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Interdisciplinary Fields of Pediatric Intensive Care

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Children's Health".

Deadline for manuscript submissions: closed (31 March 2023) | Viewed by 9237

Special Issue Editors


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Guest Editor
Department of Anaesthesiological and Intensive Care Nursing, Medical University of Lublin, 20-081 Lublin, Poland
Interests: pediatric intensive care; PICU; neonatal intensive care; NICU; physical health status; mental health status; pain; nursing; physiotherapy; development

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Guest Editor
Clinic of Anaesthesiology and Paediatric Intensive Care, Medical University of Lublin, 20-093 Lublin, Poland
Interests: pediatric intensive care;PICU;mental health

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Guest Editor
Department of Anaesthesiology Nursing & Intensive Care, Faculty of Health Sciences, Medical University of Gdansk, Dębinki 7, 80-211 Gdańsk, Poland
Interests: pain; delirium; ICU; resuscitation; sleep; safety
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Special Issue Information

Dear Colleagues,

Pediatric intensive care is a specialty field of medicine, which includes interdisciplinary care for patients in a life-threatening condition or in other situations that may lead to such a condition. It requires not only extensive knowledge in the field of pediatrics, emergency medicine, surgery and many other areas, but also manual and organizational skills and specific psychophysical predispositions. An important feature of this field, ensuring effectiveness in action, is cooperation in well-coordinated therapeutic teams, which include, among others, doctors, nurses, physiotherapists and psychologists. As we are deeply convinced that this interdisciplinarity is a key element in the intensive care of children, in this Special Issue of IJERPH, we want to encourage all members of pediatric intensive care therapeutic teams to exchange knowledge and experiences, and we hope to have a fruitful discussion.

Dr. Anna Aftyka
Dr. Beata Rybojad
Dr. Wioletta Mędrzycka-Dąbrowska
Guest Editors

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Keywords

  • pediatric intensive care
  • PICU
  • neonatal intensive care
  • NICU
  • physical health status
  • mental health status
  • pain
  • nursing
  • physiotherapy
  • development

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Published Papers (3 papers)

