Experiences of parents visiting an adult family member in the intensive care unit accompanied by their underaged children: A qualitative study.

Belser, Tanja; Exl, Matthias Thomas; Nydahl, Peter; Zumstein-Shaha, Maya; Jeitziner, Marie-Madlen (2024). Experiences of parents visiting an adult family member in the intensive care unit accompanied by their underaged children: A qualitative study. (In Press). Australian critical care Elsevier 10.1016/j.aucc.2024.02.004

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OBJECTIVES

The objective of this study was to explore experiences and needs of parents visiting critically ill family members in intensive care units (ICUs) accompanied by their underaged children (<18 years).

METHODS

Six semistructured interviews with parents were conducted in a qualitative design. Data analysis and synthesis were performed using Braun and Clarke's thematic analysis. This study was conducted in five adult ICUs in Switzerland.

FINDINGS

Parents opted for early and truthful involvement of their children, and the majority initiated the visits themselves. Five themes were identified: feeling of shock by the entire family; crying in front of the children; feeling welcome with the children; knowing that the children can cope with it; and holding the family together. Parents felt only partially welcomed in the ICU when accompanied by their children. In one case, the parents withdrew the child from the visit.

CONCLUSIONS

Parents experienced the visit to a critically ill family member in the ICU with their underaged children as challenging. They were emotionally vulnerable and yet took the initiative to keep the family together. Parents had to mediate between their children, the critically ill family member, and the treatment team. Awareness of the needs of the parents visiting with underaged children is important in clinical practice. There is a need for family-centred structures and processes, including adequate visiting times and rooms suitable for children with books, pictures, and toys.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic of Intensive Care
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurosurgery

UniBE Contributor:

Belser, Tanja, Jeitziner, Marie-Madlen (B)

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1036-7314

Publisher:

Elsevier

Language:

English

Submitter:

Pubmed Import

Date Deposited:

18 Apr 2024 10:44

Last Modified:

19 Apr 2024 10:28

Publisher DOI:

10.1016/j.aucc.2024.02.004

PubMed ID:

38631938

Uncontrolled Keywords:

Child's visits Custodians Experiences Intensive care Parents

BORIS DOI:

10.48350/196069

URI:

https://boris.unibe.ch/id/eprint/196069

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