A 鈥榖iopsychosocial鈥?model for recovery: A grounded theory study of families鈥?journeys after a Paediatric Intensive Care Admission

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• 作者：Ellie Atkins^a ; ^b ; ^{Ellie.atkins@nhs.net} ; Gillian Colville^b ; Mary John^a
• 关键词：Paediatrics ; Intensive care ; Recovery ; Families ; Grounded theory ; Biopsychosocial
• 刊名：Intensive and Critical Care Nursing
• 出版年：2012
• 期刊代码：146_09643397
• 类别：med
• 出版时间：June, 2012
• 卷：28
• 期：3
• 页码：133-140
• 文件大小：363 K

摘要

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Summary

Paediatric intensive care has a significant impact on the children and families who experience it. This effect continues post-discharge as the family attempt to recover from their ordeal. This article begins with an exploration of what makes a Paediatric Intensive Care Unit (PICU) admission potentially so traumatising and then examines current models for recovery which exist in the literature. These remain sparse and do not provide a coherent model for recovery after PICU. This paper therefore presents research which aimed to develop a model to understand the recovery journey for families. Children who had been PICU patients and their parents were interviewed and the transcripts analysed using grounded theory. Participants highlighted the importance of physical, psychological and social recovery and these have been integrated into a biopsychosocial model of recovery. Finding and accepting a 鈥榥ew normal鈥?were the culmination of this biopsychosocial journey. This paper concludes that an integrated approach to recovery is necessary and makes some recommendations for further research and clinical practice.