Evidence map›Paper›PMID 39609280›Full record

ArticleEuropean journal of pediatrics2024

Family member experience with restricted family presence in Canadian PICUs: an interpretive descriptive study.

Jennifer R Foster, Molly J Ryan, Daniel Garros, Martha Walls, Corey Slumkoski, Neda Moghadam, Adedayo Ajidahun, Jamie A Seabrook, Laurie A Lee, RFP-PICU research group for the Canadian Critical Care Trials Group

Abstract read
In one paragraph

Article in European journal of pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jennifer R FosterDepartment of Critical Care, Dalhousie University, Halifax, NS, Canada. jennifer.foster@dal.ca.ORCID http://orcid.org/0000-0001-8919-9383
Molly J RyanDepartment of Critical Care, Dalhousie University, Halifax, NS, Canada.ORCID http://orcid.org/0000-0002-4155-9359
Daniel GarrosPediatric Intensive Care Unit, Stollery Children's Hospital, Edmonton, AB, Canada.ORCID http://orcid.org/0000-0003-3331-7947
Martha WallsPatient Partner, IWK Health, Halifax, NS, Canada.
Corey SlumkoskiPatient Partner, IWK Health, Halifax, NS, Canada.
Neda MoghadamPatient Partner, IWK Health, Halifax, NS, Canada.
Adedayo AjidahunBritish Columbia Center for Excellence in HIV/AIDS, Vancouver, BC, Canada.ORCID http://orcid.org/0000-0002-5265-4212
Jamie A SeabrookLawson Health Research Institute, London, ON, Canada.ORCID http://orcid.org/0000-0003-4297-6450
Laurie A LeeDepartment of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
RFP-PICU research group for the Canadian Critical Care Trials Group

Funding

Canadian Institutes of Health Research,Canada 174916IWK Health 1025925
6 · The paper itself

Abstract

purposeWe performed this study to explore family member experiences with restrictions to family presence during their child's PICU admission, leveraging the unique context of the COVID-19 pandemic to aid in future ethical and informed decision-making.

methodsQualitative interpretive descriptive study with family members of Canadian PICU patients admitted from March 2020 to April 2021 who experienced restricted family presence (RFP) policies. Respondents were purposively sampled for demographic-based maximum variation.We generated themes through inductive thematic analysis of open-ended interviews.

resultsFourteen parental figures from five regions across Canada participated. We identified four themes associated with the lived experience and impact of the restrictions on family members of critically ill children: (1) challenges to fulfilling the parent role, (2) isolation from primary supports during a time of crisis, (3) navigating increased logistical difficulties, and (4) seeking compassionate approaches within the healthcare system.

conclusionRFP policies created a range of barriers for family members of critically ill children. Healthcare organizations and teams may play a role in removing barriers through consistent and empathetic application of rules with consideration for the duality of the parent role in PICUs, providing important post-pandemic policy and practice implications. WHAT IS KNOWN: • Parental presence with critically ill children may improve health outcomes for patients and their families. • Restrictions to family presence in PICUs continue to occur internationally and, during COVID-19, resulted in parental isolation, anxiety, and increased stress.  What is new: • By isolating family members and removing supports, COVID-19-related restrictions in Canadian PICUs challenged family members' ability to fulfil their parent roles while meeting their own needs.  • Families need empathetic, advocacy-based approaches from clinicians and healthcare systems to maintain trust and therapeutic relationships in a family-centered organization.

Indexed as

COVID-19Intensive Care Units, PediatricQualitative ResearchAdultCanadaChildChild, PreschoolCritical IllnessFamilyFemaleHumansMaleMiddle AgedParentsSARS-CoV-2Visitors to PatientsCOVID-19Family membersIntensive care unitPediatricQualitativeVisitors

Identifiers

PMID39609280
PMCPMC11604798

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.