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Feel me, hear me, children’s participation in the PICU
The Swedish Red Cross University College, Department of Health Sciences. (TVV)ORCID iD: 0000-0002-4091-3432
2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Background: Children who are critically ill are vulnerable and the nurse has a responsibility to meet the child`s needs in a pediatric intensive care unit (PICU). Objectives: The aim was to explore the vulnerable child's participation and how it can be understood through the nurses’ perspective in the situated nursing care intervention. By exploring ways clinical supervisors facilitate the learning of the participation from critically ill children in a clinical environment  Method: The study design was an exploratory inductive qualitative approach.  Data collection was done through observations and interviews. The data from the observations were analyzed through interpretive phenomenology. Findings: The affective elements were viewed as essential for learning to understand how children participate in the PICU and to develop professional competency. Three themes emerged through the analysis: Mediated participation, Bodily participation and Participation by proxy. They all highlight different aspect of the vulnerable child's way of participating in the nursing care given, through nurses awareness and situated salience. Conclusion: The concept participation should be redefined and broadened; as participation can present itself through the child’s body in diverse ways. considerations: Confidentiality procedures were followed, ethical permission was given from the ethical komitee at KI, and all informants participated on an informed, independent and voluntary basis. The informants that chose to participate were informed that they could cease participation at any time.

 Audience take away: 1.    The concept participation should be redefined and broadened; it should be understood and interpreted in a new way within the PICU.2.     Participation can present itself through the child’s body in diverse ways, and every person working with children needs to act accordingly. Children has a right to be involved in their care and treated as the first person the PICU nurses first responsibility lies with the child, to address their needs and their rights.   3.    We call for an awareness and a strategy on how participation can be established and strengthened in various ages at the PICU. Through the awareness of the Childs body and the technical devices the Childs needs can be interpreted and meet

  • The audience will get examples of how nurses can “listen” with their nursingcare interventions and meet the subtle signs of the childs will.  
  • It will give them evidence to be in harmony with the convention of childrens right as well as strengthen the child as a person.Practical tips on how to expand the well being of the whole family in the PICU. It also relates to the caring culture which can be studied. 

 

Place, publisher, year, edition, pages
2018.
National Category
Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-2652OAI: oai:DiVA.org:rkh-2652DiVA, id: diva2:1245266
Conference
Euro-Global Conference on Pediatrics and Neonatology, Rome, Italy, 13-15 September, 2018
Available from: 2018-09-04 Created: 2018-09-04 Last updated: 2018-09-06Bibliographically approved

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Mattsson, Janet

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