Saudi Cultural Missions Theses & Dissertations
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Item Restricted Parental Presence and Involvement in the Paediatric Intensive Care Unit (PICU): Parents’ Experiences.(University of Glasgow, 2024) Alharthi, Rawan; Allen, MandyBackground: Parental presence and involvement in Paediatric Intensive Care Units (PICUs) play a critical role in a child’s care and psychological well-being. Additionally, parental presence has become a cornerstone in implementing a family-centred care (FCC) model. Understanding parents' experiences during this challenging time is essential in providing strategies for enabling their presence to promote a better PICU environment for children. Aim: This systematised literature review aims to synthesise qualitative evidence that explore parents' experiences regarding their presence and involvement in the PICU. Methods: The search was conducted on four databases: CINAHL, Medline, Embase, and PsycINFO covering the period from 2014 to 2024. Eligibility criteria included qualitative studies that address parents’ experiences in all types of PICU that allow unrestricted parental presence. Studies that address their presence during cardiopulmonary resuscitation or in end-of-life conditions were excluded. The Critical Appraisal Skills Programme (CASP) checklist and Lincoln and Guba’s (1985) criteria were used to assess the trustworthiness of the included studies. Results: Eighteen full-text articles were screened for eligibility, of which six met the inclusion criteria; these ranged from medium to high quality. The review identified four themes across the studies via thematic synthesis: (i) PICU environment, (ii) defining parental roles in PICU settings, (iii) the need for support, and (iv) the value of information sharing. Conclusions: The PICU experience was found to be challenging and filled with a mix of emotions. The PICU team method of involving parents should be tailored according to specific parents’ needs and preferences. Mutual understanding and clear communication between parents and the PICU team are essential to accomplish a strong partnership and provide support during PICU admissions.22 0Item Restricted What is impact of weight-based dosing of intravenous infusion on patient safety in paediatric intensive care unit at Royal London hospital?(2023) Alsohaimi, Adel; Falade, Josephine; Abou Daya, Mohammed1. Abstract 1.1. Background: Despite evidence for the safety and accuracy of the standard concentration approach (SCI) for intravenous infusion, most paediatric intensive care units (PICUs) in the United Kingdom, including the PICU at Royal London Hospital, continue to use the traditional weight-based approach (WBA), increasing the risk of errors. 1.2. Methodology: This project aimed to investigate the WBA and to explore the extent to which patient safety can be harmed as a consequence of its use. It was designed as a retrospective and prospective cohort study. A secondary analysis was done for medication errors gathered retrospectively from 1 September 2012 to 30 May 2022. Additionally, nine nurses (ten preparations) were observed during preparations of a group of high-alert medications. 1.3. Results: A total of 378 errors were identified during the study period, and sixteen errors were related to WBA, including four types of errors. Calculation and wrong setting of pumps were the highest (n=5; 31.3%), followed by preparation errors involving inaccuracy of withdrawn volume (25%). Interestingly, (n = 12; 75%) of the discovered errors were related to administration of high-alert medications. However, the percentage of harm was limited to 13%. Variation in preparation was noticed, and adherence of nurses to preparation techniques was only 65%. 1.4. Conclusion: Risk of medication errors can be raised by using WBA, and nature of errors results in catastrophic changes, such as ten-fold higher or lower than prescribed concentration, which leads to undesirable consequences. SCI can be a solution and it should be explored.13 0