A child's admission to hospital: a qualitative study examining the experiences of parents

Diaz-Caneja, A.; Gledhill, J.; Weaver, T.; Nadel, S.; Garralda, E.
September 2005
Intensive Care Medicine;Sep2005, Vol. 31 Issue 9, p1248
Academic Journal
journal article
Aims: To compare the experiences of parents and children during inpatient admission to either a paediatric intensive care unit (PICU) or a general paediatric ward (GPW) with a specific focus on identifying factors which may influence psychological outcome.Methods: Semi-structured qualitative interviews of 20 parents whose children had been admitted to hospital. Cases were sampled purposively to ensure representation of both groups (PICU and GPW admissions). Interviews were tape recorded, transcribed and subjected to a thematic analysis.Results: The experiences of parents were explored with regard to illness onset, admission to PICU or GPW and the discharge period. In the PICU group, the sources of stress differed according to the stage: at onset, they were mainly related to their child's illness; during admission, concerns were focused on their child's appearance; finally, on discharge, possible relapse of the illness, impact of the admission on the child and family and the lack of clear follow-up were the central themes. In the GPW group, parents reported similar themes but with lower levels of associated stress. Both groups identified good communication with the medical team and opportunities for participation as helpful in reducing stress.Conclusions: Admission to hospital is stressful for parents particularly if the child is admitted to PICU. Hospital staff should enhance communication with parents and maximise opportunities for parental participation in the child's treatment. Such interventions may reduce parents' experience of stress during the admission and have the potential to improve psychological outcome.


Related Articles

  • Reliability of PRISM and PIM scores in paediatric intensive care. Van Keulen, J. G.; Polderman, K. H.; Gemke, R. J. B. J. // Archives of Disease in Childhood;Feb2005, Vol. 90 Issue 2, p211 

    Aims: To assess the reliability of mortality risk assessment using the Paediatric Risk of Mortality (PRISM) score and the Paediatric Index of Mortality (PIM) in daily practice. Methods: Twenty seven physicians from eight tertiary paediatric intensive care units (PICUs) were asked to assess the...

  • A comparative study of four intensive care outcome prediction models in cardiac surgery patients. Doerr, Fabian; Badreldin, Akmal M. A.; Heldwein, Matthias B.; Bossert, Torsten; Richter, Markus; Lehmann, Thomas; Bayer, Ole; Hekmat, Khosro // Journal of Cardiothoracic Surgery;2011, Vol. 6 Issue 1, p21 

    Background: Outcome prediction scoring systems are increasingly used in intensive care medicine, but most were not developed for use in cardiac surgery patients. We compared the performance of four intensive care outcome prediction scoring systems (Acute Physiology and Chronic Health Evaluation...

  • Kangaroo Holding Beyond the NICU. Johnson, Amy Nagorski // Pediatric Nursing;Jan/Feb2005, Vol. 31 Issue 1, p53 

    The article informs that a major nursing challenge in the neonatal intensive care unit (NICU) is supporting parents in the intensive, technology-driven environment by merging physiologic care of the infant with maternal interventions to enhance parent-infant interactions of touch and...

  • The longer patients are in hospital before Intensive Care admission the higher their mortality. Goldhill, David R.; McNarry, Alistair F.; Hadjianastassiou, Vassilis G.; Tekkis, Paris P. // Intensive Care Medicine;Oct2004, Vol. 30 Issue 10, p1908 

    Objective: To explore the relationship between hospital mortality and time spent by patients on hospital wards before admission to the intensive care unit (ICU).Design: Observational study of prospectively collected data.Setting: Participating intensive...

  • Comparison of interhospital pediatric intensive care transport accompanied by a referring specialist or a specialist retrieval team. Vos, Gijs D.; Nissen, Annemieke C.; Nieman, Fred H.M.; Meurs, Mieke M. B.; van Waardenburg, Dick A.; Ramsay, Graham; Donckerwolcke, Raymond A. M. G.; H M Nieman, Fred // Intensive Care Medicine;Feb2004, Vol. 30 Issue 2, p302 

    Objective: Interhospital transfers of critically ill pediatric patients in The Netherlands are accompanied by referring specialists or by specialist retrieval teams. We compared the interventions before and directly after transports and the complications and the equipment available...

  • Bedside transpyloric tube placement in the pediatric intensive care unit: a modified insufflation air technique. da Silva, Paulo Sérgio Lucas; Paulo, Chiu Seing Tsok; de Oliveira Iglesias, Simone Brasil; de Carvalho, Werther Brunow; e Meneses, Flávia Santana // Intensive Care Medicine;Jul2002, Vol. 28 Issue 7, p943 

    Objective. To test air insufflation as an adjunct to placement of enteral feeding tubes and the effectiveness of using a smaller insufflation volume in pediatric patients. Design and setting. A randomized, controlled study in a pediatric intensive care unit in two tertiary hospitals. Patients. A...

  • Use of oral clonidine for sedation in ventilated paediatric intensive care patients. Arenas-López, Sara; Riphagen, Shelley; Tibby, Shane M.; Durward, Andrew; Tomlin, Steve; Davies, Graham; Murdoch, Ian A.; Arenas-López, Sara // Intensive Care Medicine;Aug2004, Vol. 30 Issue 8, p1625 

    Objectives: We aimed to document our experience with oral clonidine when used as a sedative in combination with intravenous morphine and lorazepam in a group of mechanically ventilated children with single-organ, respiratory failure. In particular, our objectives were to establish...

  • Mortality and the nature of metabolic acidosis in children with shock. Hatherill, Mark; Waggie, Zainab; Purves, Langley; Reynolds, Louis; Argent, Andrew // Intensive Care Medicine;Feb2003, Vol. 29 Issue 2, p286 

    Hypothesis: Mortality in children with shock is more closely related to the nature, rather than the magnitude (base deficit/excess), of a metabolic acidosis.Objective: To examine the relationship between base excess (BE), hyperlactataemia, hyperchloraemia, 'unmeasured'...

  • Transport of critically ill children in a resource-limited setting. Hatherill, Mark; Waggie, Zainab; Reynolds, Louis; Argent, Andrew // Intensive Care Medicine;Sep2003, Vol. 29 Issue 9, p1547 

    Objective: To audit paediatric intensive care unit (PICU) transfer activity and transfer-related adverse events in a resource-limited setting.Design and Setting: Twenty-two bed regional PICU of a university children's hospital in Cape Town, South Africa. Prospective...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics