A qualitative study exploring the experiences of parents of children admitted to seven Dutch pediatric intensive care units
- PMID: 21063674
- PMCID: PMC3028069
- DOI: 10.1007/s00134-010-2074-3
A qualitative study exploring the experiences of parents of children admitted to seven Dutch pediatric intensive care units
Abstract
Purpose: To explore parents' experiences during the admission of their children to a pediatric intensive care unit (PICU).
Method: Qualitative method using in-depth interviews. Thematic analysis was applied to capture parents' experiences. Thirty-nine mothers and 25 fathers of 41 children admitted to seven of the eight PICUs in university medical centers in The Netherlands were interviewed.
Results: Parents were interviewed within 1 month after their child's discharge from a PICU. Thematic analysis identified 1,514 quotations that were coded into 63 subthemes. The subthemes were categorized into six major themes: attitude of the professionals; coordination of care; emotional intensity; information management; environmental factors; parent participation. Most themes had an overarching relationship representing the array of experiences encountered by parents when their child was staying in a PICU. The theme of emotional intensity was in particular associated with all the other themes.
Conclusions: The findings provided a range of themes and subthemes describing the complexity of the parental experiences of a PICU admission. The subthemes present a systematic and thematic basis for the development of a quantitative instrument to measure parental experiences and satisfaction with care. The findings of this study have important clinical implications related to the deeper understanding of parental experiences and improving family-centered care.
Similar articles
-
Creating a home with a critically ill child: A qualitative study exploring the experiences of parents of children admitted to paediatric critical care following treatment in neonatal care.Aust Crit Care. 2025 Jan;38(1):101101. doi: 10.1016/j.aucc.2024.07.082. Epub 2024 Aug 22. Aust Crit Care. 2025. PMID: 39174382
-
Exploring the experiences of parent caregivers of children with chronic medical complexity during pediatric intensive care unit hospitalization: an interpretive descriptive study.BMC Pediatr. 2019 Aug 6;19(1):272. doi: 10.1186/s12887-019-1634-0. BMC Pediatr. 2019. PMID: 31387555 Free PMC article.
-
Perceptions of parents on satisfaction with care in the pediatric intensive care unit: the EMPATHIC study.Intensive Care Med. 2009 Jun;35(6):1082-9. doi: 10.1007/s00134-009-1491-7. Epub 2009 Apr 15. Intensive Care Med. 2009. PMID: 19367393
-
The parents', hospitalized child's, and health care providers' perceptions and experiences of family centered care within a pediatric critical care setting: a metasynthesis of qualitative research.J Fam Nurs. 2013 Nov;19(4):431-68. doi: 10.1177/1074840713496317. Epub 2013 Jul 24. J Fam Nurs. 2013. PMID: 23884697
-
Parent and nurse perceptions of parent stressors in the pediatric intensive care unit.Child Health Care. 1988 Fall;17(2):98-105. doi: 10.1207/s15326888chc1702_7. Child Health Care. 1988. PMID: 10302942 Review.
Cited by
-
Value of Including the Children's Experience for Improving Their Rights During Hospitalization: Protocol for the VoiCEs Project.JMIR Res Protoc. 2023 Apr 3;12:e42804. doi: 10.2196/42804. JMIR Res Protoc. 2023. PMID: 37010905 Free PMC article.
-
Stressors and support system among parents of neonates hospitalised with systemic infections: qualitative study in South India.Arch Dis Child. 2021 Jan;106(1):20-29. doi: 10.1136/archdischild-2020-319226. Epub 2020 Nov 11. Arch Dis Child. 2021. PMID: 33177055 Free PMC article.
-
Transforming PICU Culture to Facilitate Early Rehabilitation.J Pediatr Intensive Care. 2015 Dec;4(4):204-211. doi: 10.1055/s-0035-1563547. J Pediatr Intensive Care. 2015. PMID: 27134761 Free PMC article.
-
Care and caring in the intensive care unit: Family members' distress and perceptions about staff skills, communication, and emotional support.J Crit Care. 2015 Jun;30(3):557-61. doi: 10.1016/j.jcrc.2015.01.012. Epub 2015 Jan 16. J Crit Care. 2015. PMID: 25682345 Free PMC article.
-
Repeated Critical Illness and Unplanned Readmissions Within 1 Year to PICUs.Crit Care Med. 2017 Aug;45(8):1276-1284. doi: 10.1097/CCM.0000000000002439. Crit Care Med. 2017. PMID: 28708677 Free PMC article.
References
-
- Romer LH, Nichols D, Woods BH, Latour JM, Mesman J. Impact of pediatric critical care on the family, community, and society. In: Nichols D, editor. Roger′s textbook of pediatric intensive care. 4. Philadelphia: Wolters Kluwer, Lippincott Williams & Wilkins; 2008. pp. 24–35.
-
- Board R, Ryan-Wenger N. State of the science on parental stress and family functioning in pediatric intensive care units. Am J Crit Care. 2000;9:106–122. - PubMed
-
- Fisher MD. Identified needs of parents in a pediatric intensive care unit. Crit Care Nurse. 1994;14:82–90. - PubMed
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources