A pediatric intensive care nurse wants to practice in a way that helps reduce parents' stress while their child is in the unit. Which action by the nurse would be most helpful?
A.
Explain procedures to the parents first, then to the child.
B.
Include the parents in all decisions and care activities.
C.
Provide comprehensive discharge teaching in advance.
D.
Round with physicians to ensure parents' understanding.
ANS: B
Incorporating a family-centered approach to care is the best way to reduce stress and anxiety in the critically ill child's family. Involving the family in all decisions and care activities (if appropriate) is one of the most powerful ways of providing family-centered care. Comprehensive discharge teaching is a good nursing intervention, but not as important as including the family. Discharge teaching also cannot be done too far in advance. Rounding with physicians to ensure understanding is a great intervention, but is not as important as inclusion. Explaining procedures to the parents first, then to the child, may or may not be appropriate.
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