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Stewart K, Price G, Kelderman J, Carman S, Imms C, Wallen M. Caregiver perspectives of scoliosis surgery for children with cerebral palsy: a qualitative study. Disabil Rehabil 2024:1-10. [PMID: 38644614 DOI: 10.1080/09638288.2024.2342501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2024] [Accepted: 04/05/2024] [Indexed: 04/23/2024]
Abstract
PURPOSE To explore the perspectives of primary caregivers of children with cerebral palsy (CP) who had spinal surgery for scoliosis. MATERIALS AND METHODS A qualitative study was conducted using semi-structured interviews and guided by qualitative description methodology. Participants were caregivers of children with CP aged 5-18, who had undergone spinal surgery for scoliosis in Australia. The research team included a parent with lived experience. RESULTS Fourteen participants (8 biological mothers), aged 40-49 years, completed online semi-structured interviews. Four themes were identified emerged. Life with a child with CP underpinned all experiences which were founded on familiarity with their child, medical procedures, and hospitalisation. Three subthemes were parents are the experts in knowing their child, children are vulnerable, and impact on caregivers. Theme 2 involved the significance of decision making to proceed with surgery. Theme 3 underscored a need to be prepared for the surgical journey and, in Theme 4, participants spoke of needing to expect the unexpected. CONCLUSION The findings highlight the importance of understanding caregiver experiences and can help inform health professionals and other families in the decision-making process, preparing for and navigating spinal surgery.
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Affiliation(s)
- Kirsty Stewart
- Kids Rehab, The Children's Hospital, Westmead, Australia
| | | | | | - Sarah Carman
- Kids Rehab, The Children's Hospital, Westmead, Australia
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Willson LR, Rogers LG, Gingrich N, Shearer K, Hryniuk SS. Meeting the Needs of Parents of Children With Scoliosis: A Qualitative Descriptive Study. Glob Qual Nurs Res 2021; 8:23333936211045058. [PMID: 34796260 PMCID: PMC8593288 DOI: 10.1177/23333936211045058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Revised: 08/14/2021] [Accepted: 08/17/2021] [Indexed: 11/16/2022] Open
Abstract
Needs of parents with children with scoliosis are complex and depend on their child’s treatments. The purpose of this study was to identify needs of parents with children with scoliosis. This qualitative description involved interviews with parents of children at various stages of treatment. A convenience, then purposeful sample of 16 parents (12 mothers, two fathers, and two stepfathers) was interviewed; interviews were transcribed and analyzed using thematic analysis. Parents’ needs included: Needing reliable medical information; Desiring information on complementary treatments; Wanting help in supporting and advocating for their child; Needing to protect the child and family; and Seeking connection and support. Although many parents’ needs are being met, this study recommends a nursing role aimed at providing parents with reliable medical information, discussing alternative treatments, assisting parents in their role of supporting their child, helping parents in their advocacy efforts, and referring parents to appropriate connections.
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Affiliation(s)
| | | | | | | | - Sarah Southon Hryniuk
- Stollery Children's Hospital, Edmonton, AB, Canada.,University of Alberta, Faculty of Nursing, Faculty of Medicine and Dentistry, 4-141, Edmonton Clinic Health Academy, Edmonton, AB, Canada
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Garrity BM, Singer SJ, Ward E, Bastianelli L, Berry JG, Crofton C, Glader L, Casto EL, Cox JE. Parent Perspectives on Short-Term Recovery After Spinal Fusion Surgery in Children With Neuromuscular Scoliosis. J Patient Exp 2020; 7:1369-1377. [PMID: 33457589 PMCID: PMC7786685 DOI: 10.1177/2374373520972570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Family perspectives on short-term recovery after spinal fusion for neuromuscular scoliosis are essential for improving patient outcomes. Semistructured interviews were conducted with 18 families of children within 3 months after spinal fusion performed August 2017 to January 2019 at a children's hospital. Interviews were recorded, transcribed, and coded line-by-line by 2 independent reviewers using grounded theory to identify themes. Five themes emerged among families when reflecting back on the postoperative recovery: (1) communicating and making shared decisions regarding postoperative care in a patient- and family-centered manner, (2) setting hospital discharge goals and being ready for discharge, (3) planning for transportation from hospital to home, (4) acquiring supports for caregiving at home after discharge, and (5) anticipating a long recovery at home. Important family perceptions were elicited about the recovery of children from spinal fusion for neuromuscular scoliosis that will inform better perioperative planning for clinicians, future patients, and their families.
