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Xie QW. Effects of a Psychosocial Intervention on the Subjective Experiences of Children Living with Atopic Dermatitis: A Qualitative Study in Hong Kong. CHILDREN (BASEL, SWITZERLAND) 2023; 10:children10020395. [PMID: 36832524 PMCID: PMC9954941 DOI: 10.3390/children10020395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Revised: 02/11/2023] [Accepted: 02/15/2023] [Indexed: 02/19/2023]
Abstract
Nonpharmaceutical interventions are important for addressing the psychosocial needs of children living with atopic dermatitis (AD). The current study aimed to investigate the effects of an integrative body-mind-spirit (IBMS) intervention on the subjective experiences of affected children and explore the mechanisms underlying the effects. Using a drawing-based, qualitative approach, the current study conducted two rounds of interviews with 13 children (aged 8-12 years) diagnosed with moderate or severe AD before and after they attended the IBMS intervention. Data were analyzed by using the thematic analysis method. The IBMS intervention worked by changing participants' perceptions at the cognitive level, improving their coping strategies at the behavioral level, and constructing their social support network at the environmental level. Cognitive, behavioral, and environmental factors might mediate the relationships between the IBMS intervention and participants' psychological and physical outcomes. This study highlighted the wider inclusion of child-centered qualitative research in the evaluation of the effects of psychosocial interventions designed for children.
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Affiliation(s)
- Qian-Wen Xie
- Department of Social Welfare and Risk Management, School of Public Affairs, Zhejiang University, Hangzhou 310058, China;
- Research Center for Common Prosperity, Future Regional Development Laboratory, Innovation Center of Yangtze River Delta, Zhejiang University, Jiaxing 314100, China
- The Center of Social Welfare and Governance, Zhejiang University, Hangzhou 310058, China
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2
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Xie QW, Zhang Y, Dai X, Yang W, Chan CLW. A qualitative synthesis of drawing-based research on the illness-related experiences of children living with physical health problems. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e3843-e3870. [PMID: 36264153 DOI: 10.1111/hsc.14082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/10/2022] [Revised: 08/30/2022] [Accepted: 10/01/2022] [Indexed: 06/16/2023]
Abstract
The strengths of drawing-based approaches for encouraging children's participation in health research and facilitating communication with them have been increasingly acknowledged in the medical literature. However, there is a lack of methodological discussion on drawing-based approaches suitable for researching children living with physical health problems. The present study systematically reviewed qualitative research using drawing-based approaches on the experiences of children living with physical health problems and summarised how the approaches were used as well. We identified 54 studies from five databases. The characteristics of qualitative methods and drawing-based approaches were analysed. To obtain an overall understanding of the illness-related experiences of these children, qualitative data generated from the included studies were synthesised using the thematic synthesis approach. This systematic review highlights the appropriateness and accuracy of the use of drawings-based approaches in health research with children on their illness-related experiences, fostering inclusive participation and engagement of young generations.
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Affiliation(s)
- Qian-Wen Xie
- Department of Social Welfare and Risk Management, School of Public Affairs, Zhejiang University, Hangzhou, China
- Center of Social Welfare and Governance, Zhejiang University, Hangzhou, China
- Institute for Common Prosperity and Development, Zhejiang University, Hangzhou, China
| | - Yiran Zhang
- College of Social Work, The Ohio State University, Columbus, Ohio, USA
| | - Xiaolu Dai
- Department of Social Work and Social Administration, The University of Hong Kong, Pok Fu Lam, Hong Kong
| | - Wenya Yang
- Department of Social Welfare and Risk Management, School of Public Affairs, Zhejiang University, Hangzhou, China
| | - Cecilia L W Chan
- Department of Social Work and Social Administration, The University of Hong Kong, Pok Fu Lam, Hong Kong
- Centre on Behavioral Health, The University of Hong Kong, Pok Fu Lam, Hong Kong
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3
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Andersson L, Almerud Österberg S, Johansson P, Knutsson S. The interplay between children, their parents and anaesthesia staff during the child's anaesthesia - An observational study. J Clin Nurs 2021; 31:2240-2251. [PMID: 34523185 DOI: 10.1111/jocn.16042] [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: 05/25/2021] [Revised: 08/24/2021] [Accepted: 08/27/2021] [Indexed: 12/01/2022]
Abstract
AIMS AND OBJECTIVES To interpret and understand the interplay between children, their parents, and anaesthetic staff to gain a greater understanding of children being anaesthetised. BACKGROUND Anaesthesia induction is a stressful procedure for the child and parents in the technologically advanced environment in the operating room (OR). Anaesthesia staff are a key resource for ensuring safety and interplays, but the meeting is often short, intensive, and can affect the child and the parent. DESIGN A qualitative observational design with a hermeneutic approach. METHODS Twenty-seven non-participant observations were conducted and videotaped when children were being anaesthetised. The SRQR checklist was used. RESULTS The result is presented as a theatre play with three headings; the scene, the actors, and the plot. The scene was not designed for the child or the parent's comfort and could lead to anxiety and insecurity. Four themes described the interplays: The need to be inviting and to be invited, The need for varying compliance, The need for mutual dependence, and The need to give and to receive emotional support. The plot could lead to uncertainty, and the interplay could change between being caring and uncaring depending on the actors. CONCLUSIONS The technologically advanced environment in the OR constituted an emotional obstacle, but the anaesthesia staff themselves can be a powerful resource creating a caring environment. The outcome of the plot may depend on the anaesthesia staff's bearing. RELEVANCE TO CLINICAL PRACTICE A caring approach in the OR requires a willingness from the anaesthesia staff to invite the child to participate and find a balance between helping the parents to find their place in the OR and support them in supporting their child. The findings can start reflections in the unit on how to create a more caring environment.
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Affiliation(s)
- Lisbet Andersson
- Faculty of Health and Caring Science Linnaeus University, Växjö, Sweden
| | - Sofia Almerud Österberg
- Department of Anesthesiology, Faculty of Health and Caring Science Linnaeus University and Kronoberg County Council, Växjö, Sweden
| | - Pauline Johansson
- Faculty of Health and Caring Science Linnaeus University, Växjö, Sweden
| | - Susanne Knutsson
- Faculty of Health and Caring Science Linnaeus University, Växjö, Sweden
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Mendoza BA, Fortier MA, Trinh LN, Schmid LN, Kain ZN. Factors impacting parental and child satisfaction in the perioperative setting. Paediatr Anaesth 2021; 31:932-943. [PMID: 34096658 DOI: 10.1111/pan.14236] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/21/2020] [Revised: 04/28/2021] [Accepted: 05/24/2021] [Indexed: 12/12/2022]
Abstract
Understanding the different modifiable and non-modifiable factors and their positive or negative influence on parental and child satisfaction is essential to providing high-quality perioperative care. The purpose of this review is to focus on the perioperative environment and to report the various modifiable and non-modifiable factors that are associated with satisfaction. We found that factors such as quality of clinician-patient communication, clinician attitudes, teamwork, shared decision-making, and improved perioperative information were associated with increased parent and child satisfaction. Interventions such as preparation programs integrating role-play, teaching of coping skills, and family-centered programs were highly rated by parents and children. Healthcare providers and institutions should consider the above variables when treating children and their parents in the perioperative setting.
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Affiliation(s)
- Beverly A Mendoza
- Center on Stress & Health, University of California School of Medicine, Irvine, USA.,Department of Anesthesiology and Perioperative Care, University of California, Irvine, CA, USA
| | - Michelle A Fortier
- Center on Stress & Health, University of California School of Medicine, Irvine, USA.,Department of Pediatric Psychology, Children's Hospital of Orange County, Orange, CA, USA.,Sue & Bill Gross School of Nursing, University of California, Irvine, CA, USA.,Department of Psychological Science, University of California, Irvine, CA, USA
| | - Lily N Trinh
- Center on Stress & Health, University of California School of Medicine, Irvine, USA
| | - Lauren N Schmid
- Center on Stress & Health, University of California School of Medicine, Irvine, USA.,Hahn School of Nursing and Health Science, University of California, San Diego, CA, USA
| | - Zeev N Kain
- Center on Stress & Health, University of California School of Medicine, Irvine, USA.,Department of Anesthesiology and Perioperative Care, University of California, Irvine, CA, USA.,Department of Pediatrics, CHOC Children's, Orange, CA, USA.,Yale Child Study Center, Yale University, New Haven, CT, USA
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5
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Ullán AM, Belver MH. Visual Arts in Children's Hospitals: Scoping Review. HERD-HEALTH ENVIRONMENTS RESEARCH & DESIGN JOURNAL 2021; 14:339-367. [PMID: 33779344 DOI: 10.1177/19375867211003494] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE The purpose of this work was to review scientific publications related to the use of visual arts in pediatric hospitals. BACKGROUND Visual arts, particularly painting, have historically played an important role in the design and atmosphere of healthcare spaces, especially hospitals. METHODS From 2000 to 2019, 79 publications located in relevant databases and manual searches were identified and analyzed. RESULTS Sixty of these publications include empirical studies and 19 theoretical models, comments, or reflections on the use of art in children's hospitals. Their analysis allows us to differentiate four groups of works: (a) "environmental" includes works whose purpose is to know how visual artistic interventions in the hospital can affect the people who see them, mainly pediatric patients, families, and health workers; (b) "participatory" includes studies aimed at knowing the effect of developing visual arts activities in the hospital; (c) "exploratory" includes works whose purpose was to know more about the children's perspective using their artistic expressions; and (d) "diagnostic" includes those that use children's drawings as a tool to diagnose diverse processes related to the pediatric patients' experience. CONCLUSIONS Taken together, the works we analyzed in our study support the use of visual arts in hospitals as a resource to enhance the well-being of children and families and their experience in the hospital. We indicate two particularly relevant aspects in this sense: the importance of the visual arts in improving the symbolic quality of hospitalization settings and the communication processes that occur in these environments.
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Affiliation(s)
- Ana M Ullán
- Department of Social Psychology, 16779University of Salamanca, Spain
| | - Manuel H Belver
- Department of Sculpture and Art Education, 16734Complutense University, Madrid, Spain
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Mezgebu E, Berhan E, Deribe L. Predictors of Resilience Among Parents of Children with Cancer: Cross-Sectional Study. Cancer Manag Res 2020; 12:11611-11621. [PMID: 33235494 PMCID: PMC7678500 DOI: 10.2147/cmar.s276599] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Accepted: 11/04/2020] [Indexed: 12/31/2022] Open
Abstract
Purpose Resilience is an ability to overcome adversities in response to a potentially traumatic event. It relieves parents’ discomfort and builds personal capacity when facing a stressful situation like childhood cancer. Therefore, the study’s objective is to assess the magnitude of resilience and its predictors among the parents of children with cancer at Jimma medical center, Ethiopia, 2020. Methods The institutional-based cross-sectional design was employed on 126 parents of children with cancer at Jimma Medical Center. All study populations who attend the hospital from February 25 to April 25, 2020, and fulfill the inclusion criteria were included. Data were entered into Epi data version 4.6.0.2 and analyzed by SPSS version 25. Descriptive analysis was used to describe the study variables. Furthermore, linear regression analysis was calculated to assess predictors of resilience. Results The level of resilience among parents’ children with cancer were a mean scored 51.41±12.02. In this study, factors associated with resilience were receiving support from friends (β=5.67, 95% CI=1.58, 9.77; P=0.007), attend recreational activities (β=13.8, 95% CI=5.32, 22.37; P=0.03) and receiving health information from health care professionals (β=6.37; 95% CI= (1.75, 11.00), P=0.007), parents depression (β= −0.827, 95% CI= (−1.619,-0.034), P=0.041) and parents stress (β =−0.88,95% CI (−1.54,-0.23), P=0.031). Conclusion The magnitude of resilience among parents of children with cancer was low relative to other studies. Support from friends, attending recreational activities, and receiving health information from health care professionals were positively associated with resilience. In contrast, parents’ depression and stress were negatively associated with resilience.
