Family-centered care for social and psycho-emotional satisfaction of the child and his/her family in pediatric ICU: a multicenter questionnaire study

Abstract

INTRODUCTION. The problem of parents and children staying together in intensive care units (ICU) is solved from a categorical ban in the past, to exceptional loyalty at the present time, when it is allowed to stay with the patient of his beloved pets. OBJECTIVES. To study the social and psycho-emotional aspects of the joint stay of parents with a child in the intensive care unit as an indicator of satisfaction with the medical care. MATERIALS AND METHODS. Hospitals with a commitment to a family centered care (FCC) were included in the study. Data collection was carried out on the basis of questionnaires (n = 471), when filling out which the respondent had to choose one of the submitted answers with a score from 1 to 5 (the highest), or in some cases submit their own version. The data were analyses by descriptive. RESULTS. Respondents rated 4 (4–5) the conditions of stay in the ICU, concerning: its location in a medical institution; the purpose of the premises of the department and the quality of their sanitary and hygienic cleaning; diagnostics, treatment, care; communication and psycho-emotional support by medical staff. The nature of the assistance provided by family members to the patient: sanitary and hygienic care (87.9 %), feeding (86.4 %), monitoring of medical equipment (50.9 %), assistance to medical staff in transporting the patient (53.5 %). The level of training of parents in caring for a child in the ICU upon admission is 3 (3–4), and upon transfer from the department 4 (4–4). CONCLUSIONS. The joint stay of parents with children in the ICU does not bring a negative psycho-emotional burden for them in communicating with medical staff, allows parents to obtain and improve their knowledge and skills in child care, to provide assistance in this. The problem of FCC requires further study.