eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution：China Association for Science and Technology
Sponsor：Chinese Nursing Association
中华急危重症护理杂志

Chinese Journal of Emergency and Critical Care Nursing >

2024 , Vol. 5 >Issue 4: 327 - 334

DOI: https://doi.org/10.3761/j.issn.2096-7446.2024.04.007

Special Planning-Critical Pediatric Care

A meta-synthesis of qualitative studies on the care experience of parents during the transitional period of pediatric intensive care

  • WU Jingyun ,
  • LU Fangyan ,
  • WANG Huafen ,
  • BAO Ruijie ,
  • LI Zhiru ,
  • RAO Yuxin
Expand

Received date: 2023-12-07

  Online published: 2024-04-15

Fold

Abstract

Objective To systematically evaluate the qualitative studies on parents' caring experience during the transitional period of pediatric intensive care and to provide references for developing interventions to improve their caring experience. Methods The qualitative studies on parents' caring experience during the transitional period of pediatric intensive care were searched from domestic and international relevant databases. The retrieval time was from the inception to May 12th,2023. The Australia Joanna Briggs Institute Critical Appraisal Tool for qualitative research was used to evaluate the quality of studies. The results were integrated by the method of aggregative integration. Results A total of 10 studies were included,53 findings were extracted,10 new categories were generated and 4 integrated results were formed：mixed dual emotions during transitional period,multiple changes coping with the transitional period of pediatric intensive care,parents' search for a multi-dimensional social support system,and inadequate care information on the transitional period of pediatric intensive care. Conclusion During the transitional period when a child is transferred from intensive care unit to the general ward,the nursing staff should strengthen communication with parents,ease their negative emotions,and meet the needs of parents through multiple ways,to improve the caring ability of parents and ensure a smooth transition for the children and their parents.

Key words： Intensive Care Unit; Pediatric; Caring Experience; Meta-Synthesis; Qualitative Research; Evidence-Based Nursing

Cite this article

WU Jingyun , LU Fangyan , WANG Huafen , BAO Ruijie , LI Zhiru , RAO Yuxin . A meta-synthesis of qualitative studies on the care experience of parents during the transitional period of pediatric intensive care[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024 , 5(4) : 327 -334 . DOI: 10.3761/j.issn.2096-7446.2024.04.007

References

[1] Pidcock FS.Pediatric rehabilitation and critical care:a therapeutic partnership[J]. Curr Phys Med Rehabil Rep,2019,7(1):11-14.
[2] Tang MT,Xu M,Su SY,et al.Post-intensive care syndrome in children:a concept analysis[J]. J Pediatr Nurs,2021,61:417-423.
[3] Buchner DL,Bagshaw SM,Dodek P,et al.Prospective cohort study protocol to describe the transfer of patients from intensive care units to hospital wards[J]. BMJ Open,2015,5(7):e007913.
[4] Chaboyer W,James H,Kendall M. Transitional care after the intensive care unit:current trends and future directions[J]. Crit Care Nurse,2005,25(3):16-18,20-2,24-6passim;quiz 29-29.
[5] 季涧琳,陆群峰,杨利灵,等. 过渡期护理的概念分析[J]. 中华护理杂志,2022,57(3):374-379.
Ji JL,Lu QF,Yang LL,et al.Concept analysis of transitional care[J]. Chin J Nurs,2022,57(3):374-379.
[6] Suleman Z,Evans C,Manning JC.Parents' and carers' experiences of transition and aftercare following a child's discharge from a paediatric intensive care unit to an in-patient ward setting:a qualitative systematic review[J]. Intensive Crit Care Nurs,2019,51:35-44.
[7] Annuar WSHWM,Ludin SM,Amran NA.Parents' experience in taking care of critically ill children while hospitalisation[J]. Enfermería Clínica,2021,31:S67-S71.
[8] 董丽,卢芳燕,吕斐翠,等. 儿童亲属活体肝移植供者兼照顾者照护体验的质性研究[J]. 中华护理杂志,2022,57(12):1494-1498.
Dong L,Lu FY,Lü FC,et al.Caring experience of donors and caregivers of pediatric living related liver transplantation:a qualitative study[J]. Chin J Nurs,2022,57(12):1494-1498.
[9] Lockwood C,Porritt K,Munn Z,et al. Chapter 2:Systematic reviews of qualitative evidence. In:Aromataris,E. & Munn,Z. (Editors). JBI Manual for evidence synthesis. JBI.[EB/OL]. (2023-11-08)[2024-02-05]. https://synthesismanual.jbi.global.
[10] 王培影,诸纪华,唐晓敏,等. CICU过渡期患儿家长需求的混合研究[J]. 护理学杂志,2022,37(23):21-24.
Wang PY,Zhu JH,Tang XM,et al.Needs of family members of CICU children during transitional period:a mixed study[J]. J Nurs Sci,2022,37(23):21-24.
[11] Park J,Choi EK.Transfer anxiety in parents of children transferred from pediatric intensive care units to general wards in South Korea:a hybrid concept analysis[J]. Child Health Nurs Res,2022,28(2):154-165.
[12] Ji JL,Yang LL,Yang HL,et al.Parental experience of transition from a paediatric intensive care unit to a general ward:a qualitative study[J]. J Nurs Manag,2022,30(7):3578-3588.
[13] Jakobsen L,Kristensen KK,Laerkner E.Parents' experiences during and after their child's stay in the paediatric intensive care unit-A qualitative interview study[J]. Intensive Crit Care Nurs,2021,67:103089.
[14] Thomi M,Pfammatter JP,Spichiger E.Parental emotional and hands-on work-Experiences of parents with a newborn undergoing congenital heart surgery:a qualitative study[J]. J Spec Pediatr Nurs,2019,24(4):e12269.
[15] 赵艳,邢海英,陈京立. 先天性心脏病患儿监护室转出期间父母体验的质性研究[J]. 护理学杂志,2018,33(20):38-40.
Zhao Y,Xing HY,Chen JL.Parents'experiences of their children's transfer from intensive care unit to a hospital ward following congenital heart surgery[J]. J Nurs Sci,2018,33(20):38-40.
[16] Obas KA,Leal JM,Zegray M,et al.Parental perceptions of transition from intensive care following a child's cardiac surgery[J]. Nurs Crit Care,2016,21(3):e1-e9.
[17] Kirk S,Fallon D,Fraser C,et al.Supporting parents following childhood traumatic brain injury:a qualitative study to examine information and emotional support needs across key care transitions[J]. Child Care Health Dev,2015,41(2):303-313.
[18] Berube KM,Fothergill-Bourbonnais F,Thomas M,et al.Parents' experience of the transition with their child from a pediatric intensive care unit(PICU) to the hospital ward:searching for comfort across transitions[J]. J Pediatr Nurs,2014,29(6):586-595.
[19] Hall EOC.Danish parents' experiences when their new born or critically ill small child is transferred to the PICU-a qualitative study[J]. Nurs Crit Care,2005,10(2):90-97.
[20] Alzawad Z,Lewis FM,Kantrowitz-Gordon I,et al.A qualitative study of parents' experiences in the pediatric intensive care unit:riding a roller coaster[J]. J Pediatr Nurs,2020,51:8-14.
[21] Andrade RC,Leite ACAB,Alvarenga WA,et al.Parental psychosocial needs in Brazilian paediatric intensive care units[J]. Intensive Crit Care Nurs,2022,72:103277.
[22] Debelić I, Mikolčić A,Tihomirović J,et al. Stressful experiences of parents in the paediatric intensive care unit:searching for the most intensive PICU stressors[J]. Int J Environ Res Public Health,2022,19(18):11450.
[23] Shahsavari H,Zarei M,Aliheydari Mamaghani J.Transitional care:concept analysis using Rodgers' evolutionary approach[J]. Int J Nurs Stud,2019,99:103387.
[24] 肖乐乐,徐玲芬,吴巍,等. ICU联络护士在过渡期护理中的作用研究[J]. 护士进修杂志,2018,33(8):716-719.
Xiao LL,Xu LF,Wu W,et al.Study on the role of ICU liaison nurses in transitional nursing[J]. J Nurses Train,2018, 25 33(8):716-719.
[25] Herbst LA,Desai S,Benscoter D,et al.Going back to the ward-transitioning care back to the ward team[J]. Transl Pediatr,2018,7(4):314-325.
[26] Manente L,McCluskey T,Shaw R. Transitioning patients from the intensive care unit to the general pediatric unit:a piece of the puzzle in family-centered care[J]. Pediatr Nurs,2017,43(2):77-82.
[27] 吕璐洋,王华芬,卢芳燕,等. 肝移植患儿家庭照顾者出院准备体验的质性研究[J]. 护理学报,2023,30(9):13-17.
Lü LY,Wang HF,Lu FY,et al.Experience of readiness for discharge of family caregivers of children with liver transplantation:a qualitative study[J]. J Nurs China,2023,30(9):13-17.
[28] Laudato N,Yagiela L,Eggly S,et al.Understanding parents' informational needs in the pediatric intensive care unit:a qualitative study[J]. Prog Pediatr Cardiol,2020,57:101172.
[29] Kelly MM,Hoonakker PLT,Dean SM.Using an inpatient portal to engage families in pediatric hospital care[J]. J Am Med Inform Assoc,2017,24(1):153-161.
[30] Mattson G,Kuo DZ,Committee on Psychosocial Aspects of Child and Family Health,et al. Psychosocial factors in children and youth with special health care needs and their families[J]. Pediatrics,2019,143(1):e20183171.
Options
Outlines

/

〈 〉