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INVESTIGATION OF PEDIATRIC NURSES' VIEWS, ATTITUDES AND BEHAVIORS ON FAMILY-CENTERED CARE DURING THE PANDEMY
- Sevil Özkan (Turkey)
Abstract
Background and Aims
Family-centered care, which is a basic care model in pediatric nursing. The study was conducted to investigate the views, attitudes and behaviors of pediatric nurses regarding family-centered care during the pandemic process.
Methods
The sample size was calculated by G-power, and was determined as 103 pediatric nurses. Questionnaire Form; Questionnaire on Knowledge, Attitudes and Behaviors about Family-Centered Care During the Pandemic Process; Caring Behaviors Inventory were used during online data collection between March-July 2021. Descriptive statistics, Kruskal Wallis H Test, Mann-Whitney U test were used to analyze the data.
Results
The age range was 21 to 42 with a mean age of 28.36±5.169. The majority of the nurses were women, working in general pediatric clinics, and had a bachelor degree. The nurses stated that there was a regulation and protocol regarding family-centered care (46.6%), and family-centered care (64.1%) in the institution. Also, the nurses reported that family-centered care practice decreased in the Covid-19 pandemic (48.5%). The mean score of the nurses from the Caring Behaviors Inventory was high (5.19±0.86); it was determined that the nurses' status of having a child, working time in the Covid pandemic and changes in family-centered care practices in the pandemic were significantly related to the mean score of Caring Behaviors Inventory by the nurses (p<0.05).
Conclusions
The Covid-19 pandemic has had a significant impact on the professional roles and responsibilities of pediatric nurses, because of this some main concepts in pediatric nursing(such as Family-centered care) need to be reconsidered.
DIAGNOSIS DELAY IS ASSOCIATED WITH CARDIOGENIC SHOCK IN PEDIATRIC INFLAMMATORY MULTISYSTEM SYNDROME TEMPORALLY ASSOCIATED WITH SARS-COV-2 (PIMS-TS)
- Saïd Bichali (France)
Abstract
Background and Aims
Diagnosis delay leads to an increased risk of coronary artery aneurysms in Kawasaki disease. In pediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 (PIMS-TS), diagnosis delay could be associated with severity. This study aims to test the hypothesis that a long time to diagnosis is associated with shock in PIMS-TS.
Methods
A single-center observational study was conducted between May 2020 and April 2022. Children with a PIMS-TS diagnosis meeting WHO criteria were included. A long time to diagnosis was defined as 6 days or more. Outcomes were assessed on cardiogenic shock defined by the need for inotropes (dobutamine, milrinone, adrenaline). Vasoplegic shock was defined by the need for fluid bolus > 20 ml/kg and/or vasopressor (noradrenaline).
Results
Thirty-two children were included in the study. One child was excluded due to previous vaccination against COVID-19. The median time to diagnosis was 5.3 [4.0-6.3] days. Children with a long time to diagnosis (n=13), compared with those with a short time to diagnosis (n=18), had more often cardiogenic shock (8 children (57%) versus 0 child (0%) respectively, p<0.001) but as frequent vasoplegic shock (3 children (17%) versus 3 children (23%) respectively, p=0.68). Children with a long time to diagnosis, compared with those with a short time to diagnosis, were older (10 [8-11] years old versus 7 [5-9] years old respectively, p=0.03). No child needed mechanical ventilation nor ECMO.
Conclusions
Diagnosis delay is associated with cardiogenic shock in PIMS-TS. Early diagnosis and treatment are crucial to avoid the use of inotropes and limit morbidity, especially in older children.