Nursing Interventions Promoting Child / Youth / Family Adaptation to Hospitalization: A Scoping Review
Abstract
Objective: Identify the adaptation process of the child and family to hospitalization and map the nursing interventions that promote the child/youth/family’s adaptation to hospitalization.
Method: Elaboration of a Scoping Review based on the Joanna Briggs Institute (2014). Inclusion criteria - Population: Child, Young (0-18 years old); Concept: Interventions promoting adaptation and Context: Hospitalization. The studies considered were quantitative, qualitative and systematic reviews. Electronic databases used for article search - PUBMED, MEDLINE and CINAHL. Selection criteria: full text articles dated between 2012 and 2019. Languages of inclusion: Portuguese and English.
Results: A total of 14 articles were analyzed, including 2 systematic reviews of the literature, 7 qualitative studies and 5 quantitative studies. The results of the analysis were organized by themes: the child's adaptation to hospitalization, the parent’s adaptation to hospitalization and strategies promoting adaptation to hospitalization. The interventions aimed at children are focused on strengthening coping mechanisms and on increasing the sense of security. These have been categorized into communication strategies; playful activities and relaxation activities; and promotion of hope and coping strategies.
Conclusion: The mapped Nursing interventions that promote adaptation to hospitalization intend to decrease the child / family’s anxiety and stress, increasing the ability to receive information and to participate in care and decisions. Intervention such as therapeutic play, anticipatory information, relaxation techniques, distraction, humor, music therapy, adaptation kits, therapeutic groups and hope-promoting strategies are emphasized.
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References
Roy C. Key Issues in Nursing Theory. Developments, Challenges, and Future Directions. Nursing Research. 2018, 67 (2): 81–92.
Saini N, Veena S, Arora S, Khan F. Roy's Adaptation Model: Effect of Care on Pediatric Patients. Int J Nurs Midwif Res. 2017; 4 (1): 52-60.
Tremarin R, Gawleta F, Rocha D. A Teoria da Adaptação Sustentando o Cuidado de Enfermagem em Hospital Pediátrico: Um estudo de Caso. Cogitare. 2009; 14(3): 569.574.
Costa T, Morais A. A Hospitalização Infantil: Vivência de Crianças a partir de Representações Gráficas. Rev enferm UFPE. 2017,11 (1): 358-67.
Santos P, Silva L, Depianti J, Cursino E, Ribeiro C. Os cuidados de Enfermagem na Percepção da Criança Hospitalizada. Rev Bras Enferm. 2016, 69(4): 603-9.
Livesley J, Long T. Children’s Experiences as Hospital in-patients: Voice, Competence and Work. Messages for Nursing from a Critical Ethnographic Study. International Journal of Nursing Studies. 2012, 50: 1292-1303.
Gonçalves K, Figueiredo J, Oliveira S, Davim R, Camboim J, et al. Criança Hospitalizada e Equipe de Enfermagem: Opinião de Acompanhantes. Rev enferm. 2017, 11 (6): 2586-93.
Hutchfield K. Family-centred care: a concept analysis. Journal of Advanced Nursing. 1999, 29 (5), pp. 1178-1187.
Roy C, Andrews H. Teorias da Enfermagem. O Modelo de adaptação de Roy. Lisboa: Instituto Piaget, 2001.
Hanna D, Roy C. Roy Adaptation Model and Perspectives on the Family. Nursing Science Quarterly. 2001, 14(1).
Coelho S, Mendes I. Da Pesquisa à Prática de Enfermagem aplicando o Modelo de Adaptação de Roy. Esc Anna Nery. 2011, 15 (4): 845-850.
Herdman T, Kamitsuru S. Diagnósticos de enfermagem da NANDA-I: definições e classificação 2018-2020 (11ª ed.). Porto Alegre: Artmed; 2018.
