Caring for the Acutely, Severely Ill Child-A Multifaceted Situation with Paradoxical Elements: Swedish Healthcare Professionals' Experiences

Caring for the Acutely, Severely Ill Child-A Multifaceted Situation with Paradoxical Elements : Swedish Healthcare Professionals' Experiences

Purpose: The aim of this study was to describe healthcare professionals' experience of caring for acutely, severely ill children in hospital in Sweden.Design and Methods: Five focus group interviews were conducted with nurses, nurse assistants and physicians comprising a total of 20 participants. Data were analyzed using qualitative content analysis.Results: An overall theme emerged that describes healthcare professionals' experiences as: "being in a multifaceted area of tension with paradoxical elements". The theme is based on three categories: proficiency of the individuals and the team is the fundamental base; interactions are crucial in an area of tension; and wellbeing of the individual is a balance of contradictory emotions. With maintained focus on the ill child, proficiency is the fundamental base, interactions are crucial, and moreover contradictory emotions are described.Conclusions: The interplay based on proficiency may influence the assessments and treatments of acutely, severely ill children.Practice Implications: Recognizing the multifaceted area of tension with paradoxical elements, practical teamwork exercises, a structured approach, and assessment tools could be a possible way to develop interprofessional team collaboration to improve the care of acutely, severely ill children in order to increase patient safety.

Målqvist, MatsUppsala universitet,Internationell mödra- och barnhälsovård (IMCH)(Swepub:uu)matma534 (author)
Engvall, GunnUppsala universitet,Pediatrik(Swepub:uu)gueng932 (author)
Uppsala universitetPediatrik (creator_code:org_t)

In:Journal of Pediatric Nursing: Elsevier BV31:5, s. E293-E3000882-59631532-8449

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