Indian Journal of Critical Care Medicine

Register      Login



Volume / Issue

Online First

Related articles

VOLUME 28 , ISSUE 7 ( July, 2024 ) > List of Articles


Experiences of the Parents of Children Admitted to PICU

Sashisenla Kichu, Poonam Joshi, Sunidhi Bhandari, Rakesh Lodha, K Jaykrishnan

Keywords : Experiences, Hospitalized children, Parents, Pediatric intensive care unit

Citation Information : Kichu S, Joshi P, Bhandari S, Lodha R, Jaykrishnan K. Experiences of the Parents of Children Admitted to PICU. Indian J Crit Care Med 2024; 28 (7):696-701.

DOI: 10.5005/jp-journals-10071-24653

License: CC BY-NC 4.0

Published Online: 29-06-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Introduction: A pediatric intensive care unit (PICU) is a highly technological and fast-paced setting in a hospital. Objective: To explore the experiences of the parents in the critical care area of a selected tertiary care facility. Materials and methods: In a qualitative study, we interviewed 10 purposively selected parents of the children admitted to PICU using a pre-validated in-depth interview schedule. All parents, whose children were admitted to PICU for more than 5 days, who understood Hindi or English and were willing to participate in the study, were enrolled in the study. Parents of critically ill children having readmission to PICU or prolonged stay of more than 15 days and not accompanied by parents were excluded. Results: Parents had unmet needs, such as the need for information, counseling and education from the healthcare team (HCT) members, having trusting relationship with the HCT, and expecting receiving orientation of the routines and the protocols of PICU, and empathy from the various levels of PICU team. The majority of subjects expressed the desire to talk to a dedicated person for their queries. The parents had multiple feelings of distress, hopelessness, helplessness, guilt, and the fear of losing the child and used various coping strategies. Conclusion: Parents of critically ill children in the PICU have unmet needs. Healthcare team members should take initiative in relieving parental distress and improving their coping abilities.

PDF Share
  1. Scott P, Thomson P, Shepherd A. Families of patients in ICU: A scoping review of their needs and satisfaction with care. Nurs Open 2019;6(3):698–712. DOI: 10.1002/nop2.287.
  2. Meert KL, Clark J, Eggly S. Family-centered care in the pediatric intensive care unit. Pediatr Clin North Am 2013;60(3):761–772. DOI: 10.1016/j.pcl.2013.02.011.
  3. Alnajjar H, Elarousy W. Exploring family needs in neonatal and pediatric intensive care units at King Khaled Hospital – Jeddah. Clin Med Invest 2017;2(4):1–7. DOI: 10.15761/CMI.1000145.
  4. Debelić I, Mikolčić A, Tihomirović J, Barić I, Lendić Đ, Nikšić Ž, et al. Stressful experiences of parents in the paediatric intensive care unit: Searching for the most intensive PICU stressors. Int J Environ Res Public Health 2022;19(18):11450. DOI: 10.3390/ijerph191811450.
  5. Lee IY, Chien WT, MacKenzie AE. Needs of families with a relative in a critical care unit in Hong Kong. J Clin Nurs 2000;9(1):46–54. DOI: 10.1046/j.1365-2702.2000.00315.x.
  6. Köse I, Zincircioğlu Ç, Öztürk YK, Çakmak M, Güldoğan EA, Demir HF, et al. Factors affecting anxiety and depression symptoms in relatives of intensive care unit patients. J Intensive Care Med 2016;31(9): 611–617. DOI: 10.1177/0885066615595791.
  7. Pochard F, Azoulay E, Chevret S, Lemaire F, Hubert P, Canouï P, et al. Anxiety and depression in family members of ICU patients: Ethical considerations regarding decision-making capacity. Crit Care 2000;4(1):P233. DOI: 10.1186/cc952.
  8. Imanipour M, Kiwanuka F, Akhavan Rad S, Masaba R, Alemayehu YH. Family members’ experiences in adult intensive care units: A systematic review. Scand J Caring Sci 2019;33(3):569–581. DOI: 10.1111/scs.12675.
  9. Kleinpell RM, Powers MJ. Needs of family members of intensive care unit patients. Appl Nurs Res ANR 1992;5(1):2–8. DOI: 10.1016/s0897-1897(05)80076-x.
  10. Padilla-Fortunatti C, Rojas-Silva N, Amthauer-Rojas M, Molina-Muñoz Y. Needs of relatives of critically ill patients in an academic hospital in Chile. Enferm Intensiva 2018;29(1):32–40. DOI: 10.1016/j.enfi.2017.09.001.
  11. Sercekus P, Besen DB, Gunusen NP, Edeer AD. Experiences of family caregivers of cancer patients receiving chemotherapy. Asian Pac J Cancer Prev APJCP 2014;15(12):5063–5069. DOI: 10.7314/apjcp.2014.15.12.5063.
  12. Rennick JE, St-Sauveur I, Knox AM, Ruddy M. Exploring the experiences of parent caregivers of children with chronic medical complexity during pediatric intensive care unit hospitalization: An interpretive descriptive study. BMC Pediatr 2019;19(1):272. DOI: 10.1186/s12887-019-1634-0.
  13. Siddiqui S, Sheikh F, Kamal R. What families want – An assessment of family expectations in the ICU. Int Arch Med 2011;4(1):21. DOI: 10.1186/1755-7682-4-21.
  14. Hashim F, Hussin R. Family needs of patient admitted to intensive care unit in a public hospital. Procedia - Soc Behav Sci 2012;36:103–111. DOI: 10.1016/j.sbspro.2012.03.012.
  15. Hopia H, Tomlinson PS, Paavilainen E, Astedt-Kurki P. Child in hospital: Family experiences and expectations of how nurses can promote family health. J Clin Nurs 2005;14(2):212–222. DOI: 10.1111/j.1365-2702.2004.01041.x.
  16. Carnevale FA, Farrell C, Cremer R, Séguret S, Canouï P, Leclerc F, et al. Communication in pediatric critical care: A proposal for an evidence-informed framework. J Child Health Care Prof Work Child Hosp Community 2016;20(1):27–36. DOI: 10.1177/13674935 14540817.
  17. Gillis J, Rennick J. Affirming parental love in the pediatric intensive care unit. Pediatr Crit Care Med J Soc Crit Care Med World Fed Pediatr Intensive Crit Care Soc 2006;7(2):165–168. DOI: 10.1097/01.PCC.0000200943.25252.4F.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.