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Nurses' experiences of what constitutes the encounter with children visiting a sick parent at an adult ICU
Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.ORCID iD: 0000-0001-8596-6020
Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Futurum Academy for Health and Care Region Jönköping County, Jönköping, Sweden.ORCID iD: 0000-0002-0156-6677
2017 (English)In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 39, 9-17 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

Despite a cultural change in visitation policies for children (0-17 years) in the intensive care unit (ICU) to a more open approach, children are still restricted from visiting for various reasons. To overcome these obstacles, it is vital to determine what is needed while encountering a child.

AIM:

To elucidate nurses' experiences of what constitutes the encounter with children visiting a sick parent in an adult ICU.

METHOD:

An explorative inductive qualitative design was used, entailing focus group interviews with 23 nurses working at a general ICU. The interviews were analysed according to inductive content analysis.

RESULTS:

The findings show components that constitute the encounter with children as relatives at the ICU, as experienced by ICU nurses: nurses need to be engaged and motivated; parents need to be motivated; the child needs individual guidance; and a structured follow-up is needed. This reflects a child-focused encounter.

CONCLUSIONS:

Nurses need to adopt a holistic view, learn to see and care for the child individually, and be able to engage parents in supporting their children. To accomplish this the nurses need engagement and motivation, and must have knowledge about what constitutes a caring encounter, in order to achieve a caring child-focused encounter.

Place, publisher, year, edition, pages
Elsevier, 2017. Vol. 39, 9-17 p.
Keyword [en]
Children; Critically ill; Encounter; Family; Intensive care unit; Qualitative study; Relatives
National Category
Nursing
Identifiers
URN: urn:nbn:se:hj:diva-34205DOI: 10.1016/j.iccn.2016.09.003ISI: 000396956400002PubMedID: 28209429Scopus ID: 2-s2.0-85012277220OAI: oai:DiVA.org:hj-34205DiVA: diva2:1052514
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2013-2082
Available from: 2016-12-06 Created: 2016-12-06 Last updated: 2017-05-02Bibliographically approved

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