Models of Care Delivery for Families of Critically Ill Children: An Integrative Review of International Literature

Abstract

There is need to describe how best to design, implement and sustain models of care for critically ill children and their families. The success of any intervention implementation will be dependent on the comprehensiveness of the strategy for implementation, the relevance to the context and setting, and engagement with key stakeholders.

Nurse’s impressions and changes after the workshops using the pediatric nursing care model

“…The success of any intervention implementation will be dependent on the comprehensiveness of the strategy for implementation, the relevance to the context and setting, and engagement with key stakeholders. [12] 1.4 Study purpose To hold workshops using a pediatric nursing care model demonstrating the basic attitudes towards ethical practice of nursing, including psychological preparation provided in medical settings, and investigate nurses' impressions of and changes observed after the workshops.…”

Parent and staff perceptions of parental needs during a child's hospital admission to a paediatric high‐dependency unit: A New Zealand study

“…14,21 The literature that explores parents' and staff's perceptions of parental needs and/or FCC delivery within a paediatric critical care setting remain limited. 22,23 within one New Zealand paediatric high-dependency unit (PHDU) and to explore if these perceptions have changed.…”

The need for consistent family‐centred support for family and parents of children admitted to paediatric intensive care unit

“…Additionally, the PICU structure/layout, routines [often requiring long time periods waiting outside the PICU for parents (e.g. to avoid X‐ray exposure)] and, worryingly, the existence of restrictive visiting practices in some PICUs are current barriers to full parental participation (Abuqamar et al, ; Bagnasco et al, ; Baird et al, ; Curtis et al, ). Additionally, within the wider context of children's nursing it is acknowledged that, even when there is professed family‐centred care, children and their parents are not always allowed to become active participants when it comes to decision‐making (Feeg et al, ; Lambert et al, ; Montgomery et al, ).…”

“…Overall there are discrepancies and variances in the way heath care professionals perceive and approach PICU family‐centred care internationally (Abuqamar et al, ; Bagnasco et al, ; Baird et al, ; Coyne et al, ; Curtis et al, ; Feeg et al, ; Montgomery et al, ). It is not known if these discrepancies are because of underlying beliefs, culture variations, national values, national income levels, health care rights or government support (Feeg et al, ).…”

“…What is needed both in countries where restrictive visiting applies and internationally where there are inconsistencies in both policies and approaches to relationships, is an innovative and agreed framework with clear practice guidelines for family‐centred care in PICU. However, models of care implemented in one setting may not be transferable to another hospital due to contextual differences in setting, processes and management (Curtis et al, ). Therefore, research needs to underpin any such initiatives, and has much to offer in PICU in terms of exploring and exposing the subjective life world that exists in each unique PICU situation.…”