PP323 Topic: AS07–Family Care: Patient and Family Centered Care, Family Presence, Patient and Family Engagement in Research and Care/Patient Diaries/Other: UN-SEEN PATIENTS: CARING FOR SIBLINGS DURING PEDIATRIC CRITICAL HOSPITALIZATION
Bibliographic record
Abstract
Aims & Objectives: Childhood critical illness impacts the entire family. Disruption to routines, relationships, shifts in caregivers and uncertainty can significantly impact siblings and other children connected to family. Addressing sibling needs can reduce patient and family anxiety, enhance family adaptation, and improve child and family outcomes. We will describe the potential impacts of a critical illness hospitalization on siblings and offer experience- informed approaches for providing developmentally aligned support to impacted children. Methods: A sampling of the foundational and current evidence related to sibling experience was accessed and complimented by the author’s combined 98 years of practice experience caring for critically ill children and their families. Recommendations are moderated by the authors and supported by lived experience. Results: The experience of the critical hospitalization of a sibling or close family member is unique to the sibling relationship, their age and stage of development and the context of the hospitalization. Disruptions in the family, changes in parental behaviors, exposure to unfamiliar situations, uncertainty and fear can be overwhelming to the well children in the family. Practical interventions that are principle-based, goal-directed and individualized are effective in surfacing and addressing the needs of siblings. Conclusions: Sibling wellbeing is essential to family adaptation in critical childhood illness. It is fundamental that critical care providers seek out and actively engage with families to plan how to best support siblings and younger family members. Practical interventions that enable consistent, transparent, and strength- based sibling care facilitate best outcomes for the entire family. Keywords: family centered care, Siblings
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.006 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.004 | 0.003 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.332 | 0.115 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".