Manguy Alys-Marie, Joubert Lynette, Oakley Ed, Gordon Rob
The Royal Children's Hospital, Melbourne, Australia; Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Australia.
Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Australia.
J Pediatr Nurs. 2018 Jan-Feb;38:46-52. doi: 10.1016/j.pedn.2017.10.014. Epub 2017 Oct 26.
Critical illness in children is a significant and stressful life event for families. Within pediatric emergency department (ED) settings it is acknowledged that these crises are challenging for both the families of these children, and for the clinical staff treating the child. Literature recommends routine care should include an offer to the family to be present with their critically ill child, however there is a lack of clarity regarding specific family care models or evidence-based interventions to guide clinical practice.
Peer reviewed articles written in English, published between 2006 and 2016, proposing or testing psychosocial care models in pediatric (or mixed) emergency settings.
Nine articles met inclusion criteria.
Search results showed limited evidence available in the literature at this time. Thematic analysis of article content and proposed model showed strong support for the benefit of family presence, including shifting the family role from passive to active, needing to be inclusive of the psychological impact of critical health events, importance of multidisciplinary education, and the need for additional exploratory and empirical research to evaluate and refine proposed care models.
Pediatric emergency health events are challenging for both families and staff, and care models provide staff with a consistent, evidence-informed approach to caring for families in challenging situations.
There is a need to find common ground from specific discipline guidelines into a multidisciplinary team approach for the care of families within emergency care.
儿童危重病对家庭来说是重大且压力巨大的生活事件。在儿科急诊科环境中，人们认识到这些危机对这些儿童的家庭以及治疗儿童的临床工作人员而言都具有挑战性。文献建议常规护理应包括向家庭提供陪伴其危重病患儿的机会，然而，对于指导临床实践的具体家庭护理模式或循证干预措施，目前尚缺乏明确性。
2006年至2016年间发表的、用英文撰写的、在儿科（或混合）急诊环境中提出或测试心理社会护理模式的同行评审文章。
9篇文章符合纳入标准。
搜索结果显示目前文献中的证据有限。对文章内容和所提出模式的主题分析表明，有力支持家庭陪伴的益处，包括将家庭角色从被动转变为主动、需要考虑危重病健康事件的心理影响、多学科教育的重要性，以及需要进行更多探索性和实证性研究以评估和完善所提出的护理模式。
儿科急诊健康事件对家庭和工作人员来说都具有挑战性，护理模式为工作人员在具有挑战性的情况下为家庭提供护理提供了一种一致的、基于证据的方法。
有必要从特定学科指南中找到共同点，形成一种多学科团队方法，以便在急诊护理中照顾家庭。
