1. A 'biopsychosocial' model for recovery: a grounded theory study of families' journeys after a Paediatric Intensive Care Admission
- Author
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Ellie Atkins, Gillian Colville, and Mary John
- Subjects
Biopsychosocial model ,Male ,Parents ,Adolescent ,National Health Programs ,media_common.quotation_subject ,MEDLINE ,Models, Psychological ,Critical Care Nursing ,Intensive Care Units, Pediatric ,Grounded theory ,Interviews as Topic ,Patient Admission ,Nursing ,Professional-Family Relations ,Intensive care ,London ,Medicine ,Humans ,Family ,Parent-Child Relations ,Child ,Qualitative Research ,media_common ,business.industry ,Paediatric intensive care ,Infant ,Recovery of Function ,Resilience, Psychological ,Outcome and Process Assessment, Health Care ,Child, Preschool ,Workforce ,Chronic Disease ,Female ,Psychological resilience ,business ,Qualitative research ,Psychophysiology - Abstract
Summary Paediatric intensive care has a significant impact on the children and families who experience it. This effect continues post-discharge as the family attempt to recover from their ordeal. This article begins with an exploration of what makes a Paediatric Intensive Care Unit (PICU) admission potentially so traumatising and then examines current models for recovery which exist in the literature. These remain sparse and do not provide a coherent model for recovery after PICU. This paper therefore presents research which aimed to develop a model to understand the recovery journey for families. Children who had been PICU patients and their parents were interviewed and the transcripts analysed using grounded theory. Participants highlighted the importance of physical, psychological and social recovery and these have been integrated into a biopsychosocial model of recovery. Finding and accepting a ‘new normal’ were the culmination of this biopsychosocial journey. This paper concludes that an integrated approach to recovery is necessary and makes some recommendations for further research and clinical practice. © 2011 Elsevier Ltd. All rights reserved.
- Published
- 2011