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Involvement and fragmentation: a study of parental care of hospitalized children in Brazil

R A de Lima1, S M Rocha, C G Scochi

  • 1Ribeirão Preto Nursing School, University of São Paulo, Brazil.

Pediatric Nursing
|May 25, 2002
PubMed

Insights

Parental involvement in child hospitalization is encouraged, but integrating mothers and nurses in Brazil reveals challenges. Care fragmentation into manual and intellectual tasks hinders effective collaboration for hospitalized children.

Area of Science:

  • Pediatric Nursing
  • Hospital Administration
  • Sociology of Health

Background:

  • Government policies in Brazil and the UK encourage parental involvement in pediatric hospital care.
  • Existing literature from the UK, North America, and Latin America on parental participation is reviewed.
  • Understanding parental roles is crucial for improving child healthcare delivery.

Purpose of the Study:

  • To examine the integration of work between nurses and mothers of hospitalized children in Brazil.
  • To identify challenges in collaborative care within a Brazilian hospital setting.
  • To analyze the division of labor in pediatric care using a theoretical framework.

Main Methods:

  • A qualitative study involving participant observation.
  • Focus on the division of work between nurses and mothers of 10 children with chronic illnesses.
  • Data collection in a Brazilian hospital setting.

Main Results:

  • Difficulties were observed in integrating the work of mothers and nurses.
  • Childcare was fragmented into "manual" (nursing) and "intellectual" (mother's perceived role) tasks.
  • This fragmentation impacts the collaborative care model.

Conclusions:

  • The integration of parental involvement in pediatric care requires addressing the division of labor.
  • Rethinking the organization of work is necessary to overcome care fragmentation.
  • Implications for improving child healthcare organization in Brazilian hospitals are discussed.

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