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Affiliation(s)
- Brigid M Garrity
- Division of General Pediatrics, Boston Children’s Hospital, Boston, MA, USA
| | - Sara J Singer
- Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA
| | - Erin Ward
- Division of General Pediatrics, Boston Children’s Hospital, Boston, MA, USA
| | - Lucia Bastianelli
- Cerebral Palsy and Spasticity Center, Boston Children’s Hospital, Boston, MA, USA
| | - Jay G Berry
- Division of General Pediatrics, Boston Children’s Hospital, Boston, MA, USA
- Department of Pediatrics, Harvard Medical School, Boston, MA, USA
| | - Charis Crofton
- Division of General Pediatrics, Boston Children’s Hospital, Boston, MA, USA
| | - Laurie Glader
- Division of General Pediatrics, Boston Children’s Hospital, Boston, MA, USA
| | - Elizabeth L Casto
- Division of General Pediatrics, Boston Children’s Hospital, Boston, MA, USA
| | | | - Joanne E Cox
- Division of General Pediatrics, Boston Children’s Hospital, Boston, MA, USA
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Lee KJ, Hill DL, Feudtner C. Decision-Making for Children with Medical Complexity: The Role of the Primary Care Pediatrician. Pediatr Ann 2020; 49:e473-e477. [PMID: 33170295 DOI: 10.3928/19382359-20201013-01] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Families of children with medical complexity (CMC) face many types of health-related decisions. These decisions vary in magnitude of consequences, degree of risk, time scale, degree of tradeoffs, degree of uncertainty, degree of linkage with other decisions, and reversibility. There are many influences on decision-making, including evidence, hopes, and values. Primary care pediatricians are in a unique position to assist families of CMC with decision-making. Pediatric clinicians have an opportunity to establish a trusting relationship with a family over time and to understand the family's values, beliefs, and preferences during periods of relative health and stability. This allows primary care pediatricians to support families in decision-making by helping to clarify their values and goals and apply those values to the decision at hand. [Pediatr Ann. 2020;49(11):e473-e477.].
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Chang CM, Li Y, Or LL, Pikkarainen M, Pölkki T, Wang W, Lau ST, He HG. A Qualitative Study Exploring Singaporean Parents' Perceptions on PreParing their Child for Surgery. J Pediatr Nurs 2020; 54:e69-e77. [PMID: 32473825 DOI: 10.1016/j.pedn.2020.05.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2020] [Revised: 05/08/2020] [Accepted: 05/08/2020] [Indexed: 11/25/2022]
Abstract
PURPOSE To explore the perceptions of parents regarding the preparation of their children for surgery. DESIGN AND METHODS A qualitative descriptive study was conducted. Sixteen parents of children who were undergoing various types of elective surgery in a public tertiary hospital in Singapore were recruited. Data were collected through face-to-face interviews and analyzed using thematic analysis. RESULTS Five themes were derived: (1) assumed roles of the parents; (2) communication, decision-making, and emotional challenges; (3) factors facilitating the preparation of children for surgery; (4) surgery-related and financial concerns; and (5) the desire for more information and better management. While preparing their children for surgery, parents undertook several roles to ensure readiness and to provide support. Parents faced challenges while communicating with their children regarding their surgeries, experiencing negative emotions and dilemmas in making decisions for surgery. Factors such as previous experiences, children's positive mentality, and access to information helped to facilitate their preparation. Parents expressed surgery-related concerns such as anesthesia and a successful outcome of the surgery, the timing of the surgery, and postoperative care. Parents expressed a desire for easier to understand information through the use of visual materials, and improvements in current practices and management. CONCLUSION This study provides a greater understanding of parents' perceptions of their roles, challenges, influencing factors, concerns, and needs when preparing their children for surgery. PRACTICE IMPLICATIONS The study findings provide insightful aspects for improving current healthcare practices and informing future research studies in exploring better surgery preparation programs for both parents and children.
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Affiliation(s)
- Cherie Mun Chang
- Division of Nursing, KK Women's and Children's Hospital, Singapore.
| | - Yan Li
- Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, UK.
| | - Leng Leng Or
- Major Operating Theatre, KK Women's and Children's Hospital, Singapore.
| | - Minna Pikkarainen
- Martti Ahtisaari Institute, Oulu Business School, University of Oulu, VTT Technical Research Centre of Finland, Faculty of Medicine, University of Oulu, Finland.
| | - Tarja Pölkki
- University of Oulu, Finland; Department of Children and Women, Oulu University Hospital, Finland.
| | - Wenru Wang
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; National University Health System, Singapore.
| | - Siew Tiang Lau
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; National University Health System, Singapore.
| | - Hong-Gu He
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; National University Health System, Singapore.
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Vanderhave K, Cho RH, Liu R. What's New in Pediatric Orthopaedic Surgery. J Bone Joint Surg Am 2020; 102:275-282. [PMID: 31804237 DOI: 10.2106/jbjs.19.01143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Affiliation(s)
| | - Robert H Cho
- Shriners for Children Medical Center, Los Angeles, California
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