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Published on: September 19, 2019
Caring for adoptive families: lessons in communication
Eileen M Smit1, Terry Delpier, Sharyl-Lynn E Tarantino
1Department of Nursing, Northern Michigan University, Marquette, MI, USA.
Insights
Adopted children experienced more distress during their first hospitalization than biological children. Adoptive parents reported higher stress, particularly regarding communication about their child
Area of Science:
- Pediatric Health
- Family Studies
- Healthcare Communication
Background:
- Hospitalization presents unique challenges for children and families.
- Understanding the specific needs of adopted children during healthcare experiences is crucial.
Purpose of the Study:
- To compare the hospitalization experiences of families with adopted children versus biological children.
- To identify sources of stress and distress in both groups.
Main Methods:
- A comparative study involving parents of adopted and biological children during hospitalization.
- Measurement of parental stress and child distress levels.
Main Results:
- First-time hospitalized adopted children showed significantly higher distress than biological children.
- Adoptive parents experienced greater stress related to staff communication about their child's illness.
- Adoptive families noted challenges with limited medical history and attachment concerns.
Conclusions:
- Healthcare providers must address adoptive parents' concerns regarding child's hospitalization response, attachment, and medical history.
- