Family presence during paediatric resuscitation and invasive procedures: the parental experience: An integrative review Background: The evolvement of family-centred care has been an ongoing process since the Platt Report 1959. Family-centred care has become the modern working model in paediatrics and obstetrics. Parental participation is central to family-centred care. Whether it is applied consistently remains to be concluded. Aim: The aim of the study was to describe the family experiences of being present during paediatric resuscitation and invasive procedures. Method: The design used in this study is an integrative review by Whittemore & Knafl. Databases PubMed and CINAHL were searched for primary research concerning the parental experiences of participating in paediatric resuscitation and invasive procedures. Eighteen studies were included in the study. A quality assessment tool was applied. Findings: A pro-parental presence was the results of 17 of the 18 included studies. Six common themes were found: 'Being there', 'Calming child', 'Calming parent', 'Having the right', 'Do it again' and 'Seeing is believing'. Conclusion: Including family in resuscitation and invasive procedures requires openness as a working model and demands organisational changes and the updating of guidelines. The inseparability of parent-child is attachment theory practised, an innate quality of being a child as well as a parent. Recommendations are to have a facilitator present during resuscitation and invasive procedures to alleviate stress on everyone's part, enabling family participation.
Background: People suffering from multiple sclerosis (MS) commonly use complementary and alternative medicine due to the partial efficacy of conventional treatments, the chronic aspect of MS, the impact of pain and the side-effects of medication. An exploratory descriptive study of three cases was performed to document and analyse the experience patients treated for MS with applied kinesiology. Methods: Qualitative interviews were conducted with three patients who had been diagnosed with MS at the Neurology Department and who had sought concurrent applied kinesiological treatment from a kinesiologist. The interviews were open-ended and semistructured. A second interview was conducted for validation. The interviews produced texts that were subjected to phenomenological-hermeneutic text analysis. The three case studies were synthesized for a cross-case analysis. Results: The following themes emerged from the interviews: "having hope", "trusting the kinesiologist", "diet changes essential", "losing trust in the healthcare system", "feeling confused" and "getting better". Patients who underwent applied kinesiology treatment reported a sense of hope, trust and increased health. Comprehensive analysis of the survey results revealed that the patients felt able to "make changes for life", "get past their kinesiology treatment. Conclusion: The interviews provide phenomenological-hermeneutic narratives of health well-being among patients treated with applied kinesiology for MS. The treatment assisted the patients in achieving a sense of well-being and health rather than invalidity. In parallel, the patients exhibited stabilization of their magnetic resonance imaging results during the applied kinesiology treatment period. The patients also reported a feeling that they could transcend their diagnosis of MS.
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