Enhancing Pediatric Care: The Role of Parental Decision Making

This essay explores the critical role of parental input in family-centered pediatric nursing, utilizing the PICO framework to investigate whether involving parents in decision-making improves patient care outcomes. The analysis of relevant articles highlights that parental involvement fosters reass...Read More

Running head: ESSAY ON STIGMA AND BIAS
Essay on stigma and bias
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ESSAY ON STIGMA AND BIAS
Introduction
The nursing care is an integral aspect associated with patient safety and welfare, and
the nurses are the only point of contact between the patients and the health care service
delivery. As discussed by Chadwick and Gallagher (2016), the nursing professional
environment is characterized as complex, ever-changing and demanding professional field.
For the family strength based nursing most importantly, the impact of the evidence based
practice is the most influential. First and foremost, it has to be mentioned in this context that
the evidence based practice the most effective technique for the nurses to successfully be able
to safe and effective care at all times (Barratt, 2018). This essay will use the PICO question
format in order to elaborate on the importance or parental input in family centred care.
Area of concern
The most significant are of concern for the nurses in the context of family centred
practice or for the family nurse practitioner is the paediatric nursing. In case of the paediatric
nursing, the impact of the parental input has often been underrated in case of the family based
nursing (McCormack & McCance, 2016). Although many nursing experts have stated the fact
that the nurses can take the assistance of the parental input and modify them so that the
parents can be equally involved in the process of care planning and implementation for their
children. Hence, in this case, the clinical question to be asked is “in the target population of
the paediatric patients and their parents, does the implementation of the parental decision
making as compared to not involving parental input improve care outcome for the patients?”
Clinical question
The clinical question is structured taking the assistance of the PICO format which
stands for population, intervention, comparison, and outcome. In this case, the population had
been paediatric patients and their parents, the intervention had been implementation of the
parental decision making, the comparison had been not involving parental input, and lastly,

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ESSAY ON STIGMA AND BIAS
the outcome had been the improvement of care outcomes for the paediatric patients and
greater patient satisfaction (Cates et al., 2018). The benefits of using a PICOT format for the
entire paper had been the fact that it divides and subdivides the PICOT question in small
phrases which can be used in the database to avail clear and succinct relevant research results.
In this case, we made the use of Cochrane library to look for the relevant articles.
Article analysis
In this case, Hill, Knafl and Santacroce, (2018) have stated in their article that the
impact of the parental input is extremely beneficial in developing care plans that are effective
and efficient in the addressing the exact care needs of the children. The authors have also
stated the fact that when parental decision making and input is involved very extensively, the
impact on the child is reassuring. In support Cates et al. (2018) have stated the fact that the
impact of the parental input in the decision making helps reassure the parents and lessens the
amount of stress that the parents are facing as well. Similarly, it has also been stated by the
authors that the control and sense of involvements helps the parents feel extremely linked to
the process and helps them become calm and collected in the process helping calm the
children as well. Although, the negative impact of too much involvements of the parents in
the care planning and implementation process has also been discovered in the literature as
well. Similarly, in their articles Giambra et al. (2017) have stated the fact that the impact of
excessive involvement of the parents can also cause negative impact and derail the recovery
journey of the child with excessive demands and refusal to participate in a certain care
activity which is extremely necessary for the child. Although, with proper communication
and patent education this challenge can be overcome.
Conclusion
Hence, on a concluding note, the impact of parental input in the decision making was
found to be highly effective and impactful in ensuring the safe and effective care service

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ESSAY ON STIGMA AND BIAS
delivery scenario for most of the children. Although, there had been a few challenges that had
been noticed, with proper patient education and evaluation can be helpful for the children and
the care outcomes will be improved excessively.

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ESSAY ON STIGMA AND BIAS
References:
Barratt, C. (2018). Developing resilience: the role of nurses, healthcare teams and
organisations. Nursing Standard, 33(7), 43-49.
http://dx.doi.org/10.7748/ns.2018.e11231
Cates, C. B., Weisleder, A., Johnson, S. B., Seery, A. M., Canfield, C. F., Huberman, H., ... &
Mendelsohn, A. L. (2018). Enhancing parent talk, reading, and play in primary care:
sustained impacts of the Video Interaction Project. The Journal of pediatrics, 199, 49-
56. https://doi.org/10.1016/j.jpeds.2018.03.002
Chadwick, R., & Gallagher, A. (2016). Ethics and nursing practice. Macmillan International
Higher Education. Retrieved from https://books.google.co.in/books?
hl=en&lr=&id=vG6CDAAAQBAJ&oi=fnd&pg=PP1&dq=Chadwick,+R.,+
%26+Gallagher,+A.+(2016).+Ethics+and+nursing+practice.
+Macmillan+International+Higher+Education.&ots=_Je4yVzUji&sig=5c9FBwQqYp
NA6YQS4P0k_jJCxs0
Giambra, B. K., Broome, M. E., Sabourin, T., Buelow, J., & Stiffler, D. (2017). Integration of
parent and nurse perspectives of communication to plan care for technology
dependent children: The theory of shared communication. Journal of pediatric
nursing, 34, 29-35. https://doi.org/10.1016/j.pedn.2017.01.014
Hill, C., Knafl, K. A., & Santacroce, S. J. (2018). Family-centered care from the perspective
of parents of children cared for in a pediatric intensive care unit: an integrative
review. Journal of pediatric nursing, 41, 22-33.
https://doi.org/10.1016/j.pedn.2017.11.007
McCormack, B., & McCance, T. (Eds.). (2016). Person-centred practice in nursing and
health care: theory and practice. John Wiley & Sons. Retrieved from
https://books.google.co.in/books?

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ESSAY ON STIGMA AND BIAS
hl=en&lr=&id=o8pJDAAAQBAJ&oi=fnd&pg=PR9&dq=McCormack,+B.,+
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