Family member presence during pediatric emergency department procedures

Sacchetti, Alfred; Lichenstein, Richard; Carraccio, Carol; Harris, Russell H.

doi:10.1097/00006565-199608000-00008

Cited by 113 publications

(84 citation statements)

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“…Sacchetti ve ark. [23] yaptıkları bir çalışmada da sağlık personellerinin klinik deneyim süresi ile ağrılı işlemler sıra-sında ebeveynlerin bulunmasına izin verme durumları arasında çok anlamlı bir korelasyon bulmuştur. Aynı çalışmada klinik deneyim arttıkça ağrılı işlem-ler sırasında ebeveynlerin bulunmasını kabul oranının arttığı saptanmıştır.…”

Section: Discussionunclassified

Pediatric nurses view about parental presence during children's painful procedures

Boztepe¹

2012

Agri

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SummaryObjectives: Family-centered ÖzetAmaç: Aile merkezli bakım pediatri hemşireliğinin en temel ilkelerinden biridir ve çocukların ağrılı işlemler sırasında ebeveynlerinden destek almalarına olanak tanır. Fakat sağlık profesyonelleri ağrılı işlemler sırasında ebeveynlerin bulunmasına ilişkin bazı tereddütler yaşamaktadırlar. Bu tanımlayıcı çalışmanın amacı çocuklara yapılan ağrılı işlemler sırasında ebeveynlerin bulunması hakkında hemşirelerin görüşlerini belirlemektir. Gereç ve Yöntem: Çalışma 15 Mart-15 Haziran 2009 tarihleri arasında bir üniversite hastanesinin ebeveynlerin çocuklarıyla birlikte kalabildikleri servislerinde yapılmıştır. Araştırmaya katılmayı kabul eden toplam hemşire 43'tür (%57). Çalışmada demografik veri formu, açık ve kapalı uçlu sorulardan oluşan görüşme formu kullanılmıştır. Bulgular: Hemşirelerin %62.8'i ebeveynlerin ağrılı işlemler sırasında ebeveynlerin çocukların yanında olmaması gerektiğini ifade etmişlerdir. Hemşireler tarafından ebeveynlerin ağrılı işlemler sırasında çocukların yanında olmasının dezavantajları çocuğun anksiyetesini artırması (%77.1), sağlık personelinin anksiyetesini artırması (%60.0) ve işlemin başarısını etkileme olarak ifade edilmiştir. Hemşirelerin ağrılı işlemlerin çocuk ve ebeveynleri için daha az travmatik olması için yaptıkları öne-rileri ise sırasıyla; çocuk ve ebeveynlere işlemin açıklanması (%83.7), işlemden önce sedasyon veya lokal anestezi yapılması (%37.2) ve ağrılı işlemlerin uzman ekipler tarafından yapılmasıdır (%20.9). Sonuç: Araştırmamızdaki hemşireler ebeveynlerin ağrılı işlemler sırasında olmasını tercih etmemektedirler. Bu araştırma-nın bulguları ağrılı işlemlerle ilgili yazılı politika ve prosedürlerin geliştirilmesinin gerekliliğini ortaya koymuştur. Gelecekteki araştırmalar için önerilerde bulunmuştur.

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Section: Discussionunclassified

Pediatric nurses view about parental presence during children's painful procedures

Boztepe¹

2012

Agri

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“…The tools were developed based on the theories of Rogers (1995) and Bandura (1986), qualitative data from content experts, and the findings of earlier research (e.g. Sacchetti et al, 1996;Hanson & Strawser, 1992;MacLean et al, 2003). Items were developed on the basis of the literature and interviews with expert nurses from a variety of clinical settings.…”

Section: Instrumentsmentioning

confidence: 99%

Family presence during resuscitation: Validation of the risk–benefit and self-confidence scales for student nurses

