Children’s Drawings With Narratives in the Hospital Setting: Insights Into the Patient Experience
| Autor: | Natan Noviski, Brian M. Cummings, Maureen E. Clark, Megan E. Carleton |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Critical Care Hospital setting Art therapy MEDLINE Intensive Care Units Pediatric Pediatrics 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Patient experience Humans Medicine Narrative Prospective Studies 030212 general & internal medicine Child Prospective cohort study Qualitative Research business.industry Patient narratives Art Therapy General Medicine Hospitals Pediatric Patient Satisfaction Family medicine Pediatrics Perinatology and Child Health Female Nurse-Patient Relations business Child Hospitalized Qualitative research |
| Zdroj: | Hospital Pediatrics. 9:495-500 |
| ISSN: | 2154-1671 2154-1663 |
| DOI: | 10.1542/hpeds.2018-0170 |
| Popis: | OBJECTIVES: To explore PICU patients’ experiences and perceptions through their drawings with explanatory narratives. METHODS: Single-center prospective study in a 14-bed PICU in a tertiary care, academic-affiliated hospital. Pediatric patients age 6 to 17 years admitted to the PICU were approached to participate within 12 hours of transfer out of the PICU. Patients completed a brief study interview to identify the best and worst things about their PICU experience. Patients were asked to draw a picture of their experiences and then explain their drawings to study staff. RESULTS: Forty patients (median age 11 [6–17] years) agreed to participate. The median length of PICU stay was 2 days. The best aspects of the PICU stay included staff (25%), entertainment devices (15%), and food (13%). The worst aspects of the PICU stay that were reported were the intravenous line (25%), alarms (10%), and physical discomfort (10%). The most common elements in drawings were self-depictions (88%), monitors (53%), the intravenous line (50%), registered nurses (35%), and television (33%). Patient narratives related to their drawings provided additional insights regarding patient experiences in the PICU and identified various coping mechanisms used by patients to adapt to their experiences. CONCLUSIONS: Drawing, along with explanation, enables patients admitted to a PICU to disclose additional unique descriptive information about their experiences as patients. Facilitating this mode of communication may increase providers’ awareness of positive and negative aspects of a PICU admission and may be used to improve pediatric patients’ experiences in the hospital setting. |
| Databáze: | OpenAIRE |
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