scholarly journals Pediatric Intensive Care Unit: reflection in the light of Florence Nightingale’s Environmental Theory

2021 ◽  
Vol 74 (5) ◽  
Author(s):  
Soraya Bactuli Cardoso ◽  
Isabel Cristina dos Santos Oliveira ◽  
Tania Vignuda de Souza ◽  
Sandra Alves do Carmo
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Disease Process ◽  
Pediatric Intensive Care ◽  
The Family ◽  
Nursing Team ◽  
History Of ◽  
Environmental Theory ◽  
Final Work

ABSTRACT Objective: To reflect on the environment of the Pediatric Intensive Care Unit in the light of the Florence Nightingale’s Environmental Theory. Methods: A theoretical-reflexive essay of constructs originated from the final work of a discipline related to the Florence Nightingale’s Environmental Theory and the current legislation regarding the environment of the unit. Results: The elements “lighting,” “noise,” “colors, and varieties of objects,” “location of nursing units,” and “odors” follow Florence Nightingale’s assumptions while the elements “ventilation,” “spacing between beds,” “furniture” underwent adaptations to suit the current structure of the unit. Final considerations: The environmental theory is a milestone in the history of nursing. Despite the transformations, such as the emergence of intensive care units and the permanence of the family in these units, the nursing team must maintain Florence Nightingale’s concern about the environment influencing the health/disease process and promoting an adequate environment for the care of the child and his family.

Visitation in the Pediatric Intensive Care Unit: Controversy and Compromise

1994 ◽  
Vol 5 (3) ◽  
pp. 289-295 ◽  
Author(s):  
Nancy E. Page ◽  
Nancy M. Boeing
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Health Care Providers ◽  
Pediatric Intensive Care ◽  
Care Providers ◽  
The Family ◽  
Centered Care ◽  
Family Centered

Much controversy has arisen in the last few decades regarding parental and family visitation in the intensive care setting. The greatest needs of parents while their child is in an intensive care unit include: to be near their child, to receive honest information, and to believe their child is receiving the best care possible. The barriers that exist to the implementation of open visitation mostly are staff attitudes and misconceptions of parental needs. Open visitation has been found in some studies to make the health-care providers’ job easier, decrease parental anxiety, and increase a child’s cooperativeness with procedures. To provide family-centered care in the pediatric intensive care unit, the family must be involved in their child’s care from the day of admission. As health-care providers, the goal is to empower the family to be able to advocate and care for their child throughout and beyond the life crisis of a pediatric intensive care unit admission

scholarly journals Meanings assigned by a pediatric intensive care unit nursing team on the processes of death and dying

2013 ◽  
Vol 17 (4) ◽  
Author(s):  
Camilla Delavalentina Cavalini Marques ◽  
Marly Veronez ◽  
Marina Ribeiro Sanches ◽  
Ieda Harumi Higarashi
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Death And Dying ◽  
Pediatric Intensive Care ◽  
Nursing Team

A systematic approach to family engagement: Feasibility pilot of a pediatric delirium management and prevention toolkit

2019 ◽  
Vol 17 (1) ◽  
pp. 42-45 ◽  
Author(s):  
Gabrielle Silver ◽  
Chani Traube
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Improvement Project ◽  
The Family ◽  
Delirium Prevention ◽  
Delirium Management ◽  
Short And Long Term

AbstractObjectiveDelirium is a frequent and severe complication of serious pediatric illness. Development of a nonpharmacologic approach to prevent pediatric delirium may improve short- and long-term outcomes in children and their families. In this brief report, we describe the development of a quality improvement project designed to methodically promote the family member's engagement, comforting, and orienting activities with their critically ill child to decrease delirium rates.MethodWe created a developmentally specific Delirium Prevention Toolkit for families. In a feasibility pilot, March through June 2016, we offered the kit to 15 patients and their families. On discharge, families were asked to describe use of the toolkit and whether or not it was helpful for them.ResultsTwelve of 15 patients and families used various elements of the toolkit, particularly the headphones, music, and games; no one regularly used the blank journal. All reported that it was easy and helpful to have as support for their stay in the pediatric intensive care unit.Significance of resultsThis pilot demonstrated practicality of a nonpharmacologic delirium prevention toolkit in the pediatric intensive care unit, and satisfaction from patients and families.

scholarly journals Scores TISS-28 versus NEMS to size the nursing team in a pediatric intensive care unit

2017 ◽  
Vol 15 (4) ◽  
pp. 470-475
Author(s):  
Kelly Dayane Stochero Velozo ◽  
Pedro Celiny Ramos Garcia ◽  
Jefferson Pedro Piva ◽  
Humberto Holmer Fiori ◽  
Daiane Drescher Cabral ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
Prospective Study ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Working Hours ◽  
University Hospital ◽  
Nursing Workload ◽  
Nursing Team

