Parents’ Participation in Atraumatic Care During Children Hospitalization: Systematic Review
DOI:
https://doi.org/10.31674/mjn.2024.v15i03.018Abstract
Introduction: Atraumatic care for children undergoing hospitalization requires parental participation. Parental participation is an important aspect of atraumatic care for hospitalized children. Parental participation is expected to reduce child pain and anxiety. Aim: This study aimed to describe the participation of parents in atraumatic care while the child is hospitalized. Methods: The methodology used in this study was a systematic review, which began with topic selection and entails searching several databases, including Proquest, PubMed, ScienceDirect, Ebscohost, CINAHL, Scopus, and Google Scholar, by entering keywords "parents’ participation" AND "atraumatic care" AND "hospitalized children." Articles were reviewed from 2019 to 2023. Protocol and evaluation of the literature review using the PRISMA checklist. Results: All databases provided 263 articles published in the years 2019–2023. There were forty articles left after duplicates were removed and inclusion and exclusion criteria were applied. Ten articles were left for quality assessment after the full-text review, and all of them scored higher than seven parental participations in atraumatic care while the child is hospitalized based on the results of the review of the articles above, including emotional support, distraction techniques, comfort measures, communication and education, advocacy, collaboration with the healthcare team, participating in care routines, and providing post-procedure comfort. Conclusion: Parental participation in atraumatic care while the child is hospitalized includes emotional support, distraction techniques, comfort measures, communication and education, advocacy, collaboration with the healthcare team, participating in care routines, and providing post-procedure comfort. This literature review provides a viewpoint for thinking about how to enhance the way that parents are currently being prepared to participate in the traumatic care of their children during hospitalization. Further research is expected to be able to develop research on specific interventions related to each form of parental participation in childcare during hospitalization.
Keywords:
Parents’ Participation, Atraumatic Care, Children HospitalizationDownloads
References
Ashcraft, L. E., Asato, M., Houtrow, A. J., Kavalieratos, D., Miller, E., & Ray, K. N. (2019). Parent empowerment in pediatric healthcare settings: a systematic review of observational studies. The Patient-Patient-Centered Outcomes Research, 12, 199-212. https://doi.org/10.1159/000297755
Bahnsawy, N. S., Mohammed, A. R., Ibrahim, H., & Younis, R. A. (2023). Risk Factors Associated with Wound Infections in Burned Children. The Malaysian Journal of Nursing (MJN), 14(4), 100-109. https://doi.org/10.31674/mjn.2023.v14i04.011
Bajpai, A., Ilayaraja, B. S., Muninarayanappa, N. V., & Nageshwar, V. (2017). Assessment of Anxiety among Hospitalized Children. Indian Journal of Public Health Research & Development, 8(2). https://doi.org/10.5958/0976-5506.2017.00093.6
Barros, I., Lourenço, M., Nunes, E., & Charepe, Z. (2021). Nursing interventions promoting child/youth/family adaptation to hospitalization: A scoping review. Enfermeria Global, 20(1), 577-595. https://doi.org/10.6018/eglobal.413211
Burns, K. E., Misak, C., Herridge, M., Meade, M. O., & Oczkowski, S. (2018). Patient and family engagement in the ICU. Untapped opportunities and underrecognized challenges. American Journal of Respiratory and Critical Care Medicine, 198(3), 310-319. https://doi.org/10.1164/rccm.201710-2032CI
Çamur, Z., & Sarıkaya Karabudak, S. (2021). The effect of parental participation in the care of hospitalized children on parent satisfaction and parent and child anxiety: Randomized controlled trial. International Journal of Nursing Practice, 27(5), e12910. https://doi.org/10.1111/ijn.12910
Cardona, C. V., Rajah, C., Mzoneli, Y. N., Friedrichsdorf, S. J., Campbell, F., Cairns, C., & Rodseth, R. N. (2019). An audit of paediatric pain prevalence, intensity, and treatment at a South African tertiary hospital. Pain Reports, 4(6). https://doi.org/10.1097/PR9.0000000000000789
Claridge, A. M., & J Powell, O. (2023). Children’s experiences of stress and coping during hospitalization: A mixed-methods examination. Journal of Child Health Care, 27(4), 531-546. https://doi.org/10.1177/13674935221078060
Considine, J., Shaban, R. Z., Fry, M., & Curtis, K. (2017). Evidence based emergency nursing: designing a research question and searching the literature. International Emergency Nursing, 32, 78-82. https://doi.org/10.1016/j.ienj.2017.02.001
Das, M. K., Arora, N. K., Chellani, H. K., Debata, P. K., Meena, K. R., Rasaily, R., ... & Kumari, M. (2021). Perceptions of the parents of deceased children and of healthcare providers about end-of-life communication and breaking bad news at a tertiary care public hospital in India: a qualitative exploratory study. PloS One, 16(3), e0248661. https://doi.org/10.1371/journal.pone.0248661
Delvecchio, E., Salcuni, S., Lis, A., Germani, A., & Di Riso, D. (2019). Hospitalized children: anxiety, coping strategies, and pretend play. Frontiers in Public Health, 7, 250. https://doi.org/10.3389/fpubh.2019.00250
Ebrahem, G. G. S., Ahmed, G. E. N., Hammad, A., & Eid, R. (2019). Applying cryotherapy and balloon inflation technique to reduce pain of arteriovenous fistula cannulation among children undergoing hemodialysis. International Journal of Nursing Didactics, 9(05), 29-35. https://doi.org/10.15520/ijnd.v9i05.2581
Fornaro, D. S., Della Pelle, C., & Buccione, E. (2022). Parental participation in care during Neonatal Intensive Care Unit stay: a validation study. Infermieristica Journal, 1(2), 81-88. https://doi.org/10.36253/if-1920
Foster, T. D., Decker, K. B., Vaterlaus, J. M., & Belleville, A. (2020). How early intervention practitioners describe family‐centred practice: A collective broadening of the definition. Child: Care, Health and Development, 46(3), 268-274. https://doi.org/10.1111/cch.12749
Gaspar, T., Cerqueira, A., Guedes, F. B., & de Matos, M. G. (2022). Parental Emotional Support, Family Functioning and Children's Quality of Life. Psychological Studies, 67(2), 189-199. https://doi.org/10.1007/s12646-022-00652-z
Gheshlaghi, P. A., Farahani, Z. B., Anboohi, S. Z., Nasiri, M., Ziapour, A., & Garosi, V. H. (2021). Effect of family presence on pain and anxiety levels among patients during invasive nursing procedures in an emergency department at a public hospital in Western Iran. African Journal of Emergency Medicine, 11(1), 31-36. https://doi.org/10.1016/j.afjem.2020.11.003
Gramszlo, C., Karpyn, A., Christofferson, J., McWhorter, L. G., Demianczyk, A. C., Lihn, S. L., ... & Sood, E. (2020). Supporting parenting during infant hospitalisation for CHD. Cardiology in the Young, 30(10), 1422-1428. https://doi.org/10.1017/S1047951120002139
Handayani, A., & Daulima, N. H. C. (2020). Parental presence in the implementation of atraumatic care during children’s hospitalization. Pediatric Reports, 12(s1), 8693. https://doi.org/10.4081/pr.2020.8693
Hassan, E. A. F., & Hassan, A. M. (2023). Impact of a Traumatic Care Technique on Pain and Fear among Hospitalized Children Undergoing Intravenous Medication. International Journal of Health Sciences, 11(1), 11-22. https://doi.org/10.15640/ijhs.v11n1a2