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Affiliation(s)
| | - Emebet Berhan
- Addis Ababa University College of Health Science, School of Nursing and Midwifery, Addis Ababa, Ethiopia
| | - Leul Deribe
- Addis Ababa University College of Health Science, School of Nursing and Midwifery, Addis Ababa, Ethiopia
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Understanding Young People and Their Care Providers' Perceptions and Experiences of Integrated Care Within a Tertiary Paediatric Hospital Setting, Using Interpretive Phenomenological Analysis. Int J Integr Care 2020; 20:7. [PMID: 33177966 PMCID: PMC7597574 DOI: 10.5334/ijic.5545] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Introduction: Benefits of integrated care include improved health outcomes and more satisfaction with experiences of care for consumers. For children and young people with chronic and complex health conditions, their care may be fragmented due to the multitude of healthcare providers involved. This paper describes the experiences of integrated care in a paediatric tertiary hospital. Theory and methods: Using an Interpretive Phenomenological Analysis approach, semi-structured interviews were conducted with children and young people, their parents and healthcare providers to explore stakeholders’ integrated care experiences. Results: Nineteen interviews were completed (6 children and young people, 7 parents and 6 healthcare providers) and transcribed verbatim. Two recurrent themes were applicable across the three cohorts: ‘agency and empowerment’ and ‘impact of organisational systems, supports and structures’. Discussion and conclusion: Stakeholders’ experiences of integrated care highlighted the need to examine the discrepancies between healthcare strategies, policies and service delivery within a complex, and often inflexible organisational structure. Power imbalance and family agency (including directly with children and young people) needs to be addressed to support the implementation of integrated care.
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Xie Q, Chan CL, Chan CH. The wounded self-lonely in a crowd: A qualitative study of the voices of children living with atopic dermatitis in Hong Kong. HEALTH & SOCIAL CARE IN THE COMMUNITY 2020; 28:862-873. [PMID: 31828879 PMCID: PMC7187464 DOI: 10.1111/hsc.12917] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/08/2019] [Revised: 10/27/2019] [Accepted: 11/25/2019] [Indexed: 06/10/2023]
Abstract
Atopic dermatitis (AD) imposes significant physical and psychosocial burdens on affected children. However, little has been done to learn from the subjective experiences, perspectives and emotions of children living with AD. Their voices are not heard in healthcare settings. This study aims to share these children's voices and provide a deep understanding of the subjective experiences of children living with AD. We conducted qualitative research by conducting semi-structured interviews and analysing the drawings of 17 children in Hong Kong aged between 8 and 12 years who were diagnosed with AD. Using a phenomenological approach, we transcribed, coded and described the interviews. We found that for the children in this study, living with AD meant contending with an accumulation of challenges and crises. At the individual level, the essential experience of living with AD manifested a vicious cycle of skin and mental issues. At the family level, conflicts between children and parents concerning AD management coexisted with parental support. The children commonly experienced bullying and isolation in school and discrimination and stigmatisation in their neighbourhood, thereby making living with AD a traumatic experience. The synergy between individual and environmental factors contributed to shaping an incapable and wounded "self" living with AD. Based on our findings, we propose a child-centred biopsychosocial framework for understanding the living experiences of children with AD. This study suggests different practice strategies for healthcare professionals working with the individual challenges experienced by children living with AD and the challenges these children experience in their family, school, and neighbourhood. The needs of these children should be addressed through an integrated, holistic approach for improving their long-term health outcomes.
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Affiliation(s)
- Qian‐Wen Xie
- School of Public AffairsZhejiang UniversityHangzhouZhejiangChina
| | - Cecilia Lai‐wai Chan
- Department of Social Work and Social AdministrationThe University of Hong KongHong KongHong Kong
| | - Celia Hoi‐yan Chan
- Department of Social Work and Social AdministrationThe University of Hong KongHong KongHong Kong
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9
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O'Halloran R, Douglas J, Cruice M, Davidson B, McKinley K, Bigby C. Representation and reporting of communicatively vulnerable patients in patient experience research. INTERNATIONAL JOURNAL OF SPEECH-LANGUAGE PATHOLOGY 2019; 21:524-535. [PMID: 30810412 DOI: 10.1080/17549507.2019.1567815] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/20/2018] [Revised: 11/03/2018] [Accepted: 12/27/2018] [Indexed: 06/09/2023]
Abstract
Purpose: To apply a human rights lens to measuring patient experience. Specifically, to determine if the perspectives of communicatively vulnerable people have been included in the patient experience research used to inform the development of the Australian Hospital Patient Experience Question Set (AHPEQS). Method: Thirty-nine qualitative studies on patient experience that informed the development of AHPEQS were critically appraised in terms of reporting on: population of interest, eligibility criteria, communicative demands of the research and communicative supports provided. Result: Eleven of 39 studies included sufficient information about the population to determine that communicatively vulnerable people would have been approached to participate. Three of these studies explicitly excluded people who were communicatively vulnerable, and four did not report on the provision of any communication supports to enable communicatively vulnerable people to participate. Conclusion: Intentional exclusion and/or a lack of communication supports restrict the rights of people who are communicatively vulnerable to express their opinions about what matters to them in hospital. Inadequate reporting of qualitative research on patient experience also makes it difficult to determine if the perspectives of people who are communicatively vulnerable have informed the development of the AHPEQS.
