Nurses' Experiences of the Prerequisites for Implementing Family-Centered Care to Prevent Pediatric Delirium

Clin Nurse Spec. 2024 Sep-Oct;38(5):221-228. doi: 10.1097/NUR.0000000000000842.

Abstract

Purpose: The aim of this study was to describe nurses' experiences of the prerequisites for implementing family-centered care to prevent pediatric delirium.

Design: The research employed a qualitative, descriptive study design.

Methods: A total of 10 nurses working in the pediatric intensive care unit at 1 university hospital participated in the study. The quality data were collected using individual semistructured interviews, and the data were then analyzed by inductive content analysis.

Results: The prerequisites for implementing family-centered care to prevent delirium among pediatric patients consisted of 30 subcategories that were grouped into 11 generic categories. The generic categories were further grouped into 5 main categories: (1) an environment that supports family presence, (2) psychosocial support for the family, (3) individual family involvement, (4) family participation in shared decision-making, and (5) nurses' professional competence.

Conclusions: According to the nurses' experiences, the implementation of a family-centered approach to preventing delirium in pediatric patients requires creating a supportive environment for families, providing psychosocial support, encouraging family involvement in decision-making, and ensuring that all nurses have the necessary skills.

MeSH terms

  • Adult
  • Attitude of Health Personnel
  • Child
  • Delirium* / nursing
  • Delirium* / prevention & control
  • Family / psychology
  • Family Nursing*
  • Female
  • Humans
  • Intensive Care Units, Pediatric
  • Male
  • Nursing Staff, Hospital / psychology
  • Patient-Centered Care
  • Pediatric Nursing
  • Professional-Family Relations
  • Qualitative Research*