The Impact of Observed Trauma on Parents in a PICU

Khanna, S; Finlay, JK; Jatana, V; Gouffe, AM; Redshaw, S

The Impact of Observed Trauma on Parents in a PICU

Khanna, S Finlay, JK Jatana, V Gouffe, AM Redshaw, S

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Publication Type:: Journal Article
Citation:: Pediatric Critical Care Medicine, 2016, 17 (4), pp. e154 - e158
Issue Date:: 2016-04-01

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Field	Value	Language
dc.contributor.author	Khanna, S	en_US
dc.contributor.author	Finlay, JK	en_US
dc.contributor.author	Jatana, V	en_US
dc.contributor.author	Gouffe, AM	en_US
dc.contributor.author	Redshaw, S https://orcid.org/0000-0002-4565-1267	en_US
dc.date.issued	2016-04-01	en_US
dc.identifier.citation	Pediatric Critical Care Medicine, 2016, 17 (4), pp. e154 - e158	en_US
dc.identifier.issn	1529-7535	en_US
dc.identifier.uri	http://hdl.handle.net/10453/98457
dc.description.abstract	© 2016 by the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies. Objective: To explore parents' experiences of observed trauma, defined as traumatic events, unrelated to their own child, that parents/carers witness while in a PICU. Design: Exploratory qualitative study. Setting: Nineteen-bed mixed surgical/medical PICU in a tertiary university-affiliated children's hospital. Participants: Parents of 11 children, screened from a total sample of 100 children admitted to the PICU for greater than 48 hours. Interventions: Face-to-face screening interviews were conducted with parents following their child's discharge from PICU. Parents who reported observed trauma were interviewed a second time to explore their experiences. Measurements and Main Results: Two questionnaires were designed, one to screen for observed trauma and a second one to guide semistructured interviews. Of 100 parents who participated in a structured screening interview, 19% reported observed trauma. Of the 19 parents, 11 completed the second interview. Significant themes included: involuntary exposure; privacy and confidentiality; empathy for children and their families; reflection and personal growth; and staff communication. Conclusions: Observed trauma is not uncommon in the PICU. The results suggest that timely support may alleviate the short-term negative impact. Furthermore, some parents have reported positive aspects to their experience.	en_US
dc.relation.ispartof	Pediatric Critical Care Medicine	en_US
dc.relation.isbasedon	10.1097/PCC.0000000000000665	en_US
dc.subject.classification	Pediatrics	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Heart Arrest	en_US
dc.subject.mesh	Cardiopulmonary Resuscitation	en_US
dc.subject.mesh	Empathy	en_US
dc.subject.mesh	Parents	en_US
dc.subject.mesh	Professional-Family Relations	en_US
dc.subject.mesh	Qualitative Research	en_US
dc.subject.mesh	Adolescent	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Child	en_US
dc.subject.mesh	Child, Preschool	en_US
dc.subject.mesh	Infant	en_US
dc.subject.mesh	Child, Hospitalized	en_US
dc.subject.mesh	Intensive Care Units, Pediatric	en_US
dc.subject.mesh	Surveys and Questionnaires	en_US
dc.title	The Impact of Observed Trauma on Parents in a PICU	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	17	en_US
utslib.for	1110 Nursing	en_US
utslib.for	1114 Paediatrics and Reproductive Medicine	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Engineering and Information Technology
pubs.organisational-group	/University of Technology Sydney/Faculty of Engineering and Information Technology/School of Computer Science
utslib.copyright.status	open_access
pubs.issue	4	en_US
pubs.publication-status	Published	en_US
pubs.volume	17	en_US

Abstract:

© 2016 by the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies. Objective: To explore parents' experiences of observed trauma, defined as traumatic events, unrelated to their own child, that parents/carers witness while in a PICU. Design: Exploratory qualitative study. Setting: Nineteen-bed mixed surgical/medical PICU in a tertiary university-affiliated children's hospital. Participants: Parents of 11 children, screened from a total sample of 100 children admitted to the PICU for greater than 48 hours. Interventions: Face-to-face screening interviews were conducted with parents following their child's discharge from PICU. Parents who reported observed trauma were interviewed a second time to explore their experiences. Measurements and Main Results: Two questionnaires were designed, one to screen for observed trauma and a second one to guide semistructured interviews. Of 100 parents who participated in a structured screening interview, 19% reported observed trauma. Of the 19 parents, 11 completed the second interview. Significant themes included: involuntary exposure; privacy and confidentiality; empathy for children and their families; reflection and personal growth; and staff communication. Conclusions: Observed trauma is not uncommon in the PICU. The results suggest that timely support may alleviate the short-term negative impact. Furthermore, some parents have reported positive aspects to their experience.

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http://hdl.handle.net/10453/98457