-2648.2007.04569.x   DOI
25 K. Krippendorff, Content analysis: an introduction to its methodology, p.103-105, SAGE publication, 2018.
26 M. Foster, L. Whitehead, and P. Maybee, "The parents', hospitalized child's, and health care providers' perceptions and experiences of family-centered care within a pediatric critical care setting: A Metasynthesis of Qualitative Research", Journal of Family Nursing, Vol.22, No.1, p.6-73, 2016. DOI: http://dx.doi.org/10.1177/1074840715618193   DOI
27 American Nurses Association, "Pediatric nursing: Scope and standards of practice", American Nurses Association Inc, 2008.
28 Schor EL., "Family Pediatrics: Report of the Task Force on the Family", Pediatrics, Vol.111 (Supplement_2), p.1541-1571, 2003.
29 M. Shudy et al., "Impact of pediatric critical illness and injury on families: a systematic literature review", Pediatrics, Vol.118, p.S203-S218, 2006. DOI: http://dx.doi.org/10.1542/peds.2006-0951B   DOI
30 R.A. Jee et al., "Evaluation and comparison of parental needs, stressors, and coping strategies in a pediatric intensive care unit", Pediatric Critical Care Medicine, Vol.13, No.3, p.e166-e175, 2012. DOI: http://dx.doi.org/10.1097/PCC.0b013e31823893ad   DOI