{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T16:49:40Z","timestamp":1770137380693,"version":"3.49.0"},"reference-count":38,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,10,23]],"date-time":"2020-10-23T00:00:00Z","timestamp":1603411200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001720","name":"Nutricia Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001720","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Many critically ill children can be fed orally at some point during their paediatric intensive care (PICU) stay, but reduced appetite and other factors may impact their intake. At home, oral feeding is usually delivered by parents, so involving parents more actively during mealtimes in the PICU may contribute to improved patient\/family satisfaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To assess the impact of a new \u201croom service\u201d initiative involving parents on mealtime quality and on both family and health care professional (HCP) satisfaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective, single\u2010centre, before\u2010and\u2010after intervention study was designed as part of a PICU quality\u2010of\u2010care improvement programme in 2013 to 2016. Two questionnaires assessing oral nutrition practices and family\/HCP overall satisfaction were disseminated among the parents of critically ill children capable of oral feeding during their PICU admission and among the whole PICU HCP team (nurses, nurse assistants, and medical doctors). Categorical variables were compared using the chi\u2010square test, and Likert scales were compared between groups with the Mann\u2010Whitney\u2010Wilcoxon test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>the pre\u2010intervention surveys were completed by 97 of 130 (75%) HCPs and 52 families and the post\u2010intervention surveys by 74 of 130 (57%) HCPs and 54 families. After the intervention, a marked improvement was observed in the overall quality of meal service rating by both HCPs and families (medians and IQR: 5 (5\u20107) to 7 (7, 8) and 6 (6\u20108) to 8 (7\u20109), respectively; <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.01) and also in parents' involvement; in children's, families', and HCP satisfaction; in meal\u2010dedicated facilities and equipment; and in perception that oral nutrition is an important aspect of PICU care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Implementation of an improved \u201croom service\u201d initiative in the PICU was feasible and improved the perceived quality of care and satisfaction around oral feeding. This family\u2010centred care initiative can be integrated in an overall quality improvement strategy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nicc.12567","type":"journal-article","created":{"date-parts":[[2020,10,23]],"date-time":"2020-10-23T15:30:18Z","timestamp":1603467018000},"page":"288-296","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Improving mealtimes for paediatric intensive care children and families: A quality improvement initiative"],"prefix":"10.1111","volume":"26","author":[{"given":"Malorie","family":"De Monte","sequence":"first","affiliation":[{"name":"Paediatric Intensive Care, H\u00f4pital Femme M\u00e8re Enfant, Hospices Civils de Lyon  Lyon\u2010Bron France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emilie M. L.","family":"Marty Petit","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Mental Health H\u00f4pital Femme M\u00e8re Enfant, Hospices Civils de Lyon  Lyon\u2010Bron France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florent","family":"Baudin","sequence":"additional","affiliation":[{"name":"Paediatric Intensive Care, H\u00f4pital Femme M\u00e8re Enfant, Hospices Civils de Lyon  Lyon\u2010Bron France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Zamor","sequence":"additional","affiliation":[{"name":"Paediatric Intensive Care, H\u00f4pital Femme M\u00e8re Enfant, Hospices Civils de Lyon  Lyon\u2010Bron France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carole","family":"Ford\u2010Chessel","sequence":"additional","affiliation":[{"name":"Paediatric Dietetic Unit, H\u00f4pital Femme M\u00e8re Enfant, Hospices Civils de Lyon  Lyon\u2010Bron France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2547-8209","authenticated-orcid":false,"given":"Lyvonne N.","family":"Tume","sequence":"additional","affiliation":[{"name":"University of Salford  Manchester UK"},{"name":"Paediatric Intensive Care Unit, Alder Hey Children's Hospital  Liverpool UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabienne","family":"Bordet","sequence":"additional","affiliation":[{"name":"Paediatric Intensive Care, H\u00f4pital Femme M\u00e8re Enfant, Hospices Civils de Lyon  Lyon\u2010Bron France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5285-1104","authenticated-orcid":false,"given":"Frederic V.","family":"Valla","sequence":"additional","affiliation":[{"name":"Paediatric Intensive Care, H\u00f4pital Femme M\u00e8re Enfant, Hospices Civils de Lyon  Lyon\u2010Bron 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