| Learning Objective #1: Identify key behavioral indicators of family nursing in a pediatric intensive care unit as perceived by nurses and families | |||
| Learning Objective #2: Identify barriers and facilitators of family nursing in a pediatric intensive care unit as perceived by nurses and families |
Objectives 1. identify what nurses and family members state as core competencies of family nursing practice 2. identify the facilitators and barriers to intervening with families as perceived by pediatric intensive care (PICU) nurses. Design: Descriptive Population/Sample/Setting Data were collected from a convenience sample of 12 nurses and 18 parents of children currently admitted to the ICU of an urban pediatric hospital. Methods A list of initial core behaviours was derived from a review of the literature and consultation with experts. This description of family nursing interventions was revised based on data collected from interviews with family members and focus groups conducted with nurses. The data collection focused on key interventions nurses do/should provide for families of patients in PICU, facilitators and barriers to providing family nursing. Data Analysis Following each of the focus groups and family interviews, transcriptions of the audiotapes were analyzed (Strauss & Corbin,1998).Verification and validation of the research team's analyses in developing the list of family nursing competencies was accomplished through review by noted family nursing experts. Findings Nurses possess knowledge of family needs while in PICU. Eight broad categories of interventions emerged with the majority of those aimed at emotional support and considered as level 1 family interventions. There was overall congruence between what the nurses and the families described as important family interventions. Both system and setting barriers were described and communication skills were expressed as a major facilitator to successful nurse/family relationships. Conclusions A list of discrete behavioural indicators of family nursing in paediatric critical care was developed. Providing nurses with an intervention framework would facilitate family nursing. Implications The results will facilitate developing a family intervention instrument to guide practice. The long-term goal is to use these competencies as the beginning development of a gold standard for specialized family nursing practice.
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