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Understanding the co-construction of safety in the paediatric intensive care unit: a meta-ethnography of parents’ experiences

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posted on 2023-07-05, 15:59 authored by Sarah Seaton, Joseph Manning, Elizabeth Draper, Peter Davis, Nicola Mackintosh

Background

Children experiencing critical illness or injury may require admission to a paediatric intensive care unit (PICU) to receive life-sustaining or life-saving treatment. Studies have explored the experience of parents with a child in PICU but tend to focus on subgroups of children or specific healthcare systems. Therefore, we aimed to undertake a meta-ethnography to draw together the published research.


Methods

A systematic search strategy was developed to identify qualitative studies, which had explored the experiences of parents with a critically ill child treated in a PICU. A meta-ethnography was undertaken following the structured steps of identifying the topic; undertaking a systematic search; reading the research; determining how the studies relate and translate into each other; and synthesising and expressing the results.


Results

We identified 2989 articles from our search and after a systematic series of exclusions, 15 papers remaining for inclusion. We explored the original parent voices (first order) and the interpretation of the study authors (second order) to identify three third-order concepts (our interpretation of the findings), which related to technical, relational and temporal factors. These factors influenced parents' experiences, providing both barriers and facilitators to how parents and caregivers experienced the time their child was in the PICU. The dynamic and co-constructed nature of safety provided an analytical overarching frame of reference.


Conclusion

This synthesis demonstrates novel ways in which parents and caregivers can contribute to the vital role of ensuring a co-created safe healthcare environment for their child when receiving life-saving care within the PICU.

Funding

Understanding the epidemiology, experiences and variation in the transition from neonatal to paediatric care: a mixed methods study

National Institute for Health Research

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History

Author affiliation

Department of Population Health Sciences, University of Leicester

Version

  • VoR (Version of Record)

Published in

Child: Care, Health & Development

Publisher

Wiley-Blackwell

issn

0305-1862

Copyright date

2023

Available date

2023-07-05

Language

en

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