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Affiliation(s)
- Robyn O'Halloran
- Living with Disability Research Centre, La Trobe University Bundoora , Victoria , Australia
- Speech Pathology Department, St Vincent's Hospital Melbourne , Victoria , Australia
| | - Jacinta Douglas
- Living with Disability Research Centre, La Trobe University Bundoora , Victoria , Australia
| | - Madeline Cruice
- Division of Language & Communication Science, School of Health Sciences City, University of London , London , UK , and
| | - Bronwyn Davidson
- Department of Speech Pathology, University of Melbourne Melbourne , Victoria , Australia
| | - Kathryn McKinley
- Speech Pathology Department, St Vincent's Hospital Melbourne , Victoria , Australia
| | - Christine Bigby
- Living with Disability Research Centre, La Trobe University Bundoora , Victoria , Australia
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Harrison R, Walton M, Manias E, Mears S, Plumb J. Patients' experiences in Australian hospitals: a systematic review of evidence. AUST HEALTH REV 2019; 41:419-435. [PMID: 27537609 DOI: 10.1071/ah16053] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2016] [Accepted: 06/29/2016] [Indexed: 12/30/2022]
Abstract
Objective Patients are uniquely positioned to provide insightful comments about their care. Currently, a lack of comparable patient experience data prevents the emergence of a detailed picture of patients' experiences in Australian hospitals. The present study addresses this gap by identifying factors reported in primary research as relating to positive and negative experiences of patients in Australian hospitals. Methods Evidence from Australian qualitative studies of patients of all ages reporting their experiences in any hospital or day procedure centre was synthesised. A range of text words, synonyms and subject headings was developed and used to undertake a systematic search of seven electronic databases from January 1995 to July 2015 and the grey literature. Two reviewers independently screened the titles, abstracts or executive summaries and applied the inclusion criteria. Data were synthesised in a meta-narrative. Results Thirty-nine publications were included: 33 articles from database searches and six from the grey literature. Quality improvement researchers produced the dominant narrative and the nursing perspective was strong. Six themes emerged: 'Reciprocal communication and information sharing', 'Interpersonal skills and professionalism', 'The care environment', 'Emotional support', 'Discharge planning and process' and 'Correct treatment and physical outcomes'. Conclusion Tangible opportunities to enhance the patient experience are apparent. Small changes to the way that the health system operates and is resourced and the way that health professionals engage with patients could substantially improve care. Examples include inviting patients and carers to contribute to decision making and discussions about their treatment options and care preferences. What is known about the topic? Patient experience is identified as a key component of an optimal health system, along with improving the health of populations and reducing the per capita costs of care. The use of patient experience data has been associated with improved clinical effectiveness and patient safety. What does this paper add? Patient experience data are currently not routinely captured and difficulties exist as to where this information is available. These data are gathered using a variety of different methods that prohibit the development of a national picture. As a step towards overcoming this barrier, the present study identifies the common elements of healthcare experience reported by patients in Australia as being positive or negative. What are the implications for practitioners? Ensuring that patients and carers are active partners in their care is at the centre of a positive patient experience. Health professionals should provide patients with opportunities to make decisions about their care and ask questions, and to provide clear information before, during and after hospitalisation to enhance patients' experiences in Australian hospitals.
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Affiliation(s)
- Reema Harrison
- School of Public Health, University of Sydney, NSW 2006, Australia. Email
| | - Merrilyn Walton
- School of Public Health, University of Sydney, NSW 2006, Australia. Email
| | - Elizabeth Manias
- School of Public Health, University of Sydney, NSW 2006, Australia. Email
| | - Steven Mears
- Hunter New England Medical Library, New Lambton, NSW 2350, Australia. Email
| | - Jennifer Plumb
- Australian Commission on Safety and Quality in Health Care, 200 Elizabeth Street, Sydney, NSW 2000, Australia. Email
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Isokääntä S, Koivula K, Honkalampi K, Kokki H. Resilience in children and their parents enduring pediatric medical traumatic stress. Paediatr Anaesth 2019; 29:218-225. [PMID: 30592109 DOI: 10.1111/pan.13573] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/28/2017] [Revised: 12/05/2018] [Accepted: 12/24/2018] [Indexed: 01/25/2023]
Abstract
Due to the general lack of familiarity with the concept in the medical field, resilience is rarely considered in pediatric medical traumas. Resilience is an ability that enables recovery after adversities such as traumas, surgeries, serious health problems, or social issues. Stress from medical traumas encompasses both the psychological and physical responses of children and their families. Lack of resilience in children with medical traumatic stress may contribute to poor adjustment, slow recovery, disruptive behaviors, and psychiatric disorders. Furthermore, persistent parental distress increases the child's risk of low resilience. Consequently, these patients and their parents require early identification. This is achievable using a common stress measure such as the Perceived Stress Scale. Moreover, health care providers can screen patients' risks for low resilience, which include few social contacts, poor family functioning, and low cohesion among family members. Findings from the stress scale and screened risks could indicate the need for additional psychosocial support at the time of diagnosis of a serious illness, soon after injuries, and before and after operations. Such interventions can include decreasing distress, counseling children and their parents, and enabling strong connections to health care providers. Health care providers can help parents to minimize distress and adjust to their child's illness, thereby supporting the child's resilience, adjustment, and recovery.
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Affiliation(s)
- Siiri Isokääntä
- Department of Anaesthesia and Operative Services, Kuopio University Hospital, Kuopio, Finland.,Faculty of Health Sciences, Department of Anaesthesiology and Intensive Care, School of Medicine, University of Eastern Finland, Kuopio, Finland
| | - Krista Koivula
- Department of Paediatrics, Kuopio University Hospital, Kuopio, Finland
| | - Kirsi Honkalampi
- School of Educational Sciences and Psychology, University of Eastern Finland, Joensuu, Finland
| | - Hannu Kokki
- Faculty of Health Sciences, Department of Anaesthesiology and Intensive Care, School of Medicine, University of Eastern Finland, Kuopio, Finland
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Abstract
In order to determine the perception of hospital experiences among school-age children's (6-12 years), a descriptive and cross-sectional study was performed in 130 children hospitalized in a pediatric hospital with different diagnoses. Data were collected using a pediatric information form, questionnaire form, scale for attitudes towards hospital and healthcare personnel, and sources of anxiety generating thoughts scale (SAGTS). Children's expectations of the nurses were to be well treated (62%), to perform painless procedures (20%), to play games together (12%), to be capable of their job (10%), and to be cheerful (10%). Children's expectation of the hospital facilities was the availability of playgrounds and toys (19.2%), large and single rooms (15.4%), rooms with private bathroom (9.2%), and rooms with a television and Internet access (7.7%). A statistically significant, negative, and moderate linear relationship was found between the scale for attitudes towards hospital and healthcare personnel and SAGTS ( p < 0.05, r: -0.296). The present study was performed to define the children's hospital experiences, keeping in mind that the best opinion on this matter is the child's own opinion. The foundation of this understanding depends on admitting that the children can express their own opinions about the care they receive.
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Affiliation(s)
- Handan Boztepe
- 1 Pediatric Nursing Department, Faculty of Nursing, Hacettepe University, Sıhhiye, Ankara
| | - Sevil Çınar
- 1 Pediatric Nursing Department, Faculty of Nursing, Hacettepe University, Sıhhiye, Ankara
| | - Ayşe Ay
- 1 Pediatric Nursing Department, Faculty of Nursing, Hacettepe University, Sıhhiye, Ankara
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13
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Sims-Gould J, Race D, Hamilton L, MacDonald H, Mulpuri K, McKay H. 'I fell off and landed badly': Children's experiences of forearm fracture and injury prevention. J Child Health Care 2016; 20:98-108. [PMID: 25326540 PMCID: PMC5059151 DOI: 10.1177/1367493514551311] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Forearm fractures are one of the most common injuries sustained by children. Our descriptive study addressed, from the perspective of a child, the following research objectives: (1) to describe their fracture experience and (2) to describe how fractures might be prevented. Photovoice is a unique research strategy by which people create and discuss photographs. This technique has been used to elicit the perspectives of those whose voices are often 'not heard' in research, like children. Participants were recruited from a larger three-year prospective trial and included 10 boys (12.3 ± 1.6 years) and 7 girls (11.3 ± 1.6 years). We asked participants to take pictures to explain where their injury occurred (place), what they were doing at the time (context) and how the fracture had happened (mechanism). We also used semi-structured interview techniques. The following key themes emerged from our interviews: (1) the built environment as a key factor that 'caused' their fracture, (2) the fracture experienced as a journey not an event and (3) strategies to prevent fractures. A simple clinical step to potentially reduce subsequent fractures will be for clinicians to have a brief conversation with their young patients and to listen to the child's personal preventive strategies.
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Affiliation(s)
- Joanie Sims-Gould
- Centre for Hip Health and Mobility, Vancouver Coastal Health Research Institute, Vancouver, British Columbia, Canada Department of Family Practice, University of British Columbia, Vancouver, British Columbia, Canada
| | - Douglas Race
- Centre for Hip Health and Mobility, Vancouver Coastal Health Research Institute, Vancouver, British Columbia, Canada Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada
| | | | - Heather MacDonald
- Centre for Hip Health and Mobility, Vancouver Coastal Health Research Institute, Vancouver, British Columbia, Canada Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada Child and Family Research Institute, Vancouver, British Columbia, Canada
| | - Kishore Mulpuri
- Department of Orthopaedic Surgery, British Columbia Children's Hospital, Vancouver, British Columbia, Canada
| | - Heather McKay
- Centre for Hip Health and Mobility, Vancouver Coastal Health Research Institute, Vancouver, British Columbia, Canada Department of Family Practice, University of British Columbia, Vancouver, British Columbia, Canada Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada
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14
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Ford K, Courtney-Pratt H, Tesch L, Johnson C. More than just clowns--Clown doctor rounds and their impact for children, families and staff. J Child Health Care 2014; 18:286-96. [PMID: 23818149 DOI: 10.1177/1367493513490447] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Admission to hospital is recognised as a difficult time for children and families. This study explored clown doctor activities in an acute paediatric setting and the impact their activities have on children, their families, other health professionals and clown doctors themselves. We used observation, semi-structured interviews and focus groups with children and parents and staff and clown doctors and results provide a rich description of the work of clown doctors. The major themes were 'the encounter - in the moment' of the interaction of the child and the clown doctor and 'beyond the encounter'. The findings show that the impact of clown doctor visits is experienced beyond the immediate interaction, and this has not been clearly articulated in previous studies. This study highlights the multifaceted and complex nature of the work of the clown doctors and the high level of skill required as they modify and interpret play, activities and environment based on individual need and response.
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Affiliation(s)
- Karen Ford
- Practice Development Unit, Tasmanian Health Organisation-South and School of Nursing and Midwifery, University of TasmaniaHumour Foundation; Royal Hobart Hospital, Tasmania, AustraliaPractice Development Unit, Tasmanian Health Organisation - South
| | - Helen Courtney-Pratt
- Practice Development Unit, Tasmanian Health Organisation-South and School of Nursing and Midwifery, University of Tasmania
| | - Leigh Tesch
- Humour Foundation; Royal Hobart Hospital, Tasmania, Australia
| | - Caddi Johnson
- Practice Development Unit, Tasmanian Health Organisation - South
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Espinel AG, Shah RK, McCormick ME, Krakovitz PR, Boss EF. Patient Satisfaction in Pediatric Surgical Care. Otolaryngol Head Neck Surg 2014; 150:739-49. [DOI: 10.1177/0194599814527232] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Objective This study seeks to synthesize evidence-based findings related to patient satisfaction as a process measure in pediatric surgical care. Data Sources PubMed, CINAHL, Scopus, and the Cochrane Central Register of Controlled Trials. Review Methods We queried 4 standard search engines (1992-2013) for studies specific to pediatric surgical fields in which patient or parent satisfaction or experience of care was a primary outcome measure. Data were systematically analyzed to determine study characteristics, setting, parent or patient focus, measure of experience, and bias. Two independent investigators independently reviewed all articles. Results The initial search yielded 4748 publications (1503 duplicates), of which 170 underwent full-text review. Thirty-five were included for analysis; the majority (24/35,77%) were published in the last 5 years. Studies examined experience of the child (3/35), parent (23/35), or both (9/35). Experience and satisfaction were evaluated either by validated self-assessment instruments (8), by satisfaction tools (8), or by nonstandard institutional or author-developed tools (19). Experience was measured in the outpatient (7), preoperative (11), operative (14), and postoperative (3) care settings. Specific findings were unique to setting; however, in many studies higher satisfaction correlated with education/information giving, health care provider interpersonal behaviors, and facile/efficient care processes. Conclusion The patient experience of care is a valuable quality measure that is being more frequently evaluated as a mechanism to improve pediatric surgical care processes. Findings related to patient satisfaction and experience of care may be limited due to lack of measurement using validated tools. Findings from this review may bear significance as patient experience measures become routinely integrated with quality and reimbursement.
