OP053 Topic: AS07–Family Care: Patient and Family Centered Care, Family Presence, Patient and Family Engagement in Research and Care/Patient Diaries/Other: UNPLANNED INPATIENT TRANSFERS TO THE PEDIATRIC INTENSIVE CARE UNIT: A QUALITATIVE DESCRIPTIVE STUDY OF PARENTAL EXPERIENCES
Bibliographic record
Abstract
Aims & Objectives: Pediatric Intensive Care Unit (PICU) admission is associated with psychological morbidity for children and families. Prior studies focusing on parental experiences of PICU admissions have identified transitions of care as a theme. This study explores aspects unique to transitions to and from PICU in the context of an in-hospital deterioration event. Methods: Single-center, qualitative descriptive study in which parents of children who survived to PICU discharge after inpatient deterioration and unplanned transfer to PICU were interviewed. Transcripts were independently inductively coded by two reviewers. Once coding consensus was reached, a thematic analysis was conducted to generate key themes. Results: Parents of 13 children (age 1 month to 16 years) who experienced in-hospital clinical deterioration and unplanned transfer to the PICU participated. Key themes were: 1) time to mentally prepare (prior PICU experiences, noticing their child changing, rapid sentinel event, night-time disorientation); 2) dichotomy of relief and apprehension (uncertainty and fear of admission, relief about recovery, monitoring in different environments); 3) family-centered care (valued as part of the healthcare team, communication and understanding rationale, importance of parental support person); and, 4) continuity of care (witnessing team handovers, familiar faces in follow-up). Conclusions: Parents experience mixed emotions when their child deteriorates and is transferred from an inpatient unit to PICU and upon PICU discharge to the hospital ward. As part of a family-centered approach to care, active efforts to include parents in the assessment of their child’s clinical condition and during times of transition may aid in mental preparation for transitions to and from PICU. Keywords: family centered care, family experience, patient transfer, qualitative, patient deterioration
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 | 0.003 | 0.006 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.004 | 0.002 |
| Scholarly communication | 0.003 | 0.003 |
| Open science | 0.001 | 0.004 |
| Research integrity | 0.002 | 0.001 |
| Insufficient payload (model declined to judge) | 0.041 | 0.004 |
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".