Bray

Kenny

Pontin

et al. 2016

Journal of Research in Nursing

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Background. There is increasing debate about the advantages and disadvantages of family-witnessed resuscitation. Research about the views of healthcare providers depends upon reliable tools to measure their perceptions. Two tools have been developed for use with nurses (26-item cost-benefit tool, 17-item self-confidence tool). Objectives. Firstly, to validate these tools for use with student nurses in the UK. Secondly, to report on the perceived risks and benefits reported by student nurses, and their self-confidence in dealing with this situation. Methods. A sample of 79 student nurses were invited to complete the tools. Item-total correlations and Cronbach’s α were used to determine internal consistency. Factor analysis was computed to assess construct validity. The correlation between the two scales was explored. Results. 69 students completed a questionnaire. Very few had experience of family-witnessed resuscitation. Mean total scores were 3.16 (standard deviation 0.37; range 2.04–4.12) on the risk-benefit scale and 3.14 (standard deviation 0.66; range 1.94–4.82) on the self-confidence scale. Four of the original items were removed from the risk-benefit scale (Cronbach's α 0.86; 95% confidence interval ≥0.82). None were removed from the self-confidence scale (Cronbach's α 0.93; 95% confidence interval ≥0.91). There was a significant correlation between the two scales (r = 0.37, p = 0.002). Conclusions. There is growing evidence that these tools are valid and reliable for measuring student nurses’ perceptions about family-witnessed resuscitation.

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“…Previously conducted surveys and observational studies have demonstrated that most parents prefer to stay with their children during procedures occurring in EDs. [1][2][3][4][5] Parents also believe that they should participate in the decision to be present and that the physician should not unilaterally decide it. 4 Health care providers are much less willing to allow parental presence than parents would prefer.…”

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confidence: 99%

“…As a recent epidemiologic survey in San Francisco has shown, 20 years into the epidemic, very few patients (4/105) died with clinical AIDS and undiagnosed HIV disease. 2 The presentation of undiagnosed HIV disease in the acute care setting may occur as a collection of protean symptoms, which may be misdiagnosed as any number of endocrinological, infectious, rheumatological, or malignancy-associated disorders. Initial presentation with an opportunistic infection occurs less frequently.…”

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confidence: 99%

Should Parents Be Present during Emergency Department Procedures on Children, and Who Should Make That Decision? A Survey of Emergency Physician and Nurse Attitudes

Beckman

Sloan

Moore

et al. 2002

Academic Emergency Medicine

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Abstract. Objective: To survey physician and nurse attitudes regarding parental presence during painful procedures on children performed in the emergency department (ED) and who should make that decision. Methods: The design was an anonymous written survey consisting of six clinical scenarios distributed to all staff and resident physicians and nurses in ten EDs at institutions in the United States routinely caring for children. Participants were asked whether parents should remain with children undergoing intravenous (IV) placement, laceration repair, lumbar puncture, conscious sedation, major resuscitation, and major resuscitation with death. They also were asked who should make the decision. Results: The percentage of physicians who responded that parents should be present was 91.3% for peripheral IV start, 93.3% for laceration repair, 65.7% for lumbar puncture, 83.1% for conscious sedation, 31.9% for major resuscitation, and 35.6% for major resuscitation where death was likely. The percentage of nurses who responded that parents should be present was 86.8% for peripheral IV start, 89.6% for laceration repair, 55.0% for lumbar puncture, 74.9% for conscious sedation, 41.4% for major resuscitation, and 54.3% for major resuscitation where death was likely. In 64.8% of the completed surveys, the physicians indicated that they alone or in conjunction with a parent should make the decision. In 61.5% of the completed surveys, the nurses indicated that they should be involved in the decision. Conclusions: A majority of emergency physicians and nurses indicated parents should be present for some invasive pediatric procedures. However, as the invasiveness of the pediatric procedures increased, fewer physicians and nurses believed that parents should be present.

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Family member presence during pediatric emergency department procedures

Cited by 113 publications

References 0 publications

Pediatric nurses view about parental presence during children's painful procedures

Pediatric nurses view about parental presence during children's painful procedures

Family presence during resuscitation: Validation of the risk–benefit and self-confidence scales for student nurses

Should Parents Be Present during Emergency Department Procedures on Children, and Who Should Make That Decision? A Survey of Emergency Physician and Nurse Attitudes

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