Department of Neurobiology Care Science and Society, Karolinska Institute, Huddinge, Sweden.
Scand J Caring Sci. 2021 Mar;35(1):20-36. doi: 10.1111/scs.12829. Epub 2020 Mar 22.
The evolvement of family-centred care has been an ongoing process since the Platt Report 1959. Family-centred care has become the modern working model in paediatrics and obstetrics. Parental participation is central to family-centred care. Whether it is applied consistently remains to be concluded.
The aim of the study was to describe the family experiences of being present during paediatric resuscitation and invasive procedures.
The design used in this study is an integrative review by Whittemore & Knafl. Databases PubMed and CINAHL were searched for primary research concerning the parental experiences of participating in paediatric resuscitation and invasive procedures. Eighteen studies were included in the study. A quality assessment tool was applied.
A pro-parental presence was the results of 17 of the 18 included studies. Six common themes were found: 'Being there', 'Calming child', 'Calming parent', 'Having the right', 'Do it again' and 'Seeing is believing'.
Including family in resuscitation and invasive procedures requires openness as a working model and demands organisational changes and the updating of guidelines. The inseparability of parent-child is attachment theory practised, an innate quality of being a child as well as a parent. Recommendations are to have a facilitator present during resuscitation and invasive procedures to alleviate stress on everyone's part, enabling family participation.
自 1959 年 Platt 报告以来，以家庭为中心的护理的发展一直是一个持续的过程。以家庭为中心的护理已成为儿科和产科的现代工作模式。父母的参与是以家庭为中心的护理的核心。是否始终如一地应用它仍有待得出结论。
本研究的目的是描述在儿科复苏和有创性操作过程中陪伴的家庭体验。
本研究采用 Whittemore 和 Knafl 的综合回顾设计。在 PubMed 和 CINAHL 数据库中搜索了有关父母参与儿科复苏和有创性操作的体验的原始研究。纳入了 18 项研究。应用了质量评估工具。
18 项纳入研究中有 17 项研究支持父母的存在。发现了六个共同的主题：“在那里”、“安抚孩子”、“安抚父母”、“拥有权利”、“再做一次”和“眼见为实”。
将家庭纳入复苏和有创性操作需要以开放的态度作为工作模式，并要求组织变革和更新指南。父母与子女的不可分割性是实践中的依恋理论，是孩子和父母的固有品质。建议在复苏和有创性操作期间安排促进者在场，以减轻每个人的压力，使家庭能够参与。
