ORCID Profile
0000-0001-5573-195X
Current Organisation
Great Ormond Street Hospital
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Publisher: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
Date: 02-2023
Publisher: RCN Publishing Ltd.
Date: 07-12-2022
Publisher: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
Date: 02-2023
Publisher: Wiley
Date: 17-08-2021
DOI: 10.1111/NICC.12703
Abstract: Teenagers represent a small proportion of patients on paediatric intensive care units (PICU) in the United Kingdom. During a time when their development is rapidly changing, an admission to PICU causes additional disruption. The impact of critical illness on psychological health after discharge has not been widely reported within this population. To measure anxiety that teenagers report 48‐96 hours and 4 weeks after discharge from PICU. To explore teenagers' experiences of being admitted onto PICU. Two‐phase mixed methods, explanatory sequential design. This single‐site study was conducted between February and July 2018. An NHS Ethics committee approved the study. Teenagers were screened if they were aged 13‐18 years old and had an elective or emergency admission to PICU for longer than 24 hours. Hospital Anxiety and Depression Scale, Anxiety subscale (HADS‐A) was administered on paper and completed with the researcher present. Semi‐structured interviews were conducted in‐person and over the telephone, audio‐recorded and transcribed verbatim. Data were analysed using inductive thematic analysis. Nine of eighteen participants (50%) obtained scores indicating levels of anxiety which were mild (n = 3 17%), moderate (n = 2 11%), or severe (n = 4 22%) 48‐96 hours after PICU discharge. Four weeks later, all participants scored below the clinically significant cut‐off level for the HADS‐A‐1 Teenagers described their experiences on PICU within three themes: Memories of treatments, side effects, and the PICU environment Losing a sense of self Feeling cared for Measured levels of anxiety had resolved in this small s le, 4 weeks after PICU discharge. This finding was not consistent with qualitative data that indicated that many experiences shared by participants were anxiety provoking. Support for teenagers after PICU discharge should be available to meet in idual needs screening teenagers to identify support needs would be beneficial.
Publisher: Wiley
Date: 21-03-2023
DOI: 10.1111/NICC.12898
Publisher: SAGE Publications
Date: 27-03-2020
Abstract: Congenital heart disease (CHD) is the most common birth defect. Little is known of the impact of having a sibling with CHD. Available literature documents negative impact of having a sibling with other chronic conditions. This literature review considers empirical evidence investigating the impact of having a sibling with CHD. Twelve databases were searched, and 202 articles retrieved. Eleven articles met the inclusion criteria and were subject to data extraction, quality appraisal, and narrative synthesis. Three themes emerged: changes in normal life, impact on siblings, and factors affecting the extent of impact on siblings. Only one intervention study was identified, 5 of 10 studies were conducted over 20 years ago, and only 4 studies included children as participants. Evidence suggests siblings of children with CHD experience adverse life changes which lead to negative impacts in several domains. Evidence is inconclusive regarding mitigating factors of these impacts. Further research is needed to understand the experiences of being a sibling of a child with CHD.
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Elizabeth Bichard.