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Research

10 pages, 309 KiB  
Article
Neonatal Pictures in a NICU as a Mode of Nursing Intervention to Enhance Parent-Infant Bonding: Parents’ Experience during the COVID Pandemic
by Anna Aftyka, Beata Rybojad and Wioletta Mędrzycka-Dąbrowska
Int. J. Environ. Res. Public Health 2023, 20(4), 3576; https://doi.org/10.3390/ijerph20043576 - 17 Feb 2023
Cited by 3 | Viewed by 2648
Abstract
Introduction: Neonatal departments around the world have changed their policies to prevent the spread of infection during the COVID-19 pandemic. The birth of an extremely premature baby can disrupt physical contact between the mother/parent and the baby. This situation affects the bonding process [...] Read more.
Introduction: Neonatal departments around the world have changed their policies to prevent the spread of infection during the COVID-19 pandemic. The birth of an extremely premature baby can disrupt physical contact between the mother/parent and the baby. This situation affects the bonding process between mother and child. The aim of the study was to investigate the opinions of parents who receive photographs or videos of their children electronically on the usefulness of this intervention, as well as the emotional reaction of parents to the photos or videos received, and potential ways to improve the intervention. Methods: The study used a qualitative approach and relied on phenomenology, which is a research method used to study experience as experienced from the subjective point of view. Pilot interviews were conducted in January and February 2021, and the final study ran from March to June 2021. Results: The uploaded photographs and videos provided a useful communication tool. The parents’ emotions at the proposal to send photographs of the child and while viewing the first photographs were strong and marked by considerable ambivalence. Conclusions: This study showed how important it is to ensure communication between the parent and the medical staff. Despite the positive reception, in the future obtaining consent from the legal guardian for taking pictures should be considered, whether this form will be accepted, and to ensure the presence of medical staff while the parent is watching the photographs/videos, as this method of communication will not fully ensure direct skin-to-skin contact to build bonds between the parent and the infant. Neonatal intensive care units need to find strategies to mitigate the impact of separation on parental experiences and bonds should a similar situation arise in the future. Full article
(This article belongs to the Special Issue Interdisciplinary Fields of Pediatric Intensive Care)
9 pages, 326 KiB  
Article
A Cross Sectional Study to Identify Traumatic Stress, Medical Phobia and Non-Adherence to Medical Care among Very Young Pediatric Patients
by Amichai Ben-Ari, Yaron Sela, Shiri Ben-David, Yael L. E. Ankri, Fortu Benarroch and Roy Aloni
Int. J. Environ. Res. Public Health 2023, 20(2), 1122; https://doi.org/10.3390/ijerph20021122 - 8 Jan 2023
Cited by 3 | Viewed by 2535
Abstract
After a traumatic medical event, such as surgery or hospitalization, a child may develop a phobia of medical care, sometimes preventing future medical adherence and impairing recovery. This study examined the correlation of Pediatric Medical Traumatic Stress (PMTS) on the development of Medical [...] Read more.
After a traumatic medical event, such as surgery or hospitalization, a child may develop a phobia of medical care, sometimes preventing future medical adherence and impairing recovery. This study examined the correlation of Pediatric Medical Traumatic Stress (PMTS) on the development of Medical Phobia (MP) and subsequent treatment adherence. We enrolled 152 parents of children aged 1–6 hospitalized in a surgical ward. During hospitalization, parents completed questionnaires that identified post-traumatic stress symptoms. Four months post hospitalization, parents completed questionnaires on post-traumatic stress, medical phobia, psychosocial variables and medical adherence. We found a positive correlation between PMTS and MP and low adherence to medical treatment. In addition, MP mediated the relationship between PMTS severity and adherence, indicating that PMTS severity is associated with stronger medical phobia, and lower pediatric adherence to medical treatment. Our findings suggest that medical phobia serves as an essential component of PMTS. It is important to add medical phobia to medical stress syndrome definition. In addition, as MP and PMTS are involved in the rehabilitation and recovery process and subsequent success, it is an important aspect of treatment adherence. Full article
(This article belongs to the Special Issue Interdisciplinary Fields of Pediatric Intensive Care)
17 pages, 777 KiB  
Article
Evidence-Based Nursing Practices for the Prevention of Newborn Procedural Pain in Neonatal Intensive Therapy—An Exploratory Study
by Hanna Popowicz, Katarzyna Kwiecień-Jaguś, Wioletta Mędrzycka-Dąbrowska, Monika Kopeć and Danuta Dyk
Int. J. Environ. Res. Public Health 2022, 19(19), 12075; https://doi.org/10.3390/ijerph191912075 - 23 Sep 2022
Cited by 1 | Viewed by 3453
Abstract
Background: Due to the progress in neonatology, in particular, in the past three decades, the mortality rate among patients of intensive care units has decreased. However, this is connected not only with newborns needing to stay longer in the unit, but also with [...] Read more.
Background: Due to the progress in neonatology, in particular, in the past three decades, the mortality rate among patients of intensive care units has decreased. However, this is connected not only with newborns needing to stay longer in the unit, but also with the exposure of newborns to many painful procedures and stresses. Lack of or insufficient pain prevention has a negative impact on the sensory or locomotor development of newborns. Despite the presence of guidelines based on scientific evidence, the use of pharmacological and non-pharmacological pain-management methods in newborns is still insufficient. Aim: The aim of the study was to: identify the knowledge nurses/midwives have of recommended non-pharmacological and/or pharmacological methods, in particular, in relation to medical intervention procedures; assess the interventions for pain relief applied by midwives/nurses most often in their clinical practice; examine the role of age, general work experience, education level and years of work of medical professionals on a neonatal ward, as well as the referral level of a unit, versus the application of pharmacological and non-pharmacological methods. Methods: A descriptive and quantitative study conducted in 2019 among Polish nurses/midwives working at neonatal intensive care units. Results: The analysis of the material reflected the deficit of knowledge and the insufficient daily use of recommended pain-relief measures among the respondents. Conclusions: The interpretation of data indicates that despite the clear and easily available recommendations of scientific societies concerning the mode of conduct in particular medical procedures, medical personnel do not apply those recommendations in their everyday practice. It is necessary to plan and implement education strategies for nurses/midwives on standard pain-management interventions during painful medical procedures. Full article
(This article belongs to the Special Issue Interdisciplinary Fields of Pediatric Intensive Care)
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