Föräldrars behov när deras barn är kritiskt sjukt och vårdas på en intensivvårdsavdelning

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Sammanfattning: Background: At the ICU (Intensive Care Unit) critically ill patients are treated, who need careful monitoring with high-tech equipment. Children who are critically ill are usually cared for in PICU (Pediatric Intensive Care Unit) by specialist trained personnel within intensive care and pediatrics background. As children’s needs differ from adults, caring for children presents difficult situation for the child as well as the family. When it comes to caring for critically ill children, it is especially important to work with family-centered care where the nurse considers the whole family. Listening and being responsive for the child’s parents because they are experts on their own children. This can help strengthen the parents in coping with the situation and reduce the risk of subsequent mental illness.Aim: The aim of this literature review is to illustrate the parental needs when their child is critically ill and being cared for in the intensive care unit.Method: A systematic literature study with an inductive approach. The method that has been used for quality review of the included articles was metasynthesis. Searches were conducted in the CINAHL and PubMed databases. Selected articles were reviewed and read systematically and the units of opinion were extracted and then condensed and tabulated. Based on this, subcategories and main categories were created.Results: The results are based on 13 studies from different parts of the world and builds upon interviews from 256 parents and 60 nurses. Parents needs were presented in three main categories; Information, participation and support, encouragement and the need to feel confidence. These main categories were presented with associated subcategories; Information about the child´s condition and planning of care, information of the equipment in PICU, the importance of continuous information, honest information and knowing what to expect, participation in decisions regarding the child´s continued care, participation in nursing, need of physical space and to be offered support and receive encouragement. The need for information and getting involved was evident in all the articles included.Conclusion: This study shows that parents of children who are being treated with intensive care have some common needs, such as the need of information and participation, but at thesame time parents are unique individuals with different wishes. It is therefore important, as an intensive care nurse, to provide family-centered care to identify and meet each family´s needs.

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