ABSTRACT Objective: To estimate the workload and size the nursing team using the scales TISS-28 and NEMS in a pediatric intensive care unit. Methods: An observational prospective study with a quantitative approach was conducted at the pediatric intensive care unit of a university hospital from Jan 1st, 2009 to Dec 31st, 2009. All children who remained hospitalized for more than 8 hours were included, with length of stay of 4 hours in case of death. Clinical data were collected and the Paediatric Index of Mortality 2 and the scores TISS-28 and NEMS were determined. The TISS-28 and NEMS were converted into working hours of the nursing team and sizing complied with the parameters of the Brazilian Federal Nursing Council. Pearson's correlation and the Bland-Altman model were used to verify the association and agreement between the instruments. Results: A total of 459 children were included, totaling 3,409 observations. The average values for the TISS-28 and NEMS were 20.8±8 and 25.2±8.7 points, respectively. The nursing workload was 11 hours by TISS-28 and 13.3 hours by NEMS. The estimated number of professionals by TISS-28 and NEMS was 29.6 and 35.8 professionals, respectively. The TISS-28 and NEMS showed adequate correlation and agreement. Conclusion: Time spent in nursing activities and team sizing reflected by the NEMS were significantly greater when compared to the TISS-28.

scholarly journals Clinical Nurse Participation at Family Conferences in the Pediatric Intensive Care Unit

2016 ◽  
Vol 25 (6) ◽  
pp. 489-497 ◽  
Author(s):  
Anne C. Watson ◽  
Tessie W. October
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Patient Care ◽  
Pediatric Intensive Care Unit ◽  
Emotional Support ◽  
Pediatric Intensive Care ◽  
Clinical Nurse ◽  
Clinical Nurses ◽  
Family Conference ◽  
The Family

Background Clinical nurses attend family conferences in the intensive care unit, but their role during these meetings is not yet fully understood. Objectives To assess perceived and observed contributions of the clinical nurse during family conferences. Methods Prospective cross-sectional survey and review of 40 audio-recorded family conferences conducted in the 44-bed pediatric intensive care unit of an urban pediatric hospital. Results Survey responses from 47 nurses were examined. Most nurses thought it important to attend family conferences, but identified workload as a barrier to attendance. They perceived their roles as gaining firsthand knowledge of the discussion and providing a unique perspective regarding patient care, emotional support, and advocacy. Audio recordings revealed that bedside nurses attended 20 (50%) of 40 family conferences and spoke in 5 (25%) of the 20. Nurses verbally contributed 4.6% to the overall speech at the family conference, mostly providing information on patient care. Conclusions The clinical nurse is often absent or silent during family conferences in the intensive care unit, despite the important roles they want to play in these settings. Strategies to improve both the physical and verbal participation of clinical nurses during the family conference are suggested, especially in the context of previous research demonstrating the need for more attention in family conferences to social-emotional support and patient advocacy.

scholarly journals The family member in the pediatric intensive care unit: a developer needs context O Familiar na Unidade de Terapia Intensiva Pediátrica: um contexto revelador de necessidades

2015 ◽  
Vol 7 (5) ◽  
pp. 77
Author(s):  
Francisca Georgina Macedo Sousa ◽  
Danilo Marcelo Araujo Santos ◽  
Heloisa Rosário Furtado Oliveira Lima ◽  
Dennyse Cristina Macedo Silva ◽  
Luciana Palácio Fernandes Cabeça ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Family Member ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
The Family ◽  
Terapia Intensiva

Objetivo: compreender as necessidades dos familiares de crianças internadas em UTI Pediátrica. Método: estudo descritivo qualitativo apoiado na análise temática com dados coletados por entrevistas não estruturadas tendo como sujeitos oito familiares de crianças internadas em UTI Pediátrica de hospital de referência no Estado do Maranhão. Resultados: revelados 11 temas agrupados em cinco necessidades (segurança e conforto; emocionais; comunicação; adaptação e suporte). Conclusão: o adoecimento e a hospitalização aliados ao atendimento de necessidades de familiares revelou um fosso entre um sistema centrado na doença e o centrado na pessoa que englobaram o campo físico, emocional, espiritual e financeiro do familiar acompanhante. Essa perspectiva demanda ampliação do foco para além da doença alcançando a família e suas necessidades. Assim, os profissionais da UTI deverão desenvolver habilidades e competências para identificar e suprir tais necessidades, rompendo com a fragmentação do cuidado e sugerem encontro que envolve o contexto, a criança e a família.Descritores: Enfermagem; Família; Unidade de Terapia Intensiva Pediátrica.

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