Evidence map›Paper›PMID 29468417›Full record

ArticleEuropean journal of pediatrics2018

Eliciting the experiences of the adolescent-parent dyad following critical care admission: a pilot study.

Dora Wood, Sophie Geoghegan, Padmanabhan Ramnarayan, Peter J Davis, John V Pappachan, Sarah Goodwin, Jo Wray

Open access · hybridAbstract read
In one paragraph

Article in European journal of pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Dora WoodPaediatric Intensive Care Unit, Bristol Royal Hospital for Children, Bristol, BS2 8HW, UK. dora@doctors.net.uk.ORCID http://orcid.org/0000-0002-3687-6587
Sophie GeogheganCentre for Outcomes and Experience Research in Children's Health, Illness and Disability, Great Ormond Street Hospital, WC1N 3JH, London, UK.
Padmanabhan RamnarayanChildren's Acute Transport Service, Great Ormond Street Hospital, WC1N 3JH, London, UK.
Peter J DavisPaediatric Intensive Care Unit, Bristol Royal Hospital for Children, Bristol, BS2 8HW, UK.
John V PappachanDepartment of Paediatric Intensive Care, University Hospital Southampton, Tremona Road, Southampton, SO16 6YD, UK.
Sarah GoodwinPaediatric Intensive Care Unit, Bristol Royal Hospital for Children, Bristol, BS2 8HW, UK.
Jo WrayCritical Care and Cardiorespiratory Division, Great Ormond Street Hospital, WC1N 3JH, London, UK.
Bristol Royal Hospital for Children · GBGreat Ormond Street Hospital · GBUniversity Hospital Southampton NHS Foundation Trust · GB

Funding

Great Ormond Street Hospital Children's Charity V0015
6 · The paper itself

Abstract

Critically ill adolescents are usually treated on intensive care units optimised for much older adults or younger children. The way they access and experience health services may be very different to most adolescent service users, and existing quality criteria may not apply to them. The objectives of this pilot study were, firstly, to determine whether adolescents and their families were able to articulate their experiences of their critical care admission and secondly, to identify the factors that are important to them during their intensive care unit (ICU) or high dependency unit (HDU) stay. Participants were 14-17 year olds who had previously had an emergency admission to an adult or paediatric ICU/HDU in one of four UK hospitals (two adult, two paediatric) and their parents. Semi-structured interviews were conducted with eight mother-adolescent dyads and one mother. Interviews were transcribed and analysed using framework analysis.

conclusionThe main reported determinant of high-quality care was the quality of interaction with staff. The significance of these interactions and their environment depended on adolescents' awareness of their surroundings, which was often limited in ICU and changed significantly over the course of their illness. Qualitative interview methodology would be difficult to scale up for this group. What is known • Critically ill adolescents are usually treated on intensive care units optimised for older adults or younger children. • The way they access and experience health services may be different to most adolescent patients; existing quality criteria may not apply. What is new • Reported determinants of high-quality care were age-appropriateness of the environment, respectfulness and friendliness of staff, communication and inclusion in healthcare decisions. • The significance of these depended on adolescents' awareness of their surroundings, which was often limited and changed over the course of their illness.

Indexed as

Attitude to HealthProfessional-Patient RelationsAdolescentCritical CareCritical IllnessFemaleHospitalizationHumansIntensive Care UnitsMaleParentsPatient SatisfactionPilot ProjectsQualitative ResearchQuality of Health CareUnited KingdomAdolescent medicineCritical careCritical illnessIntensive care unitsIntensive care units, paediatricQualitative research

Identifiers

PMID29468417
PMCPMC5899104
OpenAlexW2800930510

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.