School of Nursing, Midwifery, and Health Practice, Faculty of Health, Victoria University of Wellington, Wellington, New Zealand.
Health Services Research Centre, Faculty of Health, Victoria University of Wellington, Wellington, New Zealand.
PLoS One. 2020 Jan 30;15(1):e0228354. doi: 10.1371/journal.pone.0228354. eCollection 2020.
The experience of having a child hospitalised is stressful and disrupts families in myriad ways; however, the experiences of parents/caregivers who encounter repeated admissions of a child with acute lower respiratory infections are under-researched. This project aims to explore these experiences, from a qualitative perspective, using the philosophical tenets of reflective lifeworld research. The research included 14 face-to-face interviews with parents, grandparents, or primary caregivers, of children who, whilst under two years of age, were admitted to hospital multiple times with a lower respiratory infection diagnosis. Many of the participants were from Māori or Samoan ethnic backgrounds. The findings of this single site study revealed that these parents/caregivers' experiences were characterised by feelings of powerlessness, offering descriptions of hospitals as harsh and difficult places to reside, they are 'in-hospitable'. The findings suggest that repeated hospitalisations created a cycle of stressful experiences that impacted both familial relationships and interactions with society. This study draws attention to this previously obscured population group, and calls health care practitioners and policy advisors to engage differently over issues involving families in similar positions.
儿童住院的经历是有压力的,会以多种方式扰乱家庭;然而,对于那些多次遇到急性下呼吸道感染儿童入院的父母/照顾者的经历,研究还很不足。本项目旨在从定性的角度探讨这些经历,使用反思生活世界研究的哲学原则。该研究包括对 14 名父母、祖父母或主要照顾者的面对面访谈,这些孩子在两岁以下时因下呼吸道感染多次住院。许多参与者来自毛利人或萨摩亚族裔背景。这项单站点研究的结果表明,这些父母/照顾者的经历的特点是无能为力,他们将医院描述为严酷和难以居住的地方,是“不友好的”。研究结果表明,反复住院导致了一系列压力体验的循环,影响了家庭关系和与社会的互动。这项研究引起了对这一以前被忽视的人群的关注,并呼吁医疗保健从业者和政策顾问在涉及类似处境的家庭的问题上采取不同的方法。