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Parents' experiences of caring for their child following day case surgery: a diary study
1University of Manchester. j.m.hughes@man.ac.uk
Insights
Day case surgery for children offers benefits but presents challenges for families. Parents reported significant social and emotional impacts, highlighting the need for better support systems during recovery.
Area of Science:
- Pediatric Healthcare
- Ambulatory Surgery
- Family-Centered Care
Background:
- Children's healthcare has shifted towards ambulatory care, including day case surgery, aiming to reduce hospital stays and costs.
- The impact of day case surgery on the child and family dynamics remains less understood.
- Parental perspectives are crucial for evaluating the holistic effects of modern pediatric surgical practices.
Purpose of the Study:
- To explore the impact of day case surgery on children and their families from the parents' viewpoint.
- To gain deeper insights into the lived experiences of families navigating post-operative care at home.
- To identify key areas of concern for parents managing their child's recovery after day surgery.
Main Methods:
- A qualitative research approach was employed, utilizing descriptive and inductive methodologies.
- Parental experiences were investigated through diary entries over a 7-14 day period post-surgery.
- Eleven families participated in the study, providing detailed accounts of their child's surgical recovery.
Main Results:
- Families faced considerable challenges in managing their child's care at home.
- Significant social impacts were reported for both parents and children.
- Emotional difficulties were prevalent for parents and children, underscoring a need for support.
Conclusions:
- Day case surgery, while efficient, creates substantial social and emotional burdens for families.
- Existing formal and informal support systems may be insufficient to address the needs arising from day surgery recovery.
- Further research and enhanced support structures are necessary to mitigate the challenges families encounter after pediatric day case surgery.
Abstract:
The development of children's health care over the last 15-20 years has resulted in an increased move towards ambulatory care, including day case surgery, which has implied benefits in reduced hospitalization and cost. The wider impact on the child and family is less clear. The study aimed for greater insight into the impact of day case surgery on the child and family from the parent's perspective. Using a qualitative approach and descriptive and inductive methods, the design focused on the parent's experiences of their child's surgery. Diaries were completed by 11 families over a 7-14-day period following their child's surgery. Findings demonstrated that there were significant issues for families in managing the care of their child with regard to the social impact for the parent and child, emotional issues for parent and child, and the need for formal and informal support systems.
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