Advances in burn care have made recovery possible for children with burns on up to 99% of their body surface, which has prompted investigation of the psychosocial well-being of survivors. Although therapies have been suggested, no researchers have acknowledged or recognized nurses' potential contributions to children's and families' recovery. In this article, the author examines the lived experiences of 16 pediatric nurses on a burn intensive care unit. The purpose of the study was to articulate practices that helped critically burned children to heal holistically. Data showed that while helping burned children to heal holistically, the nurses simultaneously supported families to heal holistically. Nurses were observed laughing, talking, and crying with families, as well as role-modeling ways of being with and caring for the children. These practices illustrated the nurses' understanding that care of the children was inextricably linked to care of the families.
Alexander, D. (1993). Burn victims after a major disaster: Reactions of patients and their caregivers. Burns, 19, 105-109.
2.
Allen, D. (1995). Hermeneutics: Philosophical traditions and nursing practice research. Nursing Science Quarterly, 8, 174-182.
3.
Benner, P. (1984). From novice to expert: Excellence and power in clinical nursing practice. Menlo Park, CA: Addison-Wesley.
4.
Benner, P. (Ed.). (1994). Interpretive phenomenology: Embodiment, caring and ethics in health and illness. Thousand Oaks, CA: Sage.
5.
Benner, P., Tanner, C. A., & Chesla, C. A. (1996). Expertise in clinical nursing practice: Caring, clinical judgment and ethics. New York: Springer.
6.
Bernstein, N. R. (1982). Psychosocial results of burns: The damaged self-image. Clinical of Plastic Surgery, 9, 337-346.
7.
Blakeney, P., Herndon., D., Desai, M., Beard, S.,& Wales-Sears, P. (1988). Long-term psychological adjustment following burn injury. Journal of Burn Care, and Rehabilitation, 9, 661-665.
8.
Blakeney, P., Portman, S., & Rutan, R. (1990). Family values as factors influencing long-term psychological adjustment of children after severe burn injury. Journal of Burn Care, and Rehabilitation, 11, 472-475.
9.
Calhoun, L. K. (1994). Parents' perceptions of nursing support following neonatal loss. Journal of Perinatal and Neonatal Nursing, 8, 57-66.
10.
Chesla, C. A. (1996). Reconciling technologic and family care in critical care nursing practice. Image: The Journal of Nursing Scholarship, 28, 199-204.
11.
Chesla, C. A.,& Stannard, D. (1997). Breakdown in the nursing care of families in the ICU. American Journal of Critical Care Nursing, 6, 64-71.
12.
Curley, M. A. (1988). Effects of the nursing mutual participation model of care on parental stress in the pediatric intensive care unit. Heart and Lung, 17, 682-688.
13.
Curtin, L. (1982). The commitment of nursing. In L. Curtin,& M. J. Flaherty (Eds.), Nursing ethics: Theories and pragmatics (pp. 92-101). Bowie, MD: Robert J. Brady.
14.
Darbyshire, P. (2003). Mothers' experiences of their child's recovery in hospital and at home: Aqualitative investigation. Journal of Child Health Care, 7, 291-312.
15.
Denzin, N. K., & Lincoln, Y. S. (1998). Strategies of qualitative inquiry. Thousand Oaks, CA: Sage.
16.
Dorn, K. (1989). Relationship between unmet needs and distress in family members. Heart and Lung, 18, 304-305.
17.
Dreyfus, H. L. (1980). Holism and hermeneutics. Review of Metaphysics, 3, 3-23.
18.
Foucault, M. (1979). The birth of the clinic: An archaeology of medical perception. New York: Pantheon.
19.
Frederickson, K. (1989). Anxiety transmission in the patient with myocardial infarction. Heart and Lung, 18, 617-622.
20.
Friedman, M. M. (1992). Family nursing: Theory and practice. Norwalk, CT: Appleton & Lange.
21.
Furukawa, M. (1996). Meeting the needs of the dying patient's family. Critical Care Nurse, 16, 551-557.
22.
Green, M. (1979). Parent care in the intensive care unit. American Journal of Disabled Children, 133, 1119-1120.
23.
Heidegger, M. (1962). Being and time (J. Macquarrie & E. Robinson, Trans.). New York: Harper and Row. (Original work published 1927)
24.
Heidegger, M. (1982). The basic problems of phenomenology (A. Hofstadter, Trans.). Indianapolis: Indiana University Press. (Original work published in German in 1975)
25.
Hunt, M. (1991). Being friendly and informal: Reflected in nurses', terminally ill patients' and relatives' conversations at home. Journal of Advanced Nursing, 16, 929-938.
26.
Jay, S. S. (1977). Pediatric intensive care: Involving parents in the care of their child. Maternal Child Nursing Journal, 6, 195-204.
27.
Jay, S., & Youngblut, J. (1991). Parent stress associated with pediatric critical care nursing: Linking research and practice. AACN Clinical Issues, 2, 276-284.
28.
Kasper, J. W.,& Nyamathi, A. M. (1988). Parents of children in the pediatric intensive care unit: What are their needs?Heart and Lung, 17, 574-581.
29.
Kirschbaum, M. S. (1990). Needs of parents of critically ill children. Dimensions of Critical Care Nursing, 9, 344-352.
30.
Landolt, M. A., Grubenmann, S., & Meuli, M. (2002). Family impact greatest: Predictors of quality of life and psychological adjustment in pediatric burn survivors. Journal of Trauma Injury, Infection, and Critical Care, 53, 1146-1151.
31.
Leonard, V. (1994). A Heideggerian phenomenological perspective on the concept of person. In P. Benner (Ed.), Interpretive phenomenology: Embodiment, caring, and ethics in health and illness (pp. 43-64). Thousand Oaks, CA: Sage.
32.
Lewandowski, L. A. (1980). Stresses and coping styles of parents of children undergoing open-heart surgery. Critical Care Quarterly, 3, 75-81.
33.
Lexicon Publications. (1989). The new lexicon Webster's dictionary of the English language. New York: Author.
34.
Meyer, W. J., Blakeney, P., Moore, P., Murphy, L., Robson, M., & Herndon, D. (1994). Parental well-being and behavioral adjustment of pediatric survivors of burns. Journal of Burn Care and Rehabilitation, 15, 62-68.
35.
Meyer, W. J., Robert, R., Murphy, L., & Blakeney, P. (2000). Evaluating the psychosocial adjustment of 2-and 3-year-old pediatric burn survivors. Journal of Burn Care and Rehabilitation, 21, 178-184.
36.
Meyers-Paal, R., Blakeney, P., Robert, R., Murphy, L., Chinkes, D., Meyer, W., et al. (2000). Physical and psychology rehabilitation outcomes for pediatric patients who suffer 80% or more TBSA, 70% or more third degree burns. Journal of Burn Care and Rehabilitation, 21, 43-49.
37.
Miles, M. S. (1979). Impact of the intensive care unit on parents. Issues in Comprehensive Pediatric Nursing, 8, 354-359.
38.
Miles, M. S., & Carter, M.C. (1982). Sources of parental stress in pediatric intensive care units. Children's Health Care, 11, 65-69.
39.
Polit, D.,& Tatano-Beck, D. (2004). Nursing research: Principles and methods. Philadelphia: Lippincott, Williams & Wilkins.
40.
Pruzinsky, R., Rice, L. D., Himel, H. N., Morgan, R. G.,& Edlich, R. F. (1992). Psychometric assessment of psychological factors influencing adult burn rehabilitation. Journal of Burn Care and Rehabilitation, 13, 79-88.
41.
Reddish, P.,& Blumenfield, M. (1986). Atypology of spousal response to the crisis of severe burn. Journal of Burn Care Rehabilitation, 7, 328-330.
42.
Sandelowski, M.(1986). The problem of rigor in qualitative research. Advances in Nursing Science, 8, 27-37.
43.
Sorrell, J., & Redmond, G. (1997). The lived experiences of students in nursing: Voices of caring speak of the tact of teaching. Journal of Professional Nursing, 13, 228-235.
44.
Sutton, G. (1993). Entry to the burn team: Stressors, support and coping strategies. Burns, 19, 349-351.
45.
Taylor, C. (1994). Charles Taylor replies. In James Tully (Ed.), Philosophy in an age of pluralism: The philosophy of Charles Taylor in question (pp. 213-257) Cambridge, UK: Cambridge University Press.
46.
Thurber, C., Martin-Herz, S.,& Patterson, D. (2003). Psychological principles of burn wound pain in children: Theoretical framework. Journal of Burn Care and Rehabilitation, 21, 376-387.
47.
Wilkinson, T. (1994). The extended family and other carers. In L. Hill (Ed.), Caring for dying children and their families (pp. 75-86). London: Chapman and Hall.
48.
Zengerle-Levy, K. (2004). Practices that facilitate critically burned children's holistic healing. Qualitative Health Research, 14, 1255-1275.
