Parental presence, participation, and engagement in paediatric hospital care: A conceptual delineation.

Autor:	Harlow, Ashleigh B., Ledbetter, Leila, Brandon, Debra H.
Předmět:	MEDICAL information storage & retrieval systems CHILDREN'S health FEAR PROXY INTERPROFESSIONAL relations SATISFACTION HUMANITY PATIENT-family relations CINAHL database HOSPITAL care CHILDREN'S hospitals EMOTIONS PARENTING PEDIATRICS SYSTEMATIC reviews MEDLINE FAMILY-centered care COMMUNICATION PSYCHOLOGY of parents ONLINE information services SOCIAL support CONCEPTS PATIENT participation PSYCHOLOGY information storage & retrieval systems INTEGRATED health care delivery PATIENTS' attitudes
Zdroj:	Journal of Advanced Nursing (John Wiley & Sons, Inc.); Jul2024, Vol. 80 Issue 7, p2758-2771, 14p
Abstrakt:	Aim: To delineate between the concepts of parental presence, participation, and engagement in paediatric hospital care. Design: The concepts' uses in the literature were analysed to determine attributes, influences, and relationships. Methods: Delineations of each concept are established and conceptual definitions are proposed following Morses' methods. Data Sources: MEDLINE (PubMed); CINAHL, PsycINFO, Sociology Source Ultimate (EBSCOhost); Embase, Scopus (Elsevier); Google Scholar. Search dates October 2021, February 2023. Results: Multinational publications dated 1991–2023 revealed these concepts represent a range of parental behaviours, beliefs, and actions, which are not always perceptible to nurses, but which are important in family‐integrated care delivery. Parental presence is the state of a parent being physically and/or emotionally with their child. Parental participation reflects parents' performing caregiving activities with or without nurses. Parental engagement is a parents' state of emotional involvement in their child's health and the ways they act on their child's behalf. Conclusion: These concepts' manifestations are important to parental role attainment but may be inadequately understood and considered by healthcare providers. Implications: Nurses have influence over parents' parental presence, participation, and engagement in their child's care but need support from healthcare institutions to ensure equitable family‐integrated care delivery. Impact: Problem: Lack of clear definition among these concepts results in incomplete and at times inequitable family‐integrated care delivery. Findings: Parental presence is an antecedent to parental participation, and parental presence and participation are elements of parental engagement. The concepts interact to influence one another. Impact: Hospitalized children, their families, nurses, and researchers will benefit through a better understanding of the concepts' attributes, interactions, and implications for enhanced family‐integrated care delivery. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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