| 1 - Children in coma or sedated do not hear me during care. |
0.96 |
| 3 - The decoration of the PICU distracts awake children. |
0.97 |
| 11 - The beds in the PICU where I practice are not adequate for the children’s age group. |
0.59
|
| 16 - Children stress is unavoidable during the period in the PICU, since they experience changes in environment, absence of parents, fear, pain and long periods without sleep. |
0.84 |
| 20 - My nursing practice demands technical competence, scientific knowledge and constant updating in the field of children’s health. |
1.00 |
| 22 - I recognize children are suffering and in pain by their behavior, their body language and facial expressions. |
0.96 |
| 25 - The disease-centered care model and the "fight for life at any cost" is still experienced daily at PICUs. |
0.87 |
| 31 - I do not know the methods for treatment and pain assessment in pediatrics. |
0.83 |
| 32 - When children improve their clinical picture, at the PICU where I practice, they are readily transferred to another lower complexity unit, along with their families. |
0.76
|
| 34 - I recognize that children at PICUs have the right to receive visits from family and friends. |
0.95 |
| 37 - The care dynamics at PICUs harms the rights for health education programs and for following the school curriculum for awake and lucid children hospitalized for long periods of time. |
0.89 |
| 38 - I believe that pain in children should be assessed and treated constantly during their stay at PICUs. |
0.92 |
| 40 - I recognize that the presence of families/companions with children at PICUs facilitates pain assessment, since they can offer information on children’s behavior. |
0.97 |
| 41 - The association of pharmacological and non-pharmacological strategies, such as non-nutritional suction and sweetened suction, are not effective in treating children’s pain at PICUs. |
0.92 |
| 42 - The standardization of pain treatment and assessment would facilitate my decision making in pain relief for children in PICUs. |
0.89 |
| 44 - I identify as pain behaviors in children: crying, agitation, frowning, dull eyes and irritability. |
0.99 |
| 45 - Recreational activities, such as playing, reading and music are neglected due to the characteristics of PICU care and of the children’s clinical picture. |
0.99 |
| 46 - When using toys and conducting recreational activities, I notice that children let their feelings flow and interact more easily. |
1.00 |
| 47 - I believe that the presence of parents/companions at PICUs harms children’s recovery. |
0.95 |
| 50 - Full-time presence of parents/companions at PICUs is a children’s right. |
1.00 |
| 51 - Family members/companions, when present at PICUs with children, do not know hospital routine and the therapy children are undergoing. |
0.89 |
| 52 - Next to children’s beds at PICUs there are places for full-time permanence of family members/companions, with chairs for resting. |
0.61
|
| 53 - Children’s families are not full part of the care I practice at PICUs. |
0.95 |
| 54 - I consider family members/companions sources of information on the habits, customs and life stories of children. |
0.95 |
| 55 - I recognize that children’s families have minor and passive roles in care, in which decision making is vertical and centered on the units’ teams. |
0.85 |
| 60 - I consider that the presence and participation of families in care must be encouraged, with the aim of valuing cultural heritage and exchange of experiences among children, families and health teams. |
0.97 |
| 61 - O recognize that not all parents are able to be at their children’s bedside during their stay at PICUs. |
0.83 |
| 62 - I recognize that support groups for children’s families facilitate the relationship with teams, decrease stress and standardize information to be disseminated. |
0.95 |
| 65 - I believe that families harm the interrelationship between children and teams. |
0.97 |
| 66 - My relationship with children’s families has the aim of exchanging and discussing ideas, of interacting sensibly, empathetically and honestly, to enable good understanding between teams and families. |
0.93 |
| 68 - I understand that spiritual support is a resource employed by children and families to decrease suffering and cope with the period of disease in PICUs. |
0.99 |
| 70 - I recognize that families must be prepared to experience children’s deaths, with emotional support, information on children’s clinical pictures and on the possibility of cure being out of reach. |
0.97 |
| 71 - Nursing undergraduate education prepares nurses for handling children’s deaths. |
0.99 |
| 72 - I believe that the health teams’ preparation for handling death facilitates the acceptance of irreversible clinical pictures in children and supports decision making to help families. |
0.97 |
| 73 - I recognize that there is a knowledge gap in nursing training regarding the rights of hospitalized children. |
0.97 |
| 75 - I consider PICUs inadequate places for children during the terminal stages of their lives. |
0.83 |
| 76 - I recognize that children in the terminal stages of life must remain with their families, in favorable environments, ensuring privacy and comfort. |
0.97 |
| 79 - I believe that toys and other objects brought from home increase hospital infections rates. |
0.85 |
