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Parental perceptions of transition from intensive care following a child's cardiac surgery.
Obas, Katrina A; Leal, Jessica M; Zegray, Michele; Rennick, Janet E.
Afiliación
  • Obas KA; Department of Nursing, Royal Victoria Hospital, McGill University Health Centre, Montreal, Canada.
  • Leal JM; Department of Nursing, Montreal Children's Hospital, McGill University Health Centre, Montreal, Canada.
  • Zegray M; Department of Nursing, Montreal Children's Hospital, McGill University Health Centre, Montreal, Canada.
  • Rennick JE; Department of Nursing, Montreal Children's Hospital, McGill University Health Centre, Montreal, Canada.
Nurs Crit Care ; 21(3): e1-9, 2016 May.
Article en En | MEDLINE | ID: mdl-26256673
BACKGROUND: Children with congenital heart disease (CHD) who undergo cardiac surgery are hospitalized in a paediatric intensive care unit (PICU) prior to being transferred to a surgical ward. This is a challenging transition for parents of children with CHD who experience high levels of stress related to their child's illness. AIM: To explore parents' perceptions of the transition from the PICU to the surgical ward following their child's cardiac surgery. STUDY DESIGN: A qualitative descriptive design using semi-structured interviews was used to explore parents' perceptions of the transfer experience. METHODS: All parents of children with CHD who met inclusion criteria were approached to participate. Parents were recruited until data saturation was achieved (n = 9). Interviews were audiotaped and transcribed verbatim. Transcripts were coded and thematically analysed concurrently with data collection. RESULTS: Parents described having mixed feelings of happiness and uncertainty upon learning that their child would be transferred to the surgical ward (theme 1). Parents' uncertainty prompted a need to rally for the upcoming transfer, a process in which the nurse was perceived to play an important role (theme 2). Once transferred to the surgical ward, parents described having to come to terms with a new care experience in which they encountered new role expectations and a challenging new environment (theme 3). CONCLUSION: Emotional reactions to transfer were generally consistent with the literature, although parents in our study did not describe feelings of isolation related to transition as reported elsewhere. We also identified the timing of transfer as a potential source of stress for parents. Parents identified key nursing interventions that helped them to prepare for transfer and come to terms with challenges in their new environment. RELEVANCE TO PRACTICE: A deeper understanding of parents' transfer experience will facilitate the development of effective nursing interventions to support parents at this time.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Padres / Unidades de Cuidado Intensivo Pediátrico / Transferencia de Pacientes / Procedimientos Quirúrgicos Cardíacos Tipo de estudio: Prognostic_studies / Qualitative_research Límite: Adolescent / Adult / Child / Child, preschool / Humans Idioma: En Revista: Nurs Crit Care Asunto de la revista: ENFERMAGEM / TERAPIA INTENSIVA Año: 2016 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Padres / Unidades de Cuidado Intensivo Pediátrico / Transferencia de Pacientes / Procedimientos Quirúrgicos Cardíacos Tipo de estudio: Prognostic_studies / Qualitative_research Límite: Adolescent / Adult / Child / Child, preschool / Humans Idioma: En Revista: Nurs Crit Care Asunto de la revista: ENFERMAGEM / TERAPIA INTENSIVA Año: 2016 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido