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Lived experiences of parents caring for a child with a life-limiting condition in Australia: A qualitative study.
Collins, Anna; Hennessy-Anderson, Nicole; Hosking, Sarah; Hynson, Jenny; Remedios, Cheryl; Thomas, Kristina.
Afiliação
  • Collins A; Centre for Palliative Care, St Vincent's Hospital Melbourne, Fitzroy, VIC, Australia Anna.collins@svha.org.au.
  • Hennessy-Anderson N; Centre for Palliative Care, St Vincent's Hospital Melbourne, Fitzroy, VIC, Australia.
  • Hosking S; Very Special Kids, Malvern, VIC, Australia.
  • Hynson J; Paediatric Palliative Care Program, The Royal Children's Hospital Melbourne, Parkville, VIC, Australia.
  • Remedios C; Mercy Palliative Care, Sunshine, VIC, Australia.
  • Thomas K; Centre for Palliative Care, St Vincent's Hospital Melbourne, Fitzroy, VIC, Australia.
Palliat Med ; 30(10): 950-959, 2016 12.
Article em En | MEDLINE | ID: mdl-26951065
ABSTRACT

BACKGROUND:

Experiential studies in paediatric palliative care are needed to enable an ongoing international agenda which supports the development of responsive family supports.

AIM:

To provide an in-depth exploration of the prevalent lived experiences of parents who are currently providing care for a child with a life-limiting condition in Australia.

DESIGN:

Cross-sectional, prospective, qualitative study guided by an advisory group and reported according to the consolidated criteria for reporting qualitative studies. Transcripts were subjected to a thematic analysis, underpinned by an interpretative phenomenological framework. SETTING/

PARTICIPANTS:

Purposively sampled parents (n = 14) recruited from a statewide paediatric hospice who self-identified as a 'primary caregiver' for one or more children and/or adolescents (⩽18 years) with a life-limiting condition.

RESULTS:

Four key themes represented the prevalent experiences of parents (1) trapped inside the house, (2) the protector, (3) living with the shadow and (4) travelling a different pathway. They describe parents' physical and social isolation, exclusion from the workforce, pervasive grief and associated impacts to their health and well-being. Limited professional and diminished social supports resulted in full ownership of care responsibility. Yet, parents embraced their role as 'protector', reporting acquired meaning and purpose.

CONCLUSION:

This study builds upon the growing body of evidence available in paediatric palliative care internationally. The key themes highlight the substantial demand for both physical and emotional support beyond what is currently offered and call for the implementation of carefully planned support services and other societal initiatives which seek to alleviate the broad health impacts to caregivers.
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cuidados Paliativos / Relações Pais-Filho / Pesquisa Qualitativa Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adolescent / Child / Female / Humans / Male País/Região como assunto: Oceania Idioma: En Ano de publicação: 2016 Tipo de documento: Article
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cuidados Paliativos / Relações Pais-Filho / Pesquisa Qualitativa Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adolescent / Child / Female / Humans / Male País/Região como assunto: Oceania Idioma: En Ano de publicação: 2016 Tipo de documento: Article