Nursing team, family and hospitalized child interaction: an integrative review

Azevêdo, Adriano Valério dos Santos; Lançoni, Antônio Carlos; Crepaldi, Maria Aparecida

doi:10.1590/1413-812320172211.26362015

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Review • Ciênc. saúde colet. 22 (11) • Nov 2017 • https://doi.org/10.1590/1413-812320172211.26362015 copy

Nursing team, family and hospitalized child interaction: an integrative review

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

This study aims to present an integrative review of national and international scientific papers on nursing team, family, and hospitalized child interaction. Searches have been made to Bireme, Lilacs, Medline, IBECS, Psyc Info, Science Direct and Web of Science (2008-2013) databases, which allowed us to identify 31 papers represented by the following themes: Interpersonal relationship, Communication and Care. The establishment of interpersonal relationships in a technical and formal way causes difficulty in communication and in the actions aimed at providing care. Care has been the main theme in these researches. Companions demand increased attention to child and family needs from health professionals, and greater involvement of everyone in the process of care. Results suggest that health care teams need to recognize the dynamic experienced by the dyad (child/companion) in order to develop comprehensive care, encouraging family and child inclusion through humanization strategies.

Key words
Nursing maternal-child nursing; Family; Hospitalized child

Theme	Title	Author/year	Method	Design	Objective
Interpersonal Relationship	The experiences of children with learning disabilities, their carers and staff during a hospital admission	Jackson-Brown F, and Guvenir J (2009)	Qualitative	Exploratory Descriptive	Analyze the experience of children with learning difficulties, caregivers and health care team during hospital admission.
	Staff engagement during complex pediatric medical care: the role of patient, family, and treatment variables	Meltzer LJ, Steinmiller E, Simms S, Grossman M, and Li Y (2009)	Qualitative	Exploratory	(1) examine the relationship between levels of self-reported involvement of doctors and nurses and patient, family, and length of hospitalization variables; (2) examine the relationship between levels of self-reported involvement of doctors and nurses and the demographics of the respondents; and (3) compare the levels of self-reported involvement of doctors and nurses when working with complex-care patients.
	Relationships established by nurses with family during child hospitalization	Lima AS de, Silva VKBA da Collet N, Reichert AP da S, Oliveira BRG de. (2010)	Qualitative	Exploratory-descriptive	Analyze the relationships nurses establish with the family during their children's hospitalization and check how family's participation in hospitalized children care has been.
	The importance of the interpersonal relationship between nurse and hospitalized child's family	Murakami R, Campos CJG (2011)	Qualitative	Descriptive	Analyze the repercussion of interpersonal relationship between nurse and hospitalized child's family member to her illness, the implementation of hospital procedures and child's recovery.
	Struggling to create new boundaries: a grounded theory study of collaboration between nurses and parents in the care process in Iran	Aein F, Alhani F, Mohammadi E, Kazemnejad A (2010)	Qualitative	Exploratory-descriptive	Explore parents’ participation experiences in childcare in Iranian hospitals.
	Are we following the European charter? Children, parents and staff perceptions	Migone M, Nicholas FM, Lennon R (2008)	Qualitative	Descriptive	Verify if children, parents and staff at a pediatric hospital in Dublin, are adhering to a European Association for Children in Hospital protocol, which sets guiding principles for the treatment of children.
	Interaction between nursing team and family from the perspective of family members of children with chronic diseases	Rodrigues PF, Amador DD, Silva KL, Reichert APS, Collet N (2013)	Qualitative	Descriptive	Investigate the interaction of the nursing team with the family of the hospitalized child with chronic disease, from the perspective of accompanying family members who share caring in the hospital setting.
	Development of parent– nurse relationships in neonatal intensive care units: from closeness to detachment	Fegran L, Fagermoen MS, Helseth S (2008)	Qualitative	Exploratory and descriptive.	Explore relationships development between parents and nurses in a neonatal ICU.
	Relationship between nursing team and hospitalized child's companion: facilities and difficulties	Soares MF, Leventhal LC (2008)	Quantitative	Exploratory and descriptive..	Learn about facilities and difficulties that permeate the relationship between the nursing team and hospitalized children's companion, as well as the strategies utilized by both to mediate this relationship.
Communication	Understanding the views of parents of children with special needs about the nursing care their child receives when in hospital: a qualitative study	Avis M, Reardon R (2008)	Qualitative	Exploratory	Explore parents’ view on how their children with special needs have been cared for by the hospital's nursing team, focusing on how their own needs and the needs of their children had been identified and met.
	Parental satisfaction with nurses’ communication and pain management in a pediatric unit.	Hong SS, Murphy SO, Connolly PM (2008)	Qualitative	Quasi-experimental	Investigate whether a pamphlet describing assessment of pediatric pain in order to improve communication between parents and nurses would increase parents’ satisfaction.
	Impact of communication skills training on parents’ perceptions of care: intervention study	Ammentorp J, Kofoed PE, Laulund LW (2011)	Quantitative	Experimental	Investigate the effects of communication skills training for health professionals on parents’ perceptions about information, care and continuity.
	Chinese parents’ perception of support received and recommendations regarding children's postoperative pain management	He HG, Vehviläinen-Julkunen K, Pölkki T, Pietilä AM (2010)	Quantitative	Exploratory Descriptive	Describe the perceptions of Chinese parents on the informational and emotional support received from nurses, and their recommendations for child-in-pain management in the postoperative phase.
	The meaning of interaction between nursing professionals and newborn/Family during hospitalization	Pinheiro EM, Silva MJP da Angelo M, Ribeiro CA (2008)	Qualitative	Theory Grounded in Data	Understand the meaning of nursing team communication in the interaction with the newborn/ family during care provided in a neonatal unit, and develop theoretical model representing this experience.
	Parent-provider communication during hospitalization	Fisher MJ, Broome ME (2011)	Qualitative	Exploratory-descriptive	Compare the communication experiences of parents, nurses and doctors, in order to build a clearer image of communication facilitators and barriers for cancer treatment in the pediatric hospital environment.
	Team-Family communication in pediatric intensive care unit: impact on the hospitalization process	Nieweglowski VH, Moré CLOO (2008)	Qualitative	Exploratory-descriptive	Analyze the team-family communication process in a PICU and its impact on those involved in the hospitalization situation, from the theoretical perspective of Pragmatics of Human Communication.
Care	The relationship among nursing team, child and family in the immediate postoperative period of congenital heart diseases	Souza P, Scatolin BE, Ferreira DLM, Croti UA (2008).	Qualitative	Exploratory-descriptive	Check the nursing assistance and nurse's knowledge regarding the care of pediatric patients in the immediate postoperative period of congenital heart disease and his/ her work with their family in the pediatric cardiac ICU.
	Nursing team's perception on the importance of family member/companion presence in hospital.	Souza LD, Gomes GC, Santos CP (2009)	Qualitative	Exploratory-descriptive	Identify the perception of pediatrics unit nursing team on the importance of family member/companion stay with the hospitalized child.
	Postoperative pain management from the perspective of hospitalized child's parents	Silva LDG, Tacla MTGM, Rossetto EG (2010)	Qualitative	Exploratory-descriptive	Investigate parents’ perception of postoperative pain management by the nursing team and their involvement in this process.
	Interaction family member/companion and nursing team in hospitalized child care: perspectives for pediatric nursing	Souza TV, Oliveira ICS (2010)	Qualitative	Case Study	Describe the care provided by the family member/companion and by the nursing team to the child during hospitalization; analyze the strategies established between the family member/companion and the nursing team to provide care to the child; and discuss the interaction of the family member/ companion and the nursing team regarding hospitalized child care.
	Nurse's educational health practices toward hospitalized child's family	Góes FGB, Cava AML (2009)	Qualitative	Exploratory-descriptive	Characterize nurse's educational health practices toward hospitalized child's family.
	Family in the pediatric unit: nursing team's perceptions on the caring dimension	Sousa LD de, Gomes GC, Silva MRS, Santos CP, Silva BT (2011)	Qualitative	Exploratory	Identify the meaning of hospitalized child care for the pediatric unit nursing team.
	Child hospitalization: nursing conceptions on the accompanying mother	Quirino DD, Collet N, Neves AFGB (2010)	Qualitative	Exploratory	Grasp the understanding of the nursing team that provides care to hospitalized children, regarding the mother's presence during her child's hospitalization.
	Therapeutic toy: benefits experienced by nurses in the assistance practice to child and family	Maia EBS, Ribeiro CA, Borba RIH (2008)	Qualitative	Exploratory-descriptive	Present and discuss the benefits of therapeutic toys experienced by nurses who utilize them in their assistance practice to child and family.
	Nursing team's perceptions regarding the father as caregiver in the pediatric unit	Gomes GC, Lunardi-Filho WD, Erdmann AL (2008)	Qualitative	Exploratory-descriptive	Identify the perceptions of the nursing team at a university hospital Pediatrics Unit in southern Brazil regarding the presence of the father as caregiver of his child during her hospitalization.
	Parental participation and mismanagement: a qualitative study of child care in Iran	Aein F, Alhani F, Mohammadi E, Kazemnejad A (2009)	Qualitative	Exploratory-descriptive	Explore experiences of parents’ participation in children care in hospitals in Iran.
Care	The meaning of child care and family perception for the nursing team	Pinto MCM, Camata DG, Oliveira AC, Dalge D P, Paes AT (2009).	Quantitative	Descriptive	Describe the meaning of child care and family perception for the nursing team.
	The meaning of pediatric hospitalization from family and nursing professionals’ perspective	Mariano LRA, Backes DS, Ilha S, Nicola GDO, Freitas HMB, Ferreira CLL (2011)	Qualitative	Exploratory-descriptive	Understand the meaning of pediatric hospitalization from family and nursing professionals’ perspective.
	Mothers’ understanding on the care provided by the health team at a children's hospital	Gomes, ILV, Caetano R, Jorge MSB (2010)	Qualitative	Exploratory-descriptive	Understand how companions perceive the care given to their child in this assistance environment, in order to contribute to reflections and development of actions that can facilitate respect for pediatric patients’ rights and a more humane care.
	Nursing care to hospitalized children: the perception of accompanying mothers	Strasburg AC, Pintanel AC, Gomes GC, Mota MS (2011)	Qualitative	Descriptive	Understand the perception of hospitalized children's mothers about the quality of the care provided by the nursing staff in the PU.
	Nursing professional's typical procedure regarding hospitalized child's family care	Rossi CS, Rodrigues BMRD (2010)	Qualitative	Descriptive	Analyze the care dynamics in pediatric hospitalization units from the perspective of nursing professionals, and grasp the typical procedure of nursing professionals regarding hospitalized child's family care.

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[1] Collaborations

AVS Azevêdo delimited the integrative review and the process of searching for articles in databases. AC Lançoni Júnior analyzed the articles identified in the databases and described in the results section. MA Crepald reviewed the general text and assisted in the process of categorizing the articles and synthesizing the results.