Johnson M, Bulechek G, Butcher H, Dochterman J, Maas M. Ligações entre NANDA, NOC e NIC. Porto Alegre: Artmed; 2006.
Pereira AM, Nunes J, Teixeira S, Diogo P. Gestão do Estado Emocional da Criança (dos 6 aos 8 anos) através da Actividade de Brincar: Analisando o Cuidado de Enfermagem em Contexto de Internamento de Pediatria. Pensar Enfermagem. 2010, 14 (1).
Joana Briggs Intitute. Joanna Briggs Institute Reviewers’ Manual. Australia: Joana Briggs Intitute; 2014.
Moher D, Liberati A, Tetzlaff, Altman, The PRISMA Group. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Medicine. 2009, 6 (7).
Peters M, Godfrey C, Khalil H, McInerney P, Parker D, Soares C. Guidance for conducting systematic scoping reviews. International Journal of Evidence-Based Healthcare. 2015, 13:141–146.
Ribeiro JP, Gomes GC, Silva PA, Thofehrn MB, Oliveira AM, Tarouco AC. Reflecting on the Construction of Caring in Pediatrics. J Nurs UFPE on line. 2016, 10(12): 4672-9.
Gomes GC, Nicola GD, Souza NZ, Chagas MC, Farias DF, Xavier DD. Percepções da Família acerca das dificuldades de adaptação criança à Hospitalização: Subsídios para a Enfermagem. Cogitare Enferm. 2013, 18(4): 767-74.
Costa JS, Santos ML. Grupo de Adolescente Hospitalizados com Doença Crónica não transmissível como tecnologia de cuidado de enfermagem. Rev enferm UFPE on line. 2016, 10(2): 508-14.
Bazzan JS, Milbrath VM, Gabatz, RI, Soares M, Schwartz, Soares, D. Support Systems in the Pediatric Intensive Therapy Unit: Family Perspective. Rev Bras Enferm. 2019; 72(3): 243-50.
Foster K, Young A, Mitchell R, Van C, Curtis K. Experiences and needs of parents of critically injured children during the acute hospital phase: A qualitative investigation. Injury, Int. J. Care Injured. 2017, 48: 114–120.
Hagstrom S. Family Stress in Pediatric Critical Care. Journal of Pediatric Nursing. 2016.
Abuidhail J, Al-Motlaq M, Mrayan L, Salameh T. The Lived Experience of Jordanian Parents in a Neonatal Intensive Care Unit:A Phenomenological Study. The Journal of Nursing Research. 2016.
Sposito A, Silva-Rodrigues F, Sparapani V, Pfeifer L, Lima R, Nascimento L. Coping Strategies Used by Hospitalized Children With Cancer. Journal of Nursing Scholarship. 2015, 0: 1-9.
Drake J, Johnson N, Stoneck AV, Martinez DM, Massey M. Evaluation of a Coping Kit for Children With Challenging Behaviors In a Pediatric Hospital. Pediatric Nursing. (2012), 38 (4): 215-221.
Moreira RL, Gubert FA, Sabino LM, Benevides JL, Tomé MA, Martins MC, et al. Assisted therapy with dogs in pediatric oncology: relatives’ and nurses’ perceptions. Rev Bras Enferm. 2016, 69(6): 1122-8.
Ordem dos Enfermeiros. Regulamento das Competências Especificas do Enfermeiro Especialista em Enfermagem de Saúde da Criança e do Jovem. Lisboa: Ordem dos Enfermeiros; 2018.
Doupnik SK, Hill D, Palakshappa D, Worsley D, Bae H, Shaik A, et al. Parent Coping Support Interventions during Acute Pediatric Hospitalizations: A Meta-Analysis. Pediatrics. 2017, 140 (3).
Lyu Q, Kong SK, Wong FK, You L, Yan J, Zhou X, et al. Psychometric Validation of an Instrument to Measure Family Coping During a Child’s Hospitalization for Cancer. Cancer Nursing. 2016.
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