A Mixed Method research on experience of stress among mothers of children admitted
in Paediatric Intensive Care Unit

Introduction: The aim of the study was to assess and explore the stress experienced in the form of stress levels and various themes derived from the qualitative interviews of mothers of children admitted in pediatric Intensive Care Unit (PICU). Materials and Methods: A Mixed approach i.e. gathering data from mothers of children admitted in PICU in both quantitative and qualitative way was adopted to assess and explore the level of stress experienced by mothers of children admitted in pediatric Intensive Care Unit (PICU) of Govt. Hospital Anantnag Jammu & Kashmir. Quantitative assessment will help to identify the level of stress and qualitative findings on the other hand will help the investigator to explore the mothers stress on deeper level; as a result their needs can be addressed in future. The data collection was done in regional language (Kashmiri) by face to face interview method using Structured Interview Schedule. Results: The present study revealed that out of 30, 25(83.3%) mothers has very high stress and 5(16.7%) has high stress and no mother falls in the category of very low, low and average stress. Conclusion: The study concluded that Implementation of triangulation technique explores many hidden areas of mothers stress which generally cannot be explored by the stress assessment instruments e.g. Belief and spirituality, transportation issues, communication problems, comparison of illness to disaster and many others.

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

American Journal of Critical Care ◽

10.4037/ajcc2013790 ◽

2013 ◽

Vol 22 (6) ◽

pp. 474-481 ◽

Cited By ~ 13

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.

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A presença do familiar da criança com câncer na unidade de terapia intensiva

Revista Enfermagem Atual In Derme ◽

10.31011/reaid-2019-v.87-n.25-art.220 ◽

2019 ◽

Vol 87 (25) ◽

Author(s):

Cristineide dos Anjos ◽

Fátima Helena do Espírito Santo ◽

Liliane Faria da Silva ◽

Amanda Danielle Resende Silva Sousa ◽

Fernanda Garcia Bezerra Góes

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Pediatric Intensive Care Unit ◽

Child Protection ◽

Pediatric Intensive Care ◽

Signs And Symptoms ◽

Structured Interview ◽

Descriptive Research ◽

Qualitative Descriptive ◽

Terapia Intensiva

Objetivou-se descrever a percepção do familiar da criança com câncer quanto a sua chegada e presença na unidade deterapia intensiva pediátrica. Pesquisa descritiva, de natureza qualitativa, realizada na unidade de terapia intensiva pediátricade um hospital especializado em oncologia, de outubro a novembro de 2014. Participaram de entrevista semiestruturada10 familiares de crianças. Da análise de conteúdo resultaram as seguintes categorias: o itinerário da criança e seu familiardos primeiros sinais e sintomas até a chegada à unidade de terapia intensiva pediátrica e a percepção do familiar da criançacom câncer quanto a sua presença na unidade de terapia intensiva pediátrica. Conclui-se que a chegada da criança comcâncer e do seu familiar é permeada por medo, incertezas e dúvidas, contudo, a presença da família promove à criançaproteção, calma, segurança, amor e carinho. Ademais, os familiares passam a compartilhar alguns cuidados com a equipede enfermagem.Palavras-chaves: Família, Criança Hospitalizada, Câncer, Unidades de Terapia Intensiva Pediátrica, Enfermagem Oncológica. ABSTRACTThe objective of this study was to describe the perception of the relative of the child with cancer regarding their arrivaland presence in the pediatric intensive care unit. Qualitative descriptive research carried out in the pediatric intensive careunit of a hospital specialized in oncology, from October to November 2014. Ten family members of children participatedin a semi-structured interview. Content analysis resulted in the following categories: the itinerary of the child and his /her relative from the first signs and symptoms until arrival at the pediatric intensive care unit and the perception of therelative of the child with cancer regarding their presence in the pediatric intensive care unit. It is concluded that the arrivalof the child with cancer and his family is permeated by fear, uncertainties and doubts, however, the presence of the familypromotes the child protection, calmness, security, love and affection. In addition, the relatives begin to share some carewith the nursing team.Keywords: Family, Hospitalized Child, Cancer, Pediatric Intensive Care Units, Oncology Nursing

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Estratégias defensivas utilizadas pela efermagem frente à morte em terapia intensiva pediátrica

Enfermagem em Foco ◽

10.21675/2357-707x.2020.v11.n2.2548 ◽

2020 ◽

Vol 11 (2) ◽

Author(s):

Luísa Schirmann Vasconcelos ◽

Silviamar Camponogara ◽

Eliane Tasch Neves ◽

Mônica Strapazzon Bonfada ◽

Gisele Loise Dias ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Pediatric Intensive Care Unit ◽

Pediatric Intensive Care ◽

Structured Interview ◽

University Hospital ◽

Hospital Data ◽

Work Activities ◽

Defensive Strategies ◽

Terapia Intensiva

Objetivo: conhecer as estratégias defensivas utilizadas por trabalhadores de enfermagem para minimizar o sofrimento advindo da vivência da morte de crianças hospitalizadas em unidade de terapia intensiva pediátrica. Método: estudo descritivo-exploratório de abordagem qualitativa. Em Unidade de Terapia Intensiva Pediátrica de um hospital universitário. A coleta de dados ocorreu entre agosto e setembro de 2016, por meio de entrevista semiestruturada com 15 trabalhadores de enfermagem. Os dados foram submetidos à análise temática de conteúdo. Resultados: os dados apontaram como principais estratégias: negação, afastamento no momento do óbito, tentativa de separação entre as atividades laborais e vida pessoal. A família do trabalhador e os colegas de trabalho constituem-se em suporte para o enfrentamento dessas situações, ainda, a sensação de dever cumprido e busca de apoio em crenças religiosas. Conclusão: os trabalhadores utilizam estratégias defensivas que vão da negação do sofrimento, perpassando por diferentes formas de agir perante as situações de sofrimento.Descritores: Criança hospitalizada; Enfermagem; Unidade de terapia intensiva; Saúde do trabalhador; Família. Objective: to know the defensive strategies used by nursing workers to minimize the suffering resulting from the experience of the death of children hospitalized in a pediatric intensive care unit. Method: descriptive-exploratory study of a qualitative approach. In Pediatric Intensive Care Unit of a university hospital. Data collection occurred between August and September 2016, through a semi-structured interview with 15 nursing workers. The data were submitted to content thematic analysis. Results: the data indicated as main strategies: denial, withdrawal at the time of death, attempt to separate work activities and personal life. The worker's family and co-workers constitute support for coping with these situations, as well as a feeling of accomplishment and seeking support in religious beliefs. Conclusion: workers use defensive strategies ranging from denial of suffering through different ways of acting in situations of suffering.Descriptors: Children hospitalized; Nursing; Intensive care unit; Worker's health; Family. Objetivo: conocer las estrategias defensivas utilizadas por trabajadores de enfermería para minimizar el sufrimiento proveniente de la vivencia de la muerte de niños hospitalizados en unidad de terapia intensiva pediátrica. Método: estudio descriptivo-exploratorio de abordaje cualitativo. En Unidad de Terapia Intensiva Pediátrica de un hospital universitario. La recolección de datos ocurrió entre agosto y septiembre de 2016, por medio de una entrevista semiestructurada con 15 trabajadores de enfermería. Los datos se sometieron al análisis temático de contenido. Resultados: los datos apuntaron como principales estrategias: negación, alejamiento en el momento del óbito, intento de separación entre las actividades laborales y vida personal. La familia del trabajador y los compañeros de trabajo se constituyen en soporte para el enfrentamiento de esas situaciones, aún, la sensación de deber cumplido y búsqueda de apoyo en creencias religiosas. Conclusión: los trabajadores utilizan estrategias defensivas que van desde la negación del sufrimiento, pasando por diferentes formas de actuar ante las situaciones de sufrimiento.Descriptores: Niño hospitalizado; enfermería; Unidad de terapia intensiva; Salud del trabajador; Familia.

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