Parent experiences and psychosocial needs during critical paediatric emergencies: A thematic network analysis

IF 2.1 4区医学 Q2 EMERGENCY MEDICINE

Australasian Emergency Care Pub Date : 2026-03-01 Epub Date: 2025-08-15 DOI:10.1016/j.auec.2025.08.002

Alys-Marie Manguy , Ed Oakley , Rob Gordon , Lynette Joubert

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引用次数: 0

Abstract

Background

Family presence during critical paediatric emergencies is increasingly accepted practice in paediatric emergency departments, within Australia and internationally. However, limited research explores parent experiences in high-acuity, resuscitation-level presentations.

Methods

This qualitative study used Attride-Stirling’s thematic network analysis methodology to identify key themes. Semi-structured telephone interviews were undertaken with 20 parents whose child received care during a critical paediatric emergency at the Emergency Department of The Royal Children’s Hospital, Melbourne, Australia.

Results

Thematic network analysis identified 136 unique themes relating to parent experiences and self-identified psychosocial care needs, resulting in the two organising themes of ‘Parent perspectives’ and ‘Emergency system interventions’, and the global theme of ‘Family responsive service protocols’. These findings highlight the value of family-centred care approaches in paediatric emergency settings, emphasising the importance of staff communication skills and peri-event psychosocial support throughout the episode of care.

Conclusions

Recommendations for practice include enhancing communication strategies, improving pre-arrival preparation, optimising the physical environment, and implementing dedicated family support roles.

查看原文本刊更多论文

重大儿科紧急情况期间的父母经验和心理社会需求：专题网络分析。

背景：在澳大利亚和国际上，儿科急诊科越来越多地接受了在儿科急诊科进行严重儿科急诊的家庭在场的做法。然而，有限的研究探讨了父母在高敏锐度、复苏水平的表现中的经验。方法：本定性研究采用Attride-Stirling的主题网络分析方法来确定关键主题。对20名父母进行了半结构化的电话访谈，这些父母的孩子在澳大利亚墨尔本皇家儿童医院急诊科接受了严重的儿科急诊护理。结果：专题网络分析确定了136个与父母经历和自我识别的心理社会护理需求相关的独特主题，从而产生了“父母视角”和“紧急系统干预”两个组织主题，以及“家庭响应服务协议”的全球主题。这些发现突出了以家庭为中心的护理方法在儿科急诊环境中的价值，强调了在整个护理过程中工作人员沟通技巧和事件前后社会心理支持的重要性。结论：对实践的建议包括加强沟通策略，改善抵达前的准备工作，优化物理环境，并实施专门的家庭支持角色。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australasian Emergency Care Nursing-Emergency Nursing

CiteScore

3.30

自引率

5.60%

发文量

审稿时长

37 days

期刊介绍： Australasian Emergency Care is an international peer-reviewed journal dedicated to supporting emergency nurses, physicians, paramedics and other professionals in advancing the science and practice of emergency care, wherever it is delivered. As the official journal of the College of Emergency Nursing Australasia (CENA), Australasian Emergency Care is a conduit for clinical, applied, and theoretical research and knowledge that advances the science and practice of emergency care in original, innovative and challenging ways. The journal serves as a leading voice for the emergency care community, reflecting its inter-professional diversity, and the importance of collaboration and shared decision-making to achieve quality patient outcomes. It is strongly focussed on advancing the patient experience and quality of care across the emergency care continuum, spanning the pre-hospital, hospital and post-hospital settings within Australasia and beyond.