Good practices for humanization in pediatric intensive care units: a national Delphi consensus study

Objectives: To adapt and validate a good practice manual on humanisation, originally designed for adult critical care patients, to the paediatric intensive care unit (PICU) context. Methods: A methodological study to adapt and validate a clinical practice manual was conducted using a threeround Delp...

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Detalles Bibliográficos
Autores: Garcia Fernández, Jordi, Delgado-Hito, Pilar, Benito-Aracil, Llúcia, Romero García, Marta
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2025
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/225427
Acceso en línea:https://hdl.handle.net/2445/225427
Access Level:acceso abierto
Palabra clave:Satisfacció dels pacients
Unitats de cures intensives
Pediatria
Patient satisfaction
Intensive care units
Pediatrics
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spelling Good practices for humanization in pediatric intensive care units: a national Delphi consensus studyGarcia Fernández, JordiDelgado-Hito, PilarBenito-Aracil, LlúciaRomero García, MartaSatisfacció dels pacientsUnitats de cures intensivesPediatriaPatient satisfactionIntensive care unitsPediatricsObjectives: To adapt and validate a good practice manual on humanisation, originally designed for adult critical care patients, to the paediatric intensive care unit (PICU) context. Methods: A methodological study to adapt and validate a clinical practice manual was conducted using a threeround Delphi consensus technique between February and October 2023 with 53 experts (56.6 % nurses, 28.3 % physicians, 15.1 % other professionals) from 15 Spanish hospitals. In the first round, participants evaluated 160 practices from the Manual of Good Practices in Humanization for Adult Intensive Care Units (HU-CI Project) and adapted them to the paediatric context. In the second round, they validated these modifications and 30 additional proposals. In the third round, the consensus practices were classified into three levels. Consensus was defined as ≥75 % agreement. Results: Of 57 initial participants, 53 completed the three Delphi rounds, resulting in a 93 % retention rate. Among participants, 79.2 % were women, 56.6 % were nurses, and 94.4 % had experience in PICUs. From the original 160 initial practices, 47.4% (n = 76) reached consensus without modification, 16.9 % (n = 27) were modified, and 35.6 % (n = 57) were discarded. Additionally, 30 new practices were proposed and accepted, resulting in 132 final practices. These were categorised as basic (65 %, n = 86), advanced (22 %, n = 29), and excellent (13 %, n = 17). Conclusions: This study adapted and validated the first humanisation manual specifically for PICUs, providing a structured, measurable framework that may promote child- and family-centred care and support continuous quality improvement. Implications for clinical practice: The consensus-validated practices provide PICU teams with a structured, measurable framework that may help promote child- and family-centred care. Nursing staff play a key role in daily implementation of family involvement, communication, and comfort measures, whilst the three-level classification allows progressive evaluation of PICU humanisation according to unit resources.Elsevier Ltd.2025info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfhttps://hdl.handle.net/2445/225427Articles publicats en revistes (Infermeria Fonamental i Clínica)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésVersió postprint del document publicat a: https://doi.org/10.1016/j.iccn.2025.104247Intensive And Critical Care Nursing, 2025https://doi.org/10.1016/j.iccn.2025.104247cc-by (c) Garcia Fernández, Jordi et al., 2025https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/2254272026-05-27T06:46:51Z
dc.title.none.fl_str_mv Good practices for humanization in pediatric intensive care units: a national Delphi consensus study
title Good practices for humanization in pediatric intensive care units: a national Delphi consensus study
spellingShingle Good practices for humanization in pediatric intensive care units: a national Delphi consensus study
Garcia Fernández, Jordi
Satisfacció dels pacients
Unitats de cures intensives
Pediatria
Patient satisfaction
Intensive care units
Pediatrics
title_short Good practices for humanization in pediatric intensive care units: a national Delphi consensus study
title_full Good practices for humanization in pediatric intensive care units: a national Delphi consensus study
title_fullStr Good practices for humanization in pediatric intensive care units: a national Delphi consensus study
title_full_unstemmed Good practices for humanization in pediatric intensive care units: a national Delphi consensus study
title_sort Good practices for humanization in pediatric intensive care units: a national Delphi consensus study
dc.creator.none.fl_str_mv Garcia Fernández, Jordi
Delgado-Hito, Pilar
Benito-Aracil, Llúcia
Romero García, Marta
author Garcia Fernández, Jordi
author_facet Garcia Fernández, Jordi
Delgado-Hito, Pilar
Benito-Aracil, Llúcia
Romero García, Marta
author_role author
author2 Delgado-Hito, Pilar
Benito-Aracil, Llúcia
Romero García, Marta
author2_role author
author
author
dc.subject.none.fl_str_mv Satisfacció dels pacients
Unitats de cures intensives
Pediatria
Patient satisfaction
Intensive care units
Pediatrics
topic Satisfacció dels pacients
Unitats de cures intensives
Pediatria
Patient satisfaction
Intensive care units
Pediatrics
description Objectives: To adapt and validate a good practice manual on humanisation, originally designed for adult critical care patients, to the paediatric intensive care unit (PICU) context. Methods: A methodological study to adapt and validate a clinical practice manual was conducted using a threeround Delphi consensus technique between February and October 2023 with 53 experts (56.6 % nurses, 28.3 % physicians, 15.1 % other professionals) from 15 Spanish hospitals. In the first round, participants evaluated 160 practices from the Manual of Good Practices in Humanization for Adult Intensive Care Units (HU-CI Project) and adapted them to the paediatric context. In the second round, they validated these modifications and 30 additional proposals. In the third round, the consensus practices were classified into three levels. Consensus was defined as ≥75 % agreement. Results: Of 57 initial participants, 53 completed the three Delphi rounds, resulting in a 93 % retention rate. Among participants, 79.2 % were women, 56.6 % were nurses, and 94.4 % had experience in PICUs. From the original 160 initial practices, 47.4% (n = 76) reached consensus without modification, 16.9 % (n = 27) were modified, and 35.6 % (n = 57) were discarded. Additionally, 30 new practices were proposed and accepted, resulting in 132 final practices. These were categorised as basic (65 %, n = 86), advanced (22 %, n = 29), and excellent (13 %, n = 17). Conclusions: This study adapted and validated the first humanisation manual specifically for PICUs, providing a structured, measurable framework that may promote child- and family-centred care and support continuous quality improvement. Implications for clinical practice: The consensus-validated practices provide PICU teams with a structured, measurable framework that may help promote child- and family-centred care. Nursing staff play a key role in daily implementation of family involvement, communication, and comfort measures, whilst the three-level classification allows progressive evaluation of PICU humanisation according to unit resources.
publishDate 2025
dc.date.none.fl_str_mv 2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/225427
url https://hdl.handle.net/2445/225427
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Versió postprint del document publicat a: https://doi.org/10.1016/j.iccn.2025.104247
Intensive And Critical Care Nursing, 2025
https://doi.org/10.1016/j.iccn.2025.104247
dc.rights.none.fl_str_mv cc-by (c) Garcia Fernández, Jordi et al., 2025
https://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Garcia Fernández, Jordi et al., 2025
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier Ltd.
publisher.none.fl_str_mv Elsevier Ltd.
dc.source.none.fl_str_mv Articles publicats en revistes (Infermeria Fonamental i Clínica)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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