Skip to main content
Erschienen in: Italian Journal of Pediatrics 1/2014

Open Access 01.12.2014 | Meeting abstract

Humanization in the management of hospitalized children and adolescents

verfasst von: Gianluigi Gargantini

Erschienen in: Italian Journal of Pediatrics | Sonderheft 1/2014

download
DOWNLOAD
print
DRUCKEN
insite
SUCHEN
The rights of infants and children in hospital, which are universally accepted from an ideological point of view, result as being only partially applied and in a non-homogenous way in the different realities[13]. Many countries have set standards which would allow the translation of these principles into clinical practice. In 2008 the Italian Pediatric Society (SIP) and the Foundation for Children in Hospital, with the support of Progea & Joint Commission International, drafted a specific manual in which the requirements to be satisfied are clearly expressed and in which they also started up a voluntary accreditation programme of paediatric departments. The humanization of hospitals is a continually evolving process in relation to the changing needs of children and to the context in general. The current reference model is the Patient and Family Centered Care (PFCC) [4]. Intervention is required at all levels.
Training: this represents the foundation of the process and should examine the numerous aspects such as communication, management of relationships, cultural competence and teamwork.
Organization: activation of alternative assistance models, or models integrated to hospital admission; admission into spaces which are separated from those of adults (it occurs in 72.2% of subjects between 0-17 years of age and in 16% of those between 15 and 17); dedicated paths and guaranteed paediatric treatment in all areas of assistance, including the emergency area; family centered round care which represents the hospital paradigm of the PFCC concept in which the multidisciplinary discussion is carried out within the room, in the presence of the child and the family, integrating their outlook in the decision process; organizational flexibility and in the procedures [5].
Structure: the wards should be designed with the concept of a “paediatric hospital” within a general hospital where minors are cared for in dedicated areas and with sufficient flexibility to respond to the various needs. The optimal number of single rooms is a subject of debate. For adolescents, separated areas which safeguard privacy and independence are essential. Spaces for support activities and family members’ comfort must be provided for (table 1).
Table 1
SIP SURVEY OF 237 PEDIATRIC WARDS – 2010
ASPECTS OF HOSPITALITY
%
NO SINGLE ROOM
23
ADOLESCENT HOSPITALIZATION AREA
26
GAMES ROOM
91
ADOLESCENT ENTERTAINMENT AREA
23
SCHOOL
53
VOLUNTEER ASSOCIATION
61
AVAILABILITY OF A CULTURAL MEDIATOR
74
TRANSLATION TELEPHONE SERVICE
19
Information and education: aimed at actively involving the children and the families in the decisions and in the treatment, but also at understanding one’s rights.
It is fundamental to have a strong local leadership that drives the change with group work, alliances with institutions and involving children and families. Validated measures of process and outcome are necessary.
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://​creativecommons.​org/​licenses/​by/​4.​0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://​creativecommons.​org/​publicdomain/​zero/​1.​0/​) applies to the data made available in this article, unless otherwise stated.
download
DOWNLOAD
print
DRUCKEN
Literatur
1.
Zurück zum Zitat Foster M, Whitehead L, Maybee P, Cullens V: The parents', hospitalized child's and health care providers' perceptions and experiences of family centered care within a pediatric critical care setting. A metasynthesis of qualitative research. J Fam Nurs. 2013, 19: 431-468. 10.1177/1074840713496317.CrossRefPubMed Foster M, Whitehead L, Maybee P, Cullens V: The parents', hospitalized child's and health care providers' perceptions and experiences of family centered care within a pediatric critical care setting. A metasynthesis of qualitative research. J Fam Nurs. 2013, 19: 431-468. 10.1177/1074840713496317.CrossRefPubMed
2.
Zurück zum Zitat Kelly M, Jones S, Wilson V, Lewis P: How children’s rights are constructed in family-centered care: a review of the literature. J Child Health Care. 2012, 16: 190-205. 10.1177/1367493511426421.CrossRefPubMed Kelly M, Jones S, Wilson V, Lewis P: How children’s rights are constructed in family-centered care: a review of the literature. J Child Health Care. 2012, 16: 190-205. 10.1177/1367493511426421.CrossRefPubMed
3.
Zurück zum Zitat Migone M, Nicholas F, Lennon R: Are we following the European charter? Children, parents and staff perceptions. Child Care Health Dev. 2008, 34: 409-417. 10.1111/j.1365-2214.2008.00822.x.CrossRefPubMed Migone M, Nicholas F, Lennon R: Are we following the European charter? Children, parents and staff perceptions. Child Care Health Dev. 2008, 34: 409-417. 10.1111/j.1365-2214.2008.00822.x.CrossRefPubMed
4.
Zurück zum Zitat Committee on Hospital Care and Institute for Patient and Family Centered Care: Patient-and family-centered care and the pediatrician’s role. Pediatrics. 2012, 129: 394-404.CrossRef Committee on Hospital Care and Institute for Patient and Family Centered Care: Patient-and family-centered care and the pediatrician’s role. Pediatrics. 2012, 129: 394-404.CrossRef
5.
Zurück zum Zitat Mittal V, Sigrest T, Ottolini M, Rauch D, Lin H, Kit B, Landrigan c, Flores G: Family-centered rounds on pediatric wards: a PRIS network survey of US and Canadian hospitalists. Pediatrics. 2010, 126: 37-43. 10.1542/peds.2009-2364.CrossRefPubMed Mittal V, Sigrest T, Ottolini M, Rauch D, Lin H, Kit B, Landrigan c, Flores G: Family-centered rounds on pediatric wards: a PRIS network survey of US and Canadian hospitalists. Pediatrics. 2010, 126: 37-43. 10.1542/peds.2009-2364.CrossRefPubMed
Metadaten
Titel
Humanization in the management of hospitalized children and adolescents
verfasst von
Gianluigi Gargantini
Publikationsdatum
01.12.2014
Verlag
BioMed Central
Erschienen in
Italian Journal of Pediatrics / Ausgabe Sonderheft 1/2014
Elektronische ISSN: 1824-7288
DOI
https://doi.org/10.1186/1824-7288-40-S1-A31

Weitere Artikel der Sonderheft 1/2014

Italian Journal of Pediatrics 1/2014 Zur Ausgabe

Meeting abstract

Chickenpox vaccination

Update Pädiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.