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Commentary on: Ramnarayan P, Wood D, Draper E, et al. Transport of critically ill children to paediatric intensive care units in the UK and Ireland: 2013-2022. Arch Dis Child. 2024 Aug 29:archdischild-2024-327088. doi: 10.1136/archdischild-2024-327088
Implications for practice and research Although in the past, parents were not permitted to travel with their child during specialist paediatric intensive care transport, this is now encouraged in quality standards and this audit shows that the majority of parents opt to accompany their child in the retrieval ambulance, when given the opportunity. Adverse incidents during transfer to paediatric intensive care units are rare (2–5%) but future research into their root causes could facilitate further quality improvement in these services.
Centralisation of paediatric intensive care has required that greater numbers of critically ill children are transferred from local hospitals to the nearest paediatric intensive care unit (PICU). The...
Commentary on: Sabetsarvestani R, Geckil E. A meta-synthesis of the experience of paediatric nurses in communication with children. J Adv Nurs 2024;00:1-16. doi: 10.1111/jan.16072
Paediatric nurses stressed the need for a multimodal approach to communication with children and young people, supplementing verbal interaction with appropriate facial expressions, gestures, tone and use of play. Nurses identified the need to balance communication involving a child and their parents (triadic) and communicating with the child without parents (dyadic) in order to ascertain the child’s understanding and concerns directly rather than solely relying on parental reporting. Parents were described as both aiding nurse communication with children and, in some cases, hindering it. Further communication training for nurses has the potential to improve the quality of care and job satisfaction.
The importance of good communication with patients and their families is...
Commentary on: Bennett SD, Rojas N, Catanzano M, et al. Feasibility, acceptability and preliminary effectiveness of a mental health drop-in centre for the siblings of young people attending a paediatric hospital. J Child Health Care. 2023 Oct 18:13674935231206895. doi: 10.1177/13674935231206895.
Implications for practice and research In this study, a combination of brief intervention, onward referral and signposting was associated with significant improvements in mental health and quality of life in a group of siblings of paediatric patients. Further research providing more accessible support for families by co-locating services in outpatient paediatric settings may reach groups that would not otherwise come forward for help.
The literature on the well-being of siblings of children with serious medical conditions indicates that they are at elevated risk of emotional and behavioural problems.
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