Hsu, M. F., Whu, Y. W., Lin, I. C., Liu, C. Y., Lai, F. C., Liu, P. C., & Chen, C. W. (2022). Effectiveness of virtual reality interactive play for children during intravenous placement: A randomized controlled trial. Asian Nursing Research, 16(2), 87-93. https://doi.org/10.1016/j.anr.2022.03.002
Ilmiasih, R., & Ningsih, N. S. (2022). Application of Atraumatic Care Philosophy to Children in Hospitals a Literature Review. MedRxiv, 2022-07. https://doi.org/10.1101/2022.07.12.22277517
Islaeli, I., Said, F. M., Nambiar, N., & Umar, N. S. (2023). Development and Validation of a Revised VAS-Anxiety Measurement Tools for Preschool Hospitalized Children. The Malaysian Journal of Nursing (MJN), 14(3), 46-54. https://doi.org/10.31674/mjn.2023.v14i03.006
Jerofke-Owen, T. A., McAndrew, N. S., Gralton, K. S., Totka, J. P., Weiss, M. E., Fial, A. V., & Sawin, K. J. (2022). Engagement of families in the care of hospitalized pediatric patients: a scoping review. Journal of Family Nursing, 28(2), 151-171. https://doi.org/10.1177/10748407211048894
Jordan, A., Carter, B., & Vasileiou, K. (2021). “Pain talk”: A triadic collaboration in which nurses promote opportunities for engaging children and their parents about managing children’s pain. Paediatric and Neonatal Pain, 3(3), 123-133. https://doi.org/10.1002/pne2.12061
Lerwick, J. L. (2016). Minimizing pediatric healthcare-induced anxiety and trauma. World Journal of Clinical Pediatrics, 5(2), 143. https://doi.org/10.5409/wjcp.v5.i2.143
Lim, S. J., & Bang, K. S. (2023). The perceptions and performance of family-centered care among pediatric nurses at a children's hospital in South Korea: a descriptive study. Child Health Nursing Research, 29(3), 207. https://doi.org/10.4094/chnr.2023.29.3.207
Matula, S. T., Irving, S. Y., Deatrick, J. A., Steenhoff, A. P., & Polomano, R. C. (2022). The perceptions and practices of parents and children on acute pain management among hospitalized children in two Botswana referral hospitals. Journal of Pediatric Nursing, 65, e35-e42. https://doi.org/10.1016/j.pedn.2022.02.004
Mahato, P., Shrestha, R., Karn, B. K., Chaudhary, A. K., & Singh, R. (2022). Knowledge and Attitude of Nurses on Implementation of Atraumatic Care among Hospitalized Children in Eastern Nepal: A Cross-sectional Study. Journal of Nepal Paediatric Society, 42(3), 24-28. https://doi.org/10.3126/JNPS.V4113
Moore, B. J., Freeman, W. J., & Jiang, H. J. (2019). Costs of pediatric hospital stays, 2016. https://europepmc.org/article/nbk/nbk547762. Accessed on 22nd January, 2023
Osman, N. L. (2022). A Rare Case of Chest Pain in Children. Malaysian Journal of Medical Research (MJMR), 6(4), 26-27. https://doi.org/10.31674/mjmr.2022.v06i04.005
Páll, N., Gorove, E., & Baji, I. (2021). Psychological support of hospitalised children and their parents in Hungary. KONTAKT-Journal of Nursing & Social Sciences Related to Health & Illness, 23(2). https://doi.org/10.32725/kont.2021.015
Palomares González, L., Hernández Caravaca, I., Gómez García, C. I., & Sánchez-Solís de Querol, M. (2023). Parental presence during invasive pediatric procedures: what does it depend on?. Revista Latino-Americana de Enfermagem, 31, e3828. https://doi.org/10.1590/1518-8345.6101.3828
Pelcovitz, M., Bennett, S., Desai, P., Schild, J., Beaumont, R., Walkup, J., ... & Chiu, A. (2023, February). High rates of anxiety among adolescents in a partial hospitalization program. In Child & Youth Care Forum, 52(1), 105-122. New York: Springer US. https://doi.org/10.1007/s10566-022-09680-2
Perdani, A. L., Mutiar, A., & Nazmudin, Y. (2021). The Impact of Implementation Virtual Reality (VR) on Pain Levels Among Children with Invasive Procedures: A Literature Review. KnE Life Sciences, 713-718. https://doi.org/10.18502/kls.v6i1.8746
