Evidence map›Paper›PMID 35219558›Full record

ArticleIntensive & critical care nursing2022

Shifting and intersecting needs: Parents' experiences during and following the withdrawal of life sustaining treatments in the paediatric intensive care unit.

Elizabeth G Broden, Allison Werner-Lin, Martha A Q Curley, Pamela S Hinds

Registry-linked trialAbstract read
In one paragraph

Article in Intensive & critical care nursing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00814099 (Sedation Management in Pediatric Patients With Acute Respiratory Failure), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

NCT00814099 nacompletednot on this map

Sedation Management in Pediatric Patients With Acute Respiratory Failure

TypeinterventionalSponsorUniversity of PennsylvaniaRan2009 to 2013Enrolled2,449ConditionsRespiratory Insufficiency, Respiratory Distress Syndrome, Newborn, Lung DiseasesArmsTeam approach to sedation management, Usual approach to sedation management
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

4 authors.

Elizabeth G BrodenPsychosocial Oncology & Palliative Care, Dana-Farber Cancer Institute, 375 Longwood Ave, Boston, MA 02215, United States; University of Pennsylvania, School of Nursing, 418 Curie Blvd, Philadelphia, PA 19104, United States. Electronic address: ELIZABETHG_BRODEN@DFCI.HARVARD.EDU.
Allison Werner-LinUniversity of Pennsylvania School of Social Policy and Practice, 3701 Locust Walk, Philadelphia, PA 19104, United States; National Cancer Institute, National Institutes of Health, 31 Center Drive, Bethesda, MD 20814, United States.
Martha A Q CurleyChildren's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, United States; University of Pennsylvania, School of Nursing, 418 Curie Blvd, Philadelphia, PA 19104, United States; Anesthesia and Critical Care Medicine University of Pennsylvania Perelman School of Medicine, 3400 Civic Center Blvd, Philadelphia, PA 19104, United States.
Pamela S HindsChildren's National Hospital, 111 Michigan Ave NW, Washington, DC 20010, United States; George Washington University, 2121 I St NW, Washington, DC 20052, United States.

Funding

Sedation Management in Pediatric Patients with Acute Respiratory FailureU01HL086622 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI CURLEY, MARTHA AQ · 2008 to 2013
$10.0M
Sedation Management in Pediatric Patients with Acute Respiratory Failure (DCC)U01HL086649 · NHLBI · BOSTON CHILDREN'S HOSPITAL · PI WYPIJ, DAVID · 2008 to 2012
$2.0M
Caring for Actively Dying Children and their Parents in the Pediatric ICU: A Mixed Methods StudyF31NR018104 · NINR · UNIVERSITY OF PENNSYLVANIA · PI BRODEN-ARCIPRETE, ELIZABETH GLYDE · 2018 to 2019
$85k
NHLBI NIH HHS U01 HL086622NHLBI NIH HHS U01 HL086649NINR NIH HHS F31 NR018104
6 · The paper itself

Abstract

objectivesTo examine parents' perceptions of nursing care needs; including specific concerns, preferences and supportive actions for themselves and their dying child during and following the withdrawal of life support in the paediatric intensive care unit. RESEARCH

designQualitative description with content analysis.

settingInterviews with eight parents of eight children who died in the paediatric intensive care unit 7-11 years prior.

main outcome measuresDescriptive categories of parents' perceptions of end-of-life needs.

findingsParents identified four shifting and intersecting categories of needs: To be together, To make sense of the child's evolving clinical care, To manage institutional, situational, and structural factors, and To navigate an array of emotions in a sterile context. Being closely connected with the child was highly important, but often intersected with other domains, requiring nurses' support. Parents' memories demonstrated persistent uncertainty about their child's end-of-life care that influenced their long-term grief.

conclusionsIntersections between parent-identified care needs suggest potential mechanisms to strengthen nurses' care for dying children. Equipped with the knowledge that the parent-child bond often shapes parents' priorities; nurses should aim to facilitate connections amidst paediatric intensive care unit processes. Ongoing uncertainty in parents' adaptation to loss suggests that attention to instances when needs intersect can have a lasting impact on parents' grief.

Indexed as

Intensive Care Units, PediatricTerminal CareChildDeathHumansParentsQualitative ResearchBereavementEnd-of-life careFamily-centred careGriefLong-term outcomesQualitative

Identifiers

PMID35219558
PMCPMC9128001

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Registered trials

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.