Is Neonatology Being Abandoned by the RRC and General Pediatrics

PEDIATRICS ◽  
1994 ◽  
Vol 94 (2) ◽  
pp. 247-248
Author(s):  
Rita G. Harper ◽  
Harry Dweck ◽  
Paul B. Yellin ◽  
George Cassady ◽  
George Little ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Pediatric Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Pediatric Intensive Care ◽  
Residency Review Committee ◽  
Review Committee ◽  
Care Training

The neonatal grapevine seems to be growing with vigor these days. Fed by the rumor that there will be a new proposal by the Residency Review Committee (RRC) to limit the time of critical care training that pediatric house officers receive, the vine is sprouting with amazing vitality. "Critical care exposure" is reported to be limited to 5 of the 33 months of training that the house officers receive including the time spent in the neonatal intensive care unit (NICU), the pediatric intensive care unit, and the transplant service.

scholarly journals Parents’ Report of Child’s Response to Sibling’s Death in a Neonatal or Pediatric Intensive Care Unit

2013 ◽  
Vol 22 (6) ◽  
pp. 474-481 ◽  
Author(s):  
JoAnne M. Youngblut ◽  
Dorothy Brooten
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Qualitative Interviews ◽  
Pediatric Intensive Care ◽  
School Age Children ◽  
School Age ◽  
English Speaking ◽  
Race Ethnicity

Background Research on sibling death in a pediatric/neonatal intensive care unit is limited, despite many qualitative differences from deaths at home or in hospitals’ general care areas and has overlooked cultural differences. Objectives To describe parents’ reports of children’s responses to a sibling’s death in a neonatal or pediatric intensive care unit via qualitative interviews at 7 months after the death. Methods English-speaking (n = 19) and Spanish-speaking (n = 8) parents of 24 deceased infants/children described responses of their 44 surviving children: 10 preschool, 19 school-age, and 15 adolescent. Parents’ race/ethnicity was 48% black, 37% Hispanic, 15% white. Ten siblings died in the neonatal unit and 14 in the pediatric intensive care unit. Semistructured interviews in parents’ homes were audio recorded, transcribed verbatim, and analyzed with content analysis. Results Six themes about surviving children emerged. Changed behaviors were reported by parents of school-age children and adolescents. Not understand what was going on was reported primarily by parents of preschoolers. Numbers of comments in the 4 remaining themes are as follows: maintaining a connection (n = 9), not having enough time with their siblings before death and/or to say goodbye (n = 6), believing the sibling is in a good place (n = 6), not believing the sibling would die (n = 4). Comments about girls and boys were similar. White parents made few comments about their children compared with black and Hispanic parents. The pattern of comments differed by whether the sibling died in the neonatal or the pediatric intensive care unit. Conclusions Children’s responses following a sibling’s death vary with the child’s sex, parents’ race/ethnicity, and the unit where the sibling died. Children, regardless of age, recognized their parents’ grief and tried to comfort them.

Parent Advocacy Group for Events of Resuscitation

2016 ◽  
Vol 36 (3) ◽  
pp. 58-64 ◽  
Author(s):  
Tracy Ann Pasek ◽  
Jodi Licata
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Advocacy Group ◽  
Family Presence ◽  
Nurse Caring ◽  
Belief Scale ◽  
Intensive Care Unit Nurses

BACKGROUNDThe presence of patients’ families during resuscitation has been an important practice issue. An American Association of Critical-Care Nurses (AACN) practice alert “Family Presence During Resuscitation and Invasive Procedures” supports family members of patients undergoing resuscitation being given the option of bedside presence. Parent Advocacy Group for Events of Resuscitation (PAGER) is an interdisciplinary collaborative in the pediatric intensive care unit.OBJECTIVESTo ensure that patients’ families are provided the option of being with their child during cardiopulmonary resuscitation.METHODSResuscitation data were collected for 12 months by using the AACN practice alert audit tool. The Family Nurse Caring Belief Scale was administered to 150 pediatric intensive care unit nurses. PAGER nurses received crisis education.RESULTSPediatric intensive care unit nurses were supportive of providing the option of family presence during resuscitation. Family Nurse Caring Belief Scale data revealed areas for improvement in family caring practices. PAGER was implemented with positive outcomes for 2 families.CONCLUSIONSPAGER has improved the care of families whose children experience cardiopulmonary resuscitation and should be implemented in pediatric critical care units. PAGER nurses are prepared to serve as role models in providing family-sensitive care during crisis.

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