Potts, D. A., Davis, K. F., Elci, O. U., & Fein, J. A. (2019). A vibrating cold device to reduce pain in the pediatric emergency department: a randomized clinical trial. Pediatric Emergency Care, 35(6), 419-425. https://doi.org/10.1097/PEC.0000000000001041
Rennick, J. E., St-Sauveur, I., Knox, A. M., & Ruddy, M. (2019). Exploring the experiences of parent caregivers of children with chronic medical complexity during pediatric intensive care unit hospitalization: an interpretive descriptive study. BMC Pediatrics, 19(1), 1-10. https://doi.org/10.1186/s12887-019-1634-0
Rokach, A. (2016). Psychological, emotional and physical experiences of hospitalized children. Clin Case Rep Rev, 2(4), 399-401. https://doi.org/10.15761/ccrr.1000227
Romaniuk, D., O'Mara, L., & Akhtar-Danesh, N. (2014). Are parents doing what they want to do? Congruency between parents’ actual and desired participation in the care of their hospitalized child. Issues in Comprehensive Pediatric Nursing, 37(2), 103-121. https://doi.org/10.3109/01460862.2014.880532
Sanyod, V., Pothiban, L., Mesukko, J., & Niyomkar, S. (2021). Factors predicting parent participation in caring for hospitalized children with chronic diseases. The Open Public Health Journal, 14(1). https://doi.org/10.2174/187494450201401
Semerci, R., Akarsu, Ö., & Kılıç, D. (2023). The effect of buzzy and cold spray on pain, anxiety, and fear of children during venipuncture in pediatric emergency department in Turkey; A randomized controlled study. Journal of Pediatric Nursing, 68, e1-e7. https://doi.org/10.1016/j.pedn.2022.08.019
Seniwati, T., Wanda, D., & Nurhaeni, N. (2023). Effects of Patient and Family-Centered Care on Quality of Care in Pediatric Patients: A Systematic Review. Nurse Media Journal of Nursing, 13(1), 68-84. https://doi.org/10.14710/nmjn.v13i1.48114
Sundal, H., & Vatne, S. (2020). Parents’ and nurses’ ideal collaboration in treatment-centered and home-like care of hospitalized preschool children–a qualitative study. BMC Nursing, 19(1), 1-10. https://doi.org/10.1186/s12912-020-00445-7
Suparto, T. A., Somantri, B., Andriani, S., Puspita, A. P. W., Rohaedi, S., Amalia, L., ... & Sari, A. T. (2020, February). Parents’ Roles in Overcoming the Impact of Hospitalization on Preschool Children. In 4th International Conference on Sport Science, Health, and Physical Education (ICSSHPE 2019) (pp. 140-143). Atlantis Press. https://doi.org/10.2991/ahsr.k.200214.039
The National Child Traumatic Stress Network. (2017). Family Engagement and Involvement in Trauma Mental Health. https://efaidnbmnnnibpcajpcglclefindmkaj/https://www.nctsn.org/sites/default/files/resources/fact-sheet/cac_family_engagement_and_involvement_in_trauma_mental_health.pdf
van Oort, P. J., Maaskant, J. M., Smeulers, M., van Oostrum, N., Vermeulen, E., & van Goudoever, J. B. (2019). Participation of parents of hospitalized children in medical rounds: a qualitative study on contributory factors. Journal of Pediatric Nursing, 46, e44-e51. https://doi.org/10.1016/j.pedn.2019.02.033
Vasli, P., & Salsali, M. (2014). Parents’ participation in taking care of hospitalized children: A concept analysis with hybrid model. Iranian Journal of Nursing and Midwifery Research, 19(2), 139. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4020022 . Accessed on 24th February, 2023
Widodo, S., & Poddar, S. (2020). Analysis of pre hospital emergency management in case of head injury. Enfermería Clínica, 30(5), 228–233. https://doi.org/10.1016/j.enfcli.2019.11.061
Wong, D. L., Hockenberry, M. J., Wilson, D., Winkelstein, M. L., & Kline, N. E. (2003). Wong's nursing care of infants and children. (No Title). https://cir.nii.ac.jp/crid/1130000798091696000 . Accessed on 22nd February 2023
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 The Malaysian Journal of Nursing (MJN)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
