Parenting is the biggest sacrifice one can make. It is putting you on hold to fulfill the promise of your child's tomorrow. Parents' presence acts as a morale catalyst during the treatment of a sick child. Although parental involvement in the treatment of hospitalised children is now regarded as essential, it remains one of the concepts on which there is no agreement. Parents' involvement and care during the procedures for hospitalised children also defines how parental involvement alleviates parent-child anxiety and prevents post-traumatic stress disorder. On the contrary, parental presence violates the privacy of healthcare team members and also increases their anxiety.
Parent's calm and secure presence act as a morale catalyst during the healing process of a sick child. Although parental involvement in the treatment of hospitalised children is now regarded as essential, it remains one of the concepts on which there is no agreement. An American survey in 2015 revealed that the rates of family presence ranged from 23% to 66% during their hospital stay (Plante et al., 2020). This paper is to illustrate parents' involvement and care during the procedures for hospitalised children. It also defines how parental involvement alleviates parent-child anxiety and prevents post-traumatic stress disorder. On the contrary, parental presence violates the privacy of healthcare team members and also increases their anxiety.
Firstly, having a child in the hospital is a traumatic situation for parents, who frequently experience anxiety and despair during their child's stay in the hospital. The parent's presence helps to minimise the child's anxiety. According to different studies, harmful psychological effects are being noticed on children when they are detached from their parents (Vainberg et al., 2019). The parents experience feelings of fear, burden, concern, anxiety, anger, and hopelessness after the occurrence of the disease in their child (Salmani et al., 2015). Using an approach, family participation had a countless influence on reducing anxiety incidences, depression, and posttraumatic stress (Davidson, 2013). Hence, literature shows that parents' stress and anxiety have different levels at different stages, and being present during the procedures during their child's hospitalisation helps them minimise the symptoms of both.
Secondly, mothers are considered caretakers, and their presence with their children during procedures increases the child's satisfaction and promotes family-involved care. It is always noticed that patients' satisfaction levels and their ability to cope with the disease increase when their families are present with them in hospitals during critical situations or events (Lai et al., 2017). A study has been conducted in which some parents claim that nurses' answers were brief and short, which is not satisfying for the parents, and therefore mothers prefer to be with a child, especially during doctor's visits. Mothers also help paramedical staff during procedure like IV cannulation and regulating drugs due to fear of the child and resulting in nurse insubordination. (Salmani et al., 2017).
Family centered care is a partnership approach towards health care planning which benefits patients, families, and healthcare providers alike (Barreto et al., 2017). Spending time and staying with the child help to allay the child's fear. Communicating and informing about each step of the procedure to the family member is the key step for the family-centered care approach and it also helps in satisfying parents.
However, it has an enormous impact on hospital settings and protocols when parent accompany the child during procedures and gets involved in care. It is being noticed that most of the health care members are reluctant with parental stays. Some evidence shows an alternative perspective about a health professional who doesn't agree to allow parents during any procedures because it increases parental nervousness, and stress and on the other hand affects the care of the patient. Sometimes parents are disturbing, and their concerning attitude causes apprehension in the members of the health care team (Plante et al., 2020). Health professionals believe that parental presence increases doctors' anxiety too, and thus the chance of error is maximized. Moreover, it is also time-consuming for caretakers to familiarise parents with each step of the procedure.
To a certain extent, health care providers are correct, but family-centered care is also a core feature in paediatric nursing, and it emphasises the dynamic relationship between family members and the caregiving team. The methodology of family integrated care is common to encourage parents to take part in child care during hospitalization is getting rife these days. Studies have shown that communication, sharing information, and collaboration have a great impact on a child's health (Oort et al., 2019). Therefore, spending time with children and being involved during the procedure decreases parental distress and increases their satisfaction.
A shred of evidence shows that the knowledge and information which parents get from the health care team during their hospitalisation has a great deal to do with reducing their anxiety, moreover, their presence with their child during procedures increases their satisfaction and results in better health outcomes. It has been suggested that the mother's contribution during the hospitalizations should not only be limited to doctor's rounds but they must be allowed during some procedures which can decrease the worry of the child (Davidson, 2013). Empathetic communication and concerned behaviour by doctors before any procedures are related to less post procedure anxiety and better care for the child (Claus et al., 2021). So, the parents must be permitted while the child is having any procedure. Teaching and communication are also very helpful.