Social Work - Theses
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ItemPsychosocial care for families during paediatric emergencies: Development of an evidence-informed model of care( 2023-10)The presence of parents during paediatric resuscitation and healthcare emergencies is now accepted practice in paediatric emergency departments internationally. The benefits to children, families and staff of having parents present during paediatric health care emergencies have been documented over the last three decades. However, there is limited guidance for clinicians who support families through these critical events, and scant literature on psychosocial care models or interventions for use specifically in paediatric emergency departments. The aim of this study was to develop an evidence-informed, preventive and therapeutic model of acute psychosocial care for use in paediatric emergencies. This study was undertaken within a pragmatist paradigm, using a mixed methodology including both quantitative and qualitative approaches. This included a scoping literature review, a retrospective clinical audit of the presenting population and psychosocial service response, and interviews with the parents of children who had received resuscitative care. A synthesis of these data informed the proposal of a model of care. The study adhered to the ethical requirements of The University of Melbourne and The Royal Children’s Hospital Melbourne Human Research Ethics Committees. Each phase of this study generated new evidence. The scoping review provided an overview of available models and frameworks; the clinical audit illustrated details about the presenting population and their service usage, while identifying key variables associated with parent distress; and the interviews highlighted parents’ experiences, generating important themes to consider when caring for families during paediatric emergencies. At the study's conclusion, a model for the acute psychosocial care of families during paediatric emergencies was proposed.