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Affiliation(s)
| | - Rahul K. Shah
- Department of Otolaryngology, Children’s National Medical Center, Washington, DC, USA
| | - Michael E. McCormick
- Department of Otolaryngology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
| | - Paul R. Krakovitz
- Department of Otolaryngology, Cleveland Clinic, Cleveland, Ohio, USA
| | - Emily F. Boss
- Department of Otolaryngology, Johns Hopkins University, Baltimore, Maryland, USA
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Ford K, Courtney-Pratt H, Fitzgerald M. Post-discharge experiences of children and their families following children's surgery. J Child Health Care 2012; 16:320-30. [PMID: 23118325 DOI: 10.1177/1367493512448129] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Increasing rates of day surgery and decreasing length of hospital stay mean children's recovery from surgery extends beyond hospital and into the home. The objective of this study is to improve the understanding of experiences of children and their families during recovery at home post surgery. This is an exploratory, interpretive study using diaries and semi-structured interviews with children and parents. Results from this research show that children recovering at home after surgery have increased dependency and are likely to become the centre of family life; re-establishing independence is a marker of recovery. When present, pain dominates the experience. The families that go home ill-prepared experience high levels of worry. In conclusion, recovery from surgery is influenced by multiple factors; overall, families and children are resilient. There is a role for health professionals to tailor and improve information provision to parents and children about post-operative recovery, including assessment and management of pain. Information should be made available that describes the experience of other families who have undergone a similar surgery, and families should be made aware of what information they need and how to access it before and after discharge.
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Affiliation(s)
- Karen Ford
- Practice Development Unit - Nursing and Midwifery, Southern Tasmania Area Health Service and School of Nursing and Midwifery, University of Tasmania, Australia.
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Carter B, Ford K. Researching children's health experiences: The place for participatory, child-centered, arts-based approaches. Res Nurs Health 2012. [PMID: 23192941 DOI: 10.1002/nur.21517] [Citation(s) in RCA: 76] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
A central concern when conducting qualitative health research with children is eliciting data that genuinely reflect their perspectives. Invariably, this involves being child-centered and participatory. Drawing and photography increasingly accompany dialogic methods to facilitate children's communication through arts-based and verbal modes of expression. However, little literature is available on how arts-based tools shape data. We suggest that researchers need to be attentive to how such tools can liberate, constrain and frame data generated by children, drawing attention to the promises of such approaches as well as the conundrums that can arise from their use. We explore the place for participatory, child-centered, arts-based approaches using examples of the use of drawing and photography in our own studies.
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Affiliation(s)
- Bernie Carter
- University of Central Lancashire and Alder Hey Children's NHS Foundation Trust, United Kingdom
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Affiliation(s)
- Karen Ford
- Royal Hobart Hospital and University of Tasmania, Australia
| | - Leigh Tesch
- Clown Doctor, Humour Foundation, Royal Hobart Hospital and Occupational Therapist, Australia
| | - Bernie Carter
- University of Central Lancashire and Children’s Nursing Research Unit, Alder Hey Children’s NHS Foundation Trust, UK
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