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Post-Intensive Care Syndrome: Comparison of Educational Interventions to Educate Parents of Children Hospitalized in the Pediatric Intensive Care Unit at St. Louis Children’s Hospital

Stephanie A. Esses, BSN, MSN

University of Missouri, St. Louis

Medical Professional Education

Media Originally for:

Nurses and/or Other Critical Care Medical Professionals


Background: Family members of children hospitalized in the pediatric intensive care unit (PICU) can develop cognitive, psychological, and physical manifestations of post-intensive care syndrome (PICS).Targeted education to help parents/caregivers recognize the signs and symptoms of PICS may result in better awareness of the syndrome and greater willingness to seek and receive support during their child’s PICU admission.
Objective: to evaluate three targeted PICS educational interventions to increase PICS awareness among parents/caregivers in the St. Louis Children’s Hospital (SLCH) PICU.
Results:Atotal of 62 parents/caregivers received one of three educational interventions:informational brochures (n=22), scripted informational conversation (n=20), or three-minute educational video (n=20). An additional 19 bedside nurses completed surveys to describe how each educational intervention affected daily work flow. Changes in parental/caregiver PICS fund of knowledgewas evaluated using Fischer’s exact test. All three educational interventions were associated with a significant improvement in understanding of PICS, with no single intervention being superior. Nursing surveys indicated that work flow was minimally disrupted using PICS education and that all interventions were perceived to be important and useful.
Conclusions:Targeted educational interventions led to improvement in knowledge about PICS among parents/caregivers and were well supported by PICU nursing staff. Thus, providing support for a sustainable implementation of PICS education in the SLCH PICU.

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