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      Family's presence in the pediatric emergency room: opinion of health's professionals

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          Abstract

          Objective:

          To learn the opinion of health professionals regarding the presence of family during pediatric emergency care.

          Methods:

          Cross-sectional study, performed with 46 health professionals, members of the medical and nursing team of a pediatric emergency service. The data were collected via the application of a questionnaire composed by variables related to the opinion of professionals about the studied subject, in line with the professional category and the vocational training time, as well as invasive procedures during which the presence of family is authorized by the professionals.

          Results:

          The medical staff and the professionals with shorter time after graduation (<10 years) were more favorable to the presence of family during emergency procedures. Regarding the complexity of the procedures, the nursing staff proved more favorable to the presence of family during less complex procedures - peripheral venous puncture and fluid sample - whereas the consent of the medical staff was similar, regardless the performed procedure - peripheral venous puncture, fluid sample, intraosseous puncture, tracheal intubation and cardiopulmonary resuscitation.

          Conclusions:

          In order to allow the presence of family in the emergency room, it is necessary to sensitize health professionals, especially the nursing staff and the longer-term acting professionals, which are more resistant to allow the family to stay with the child during the emergency care.

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          Most cited references41

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          Generalized linear models

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            Introdução a Pesquisa Qualitativa

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              The evolution of family-centered care.

              The aim of this study is to explore the history of family-centered care (FCC). FCC was developed after Word War II, when nursing, then deeply paternalistic, had become asynchronous with changing social expectations for the care of hospitalized children. This is a historical review of literature reflecting development of pediatric models of care using publications of classic theorists and others. Development of FCC resulted from work by U.S. and UK researchers, theorists, and advocates. Their research was right for its time, and its acceptance was the result of social readiness for change resulting from people's experience of Word War II. Word War II brought about changes enabling emergence of lobby groups concerned with children in hospital, awakening of pediatric health professionals to family-oriented practice, and development of models of care that allowed widescale adoption of FCC.
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                Author and article information

                Journal
                Rev Paul Pediatr
                Rev Paul Pediatr
                rpp
                Revista Paulista de Pediatria
                Sociedade de Pediatria de São Paulo
                0103-0582
                1984-0462
                Oct-Dec 2015
                Oct-Dec 2015
                : 33
                : 4
                : 460-466
                Affiliations
                [a ]Hospital Universitário da Universidade de São Paulo (USP), São Paulo, SP, Brazil
                [b ]Universidade de São Paulo (USP), São Paulo, SP, Brazil
                [a ]Hospital Universitário da Universidade de São Paulo (USP), São Paulo, SP, Brasil
                [b ]Universidade de São Paulo (USP), São Paulo, SP, Brasil
                Author notes
                [* ] Corresponding author. E-mail: fmekitarian@ 123456usp.br (F.F.P. Mekitarian).

                Conflicts of interest

                The authors declare no conflicts of interest.

                [* ] Autor para correspondência. E-mail: fmekitarian@ 123456usp.br (F.F.P. Mekitarian).

                Conflitos de interesse

                Os autores declaram não haver conflitos de interesse.

                Article
                10.1016/j.rpped.2015.03.010
                4685567
                26298660
                2d4904d2-1cec-4536-9982-f9ef5a11ef07
                © 2015 Sociedade de Pediatria de São Paulo. Published by Elsevier Editora Ltda

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 25 November 2014
                : 12 March 2015
                Categories
                Original Articles

                pediatrics,emergency medical services,patient care team,professional-family relations,pediatria,serviços médicos de emergência,equipe de assistência ao paciente,relações profissional-família

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