Comparison of children's fears of medical experiences across two cultures
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Published on: July 30, 2009
Ganga Mahat1, Mary Ann Scoloveno, Barbara Cannella
1Rutgers, The State University of New Jersey, College of Nursing, Newark 07102, USA. mahat@nightingale.rutgers.edu
Insights
Children in Nepal and the United States share fears of medical procedures like shots, with Nepalese children reporting higher overall medical fears. Girls in Nepal expressed greater fear than boys, unlike in the US.
Area of Science:
- Pediatric Psychology
- Cross-Cultural Psychology
- Nursing Research
Background:
- Investigates self-reported fears in school-age children across the United States and Nepal.
- Highlights cultural variations in childhood anxieties related to medical experiences.
Purpose of the Study:
- To compare medical fears between children from the United States and Nepal.
- To identify specific medical fears and cultural differences in fear expression.
Main Methods:
- Utilized the revised Child Medical Fear Scale.
- Included 30 school-age children from each country, matched for age and sex.
Main Results:
- Getting a shot was the most feared item for both groups.
- Nepalese children reported higher medical fear scores than American children.
- Nepalese girls reported significantly higher fear scores than Nepalese boys; no gender difference was found in American children.
Conclusions:
- Findings are crucial for nurse practitioners to understand cross-cultural pediatric medical fears.
- Emphasizes the need to consider family, sex, and culture in pediatric nursing care planning.
- Provides insights for culturally sensitive interventions to manage children's medical fears.
Introduction:
This study examined the self-reported fears of school-age children living in the United States and in Nepal.
Method:
Thirty school-age children from each country, matched by sex and age, participated in this study. The revised version of the Child Medical Fear Scale was used to identify medical fears of children.
Results:
Among 17 feared items, the result showed getting a shot to be the most feared item reported by both groups. Nepalese children reported higher fear scores than did American children. It also was found that there was a significant difference in fear scores between Nepalese boys and girls, with girls reporting higher fear scores than boys. There was no difference in fear scores between American boys and girls.
Discussion:
The findings of this study are important to nurse practitioners in understanding children's fears of medical experiences across different cultures. Nurses can support children in dealing with their fears of medical experiences by recognizing these fears and taking into consideration the child's family, sex, and culture when planning care. Nursing implications are discussed.
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