Evidence mapPaperPMID 41047739Full record

ArticleNursing in critical care2025

Family Functioning and Parent Behavioural Changes Post-Admission to the Paediatric Intensive Care Unit: A Single-Centre Cohort Study.

Karina R Charles, Belinda Dow, Jessica A Schults, Christian Stocker, Lori Anthony, Jessicah Minogue, Kristen S Gibbons, Debbie Long

Abstract read
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Article in Nursing in critical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Karina R CharlesSchool of Nursing, Centre for Healthcare Transformation, Queensland University of Technology, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0002-8279-5155
Belinda DowSchool of Nursing, Centre for Healthcare Transformation, Queensland University of Technology, Brisbane, Queensland, Australia.
Jessica A SchultsChildren's Intensive Care Research Program, Child Health Research Centre, The University of Queensland, Brisbane, Queensland, Australia.
Christian StockerPaediatric Intensive Care Unit, Queensland Children's Hospital, Brisbane, Queensland, Australia.
Lori AnthonySchool of Nursing, Centre for Healthcare Transformation, Queensland University of Technology, Brisbane, Queensland, Australia.
Jessicah MinogueSchool of Nursing, Centre for Healthcare Transformation, Queensland University of Technology, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0001-6551-9098
Kristen S GibbonsChildren's Intensive Care Research Program, Child Health Research Centre, The University of Queensland, Brisbane, Queensland, Australia.
Debbie LongSchool of Nursing, Centre for Healthcare Transformation, Queensland University of Technology, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0002-0984-9559

Funding

Blackwood Family Trust, Children's Hospital Foundation, Brisbane, AustraliaNational Health and Medical Research Council
6 · The paper itself

Abstract

backgroundAdmission to a paediatric intensive care unit (PICU) is a significant event with potential long-term effects on family dynamics. Although Post-Intensive Care Syndrome in paediatrics (PICS-p) is well recognised, the effects of PICU admission on family functioning are not well understood.

aimsThis study sought to characterise family functioning in a cohort from the PICU following discharge and to investigate the impact of PICS-p sequelae on family dynamics. STUDY

designWe conducted a caregiver-reported cross-sectional survey of a single-centre cohort in Brisbane, Australia. Caregivers of PICU survivors were invited to participate by mail from March to August 2018. Parents completed the survey and returned it in a pre-paid envelope. Descriptive and bivariate analyses examined family functioning and its associations with PICU-related factors, child-related outcomes and caregiver-related outcomes.

resultsA total of 204 caregivers participated, with a median follow-up of 25 months post-PICU discharge. Most families demonstrated healthy functioning, with 97% scoring above the threshold for balance on the Circumplex Model. Poor family functioning was reported in 26 families, with enmeshment being the most common dysfunction. Weak to moderate associations were observed between family functioning and caregiver-related factors, particularly post-traumatic stress (r

conclusionWhilst most families maintained healthy functioning after PICU, a subset faced ongoing challenges. Caregiver mental health and child distress were significant predictors of poorer family outcomes. RELEVANCE TO CLINICAL PRACTICE: These findings highlight the necessity for targeted interventions to support families after PICU, including regular psychosocial screening and customised psychoeducational resources to enhance resilience and promote family well-being.

Indexed as

CaregiversFamily RelationsIntensive Care Units, PediatricParentsAdultAustraliaChildChild, PreschoolCohort StudiesCritical IllnessCross-Sectional StudiesFemaleHumansInfantMaleSurveys and Questionnairesfamily relationsintensive care unitspaediatrics*psychologicalpsychology*stress

Identifiers

PMID41047739
PMCPMC12498061

What Socratic holds

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LicenceCC BY-NC-ND
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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.