Application of Atraumatic Care Philosophy to Children in Hospitals a Literature Review

Abstract

Background: Hospitalization for children has an impact on physical and psychological problems for children and parents. Many interventions can be done to reduce stressors for children or parents in nursing using the philosophy of atraumatic care, but there are not many articles that provide specific identification in the realm of the philosophy of atraumatic care. This study aims to determine the Evidence-Based Practice Nursing (EBPN) atraumatic care carried out by nurses in hospitals. Method: This research uses the literature study method. The Literature Study stages include problem identification, searching data in 4 databases, namely Pubmed (370 Journals), Proquest (295 Journals), Clinical Key (751 Journals), and Science Direct (573 Journals) with a total of 1,989 journals after that through the screening method, assessment of study quality using the JBI Critical Appraisal Tool which resulted in the final results with 18 journals, after that through data extraction and data analysis methods. Results: From 18 intervention journals to prevent physical and psychological stress, including the use of Virtual Reality (VR), and the use of buzzy and interactive play. Intervention impact separation with the presence of parents and involvement in care. Interventions related to the impact of the foreign environment are by modifying the nurse's uniform and car orientation of the care environment. Intervention in improving treatment control with PRISM-P and Progressive Muscle Relaxation (PMR) with Guided Imagery (GI). Conclusion: All interventions that are included in the 4 philosophies of atraumatic care, show the results of the effectiveness of the intervention on each principle of atraumatic care. This can be applied to patients, especially children and the elderly according to their condition.

Parents’ Participation in Atraumatic Care During Children Hospitalization: Systematic Review

“…They can also be involved in therapy and collaborate with experts to give their children the most ideal consideration. Parental participation in atraumatic care while the child is hospitalized, based on the results of the review of the articles above, includes emotional support, distraction techniques, comfort measures, communication and education, advocacy, collaboration with the healthcare team, participating in care routines, and providing post-procedure comfort (Handayani & Daulima, 2020;Ilmiasih & Ningsih, 2022;Jerofke-Owen et al, 2022;van Oort et al, 2019).…”

“…During a child's hospital stay, parental involvement and emotional support are crucial components of pediatric care. Research has demonstrated that the presence of parents and their involvement in atraumatic care improves the well-being of hospitalized children (Handayani & Daulima, 2020;Ilmiasih & Ningsih, 2022). Additionally, while a baby is in the hospital, medical staff can support parents in their roles as primary caregivers and decision-makers and address the psychological effects of the hospital stay on the family (Gramszlo et al, 2020).…”