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Parental perceptions of clown care in paediatric intensive care units
Author(s) -
Mortamet Guillaume,
Merckx Audrey,
Roumeliotis Nadia,
Simonds Caroline,
Renolleau Sylvain,
Hubert Philippe
Publication year - 2017
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/jpc.13448
Subject(s) - medicine , pediatric intensive care unit , intervention (counseling) , family medicine , logistic regression , pediatrics , intensive care , nursing , intensive care medicine
Aim The objective of this study was to report family satisfaction with regards to the presence of clowns in the paediatric intensive care unit ( PICU ). Methods This is a single‐centre survey‐based study, conducted over 4 months in a 12‐bed third level PICU in a university hospital. All parents present at the bedside of their child during clowning were considered as potential participants. Eligible parents were approached by one of the two intensivists as investigators and asked to complete a survey within the 48 h following the clowns’ intervention. Results Thirty‐three parents consented to complete the survey. Median age of children was 14 months (15 days to 16 years) and median Pediatric Logistic Organ Dysfunction (PELOD) score was 1 (0–22). Twenty‐four (72.7%) were considered as clinically stable while the clowns intervened. Twenty‐eight parents (84.8%) and 27 (81.8%) considered that clowns had a positive effect on themselves and on their child, respectively. Clown care was considered as necessary in 19 cases (57.6%), optional in 13 (39.4%) and unnecessary in 1 (3.0%). The degree of parental satisfaction was not significantly associated with the child's clinical stability. Conclusion We suggested that medical clowning in the PICU is well accepted by parents, regardless of severity of their child's condition. This study supports the adoption of medical clowning in PICUs as a patient‐ and family‐centred care practice.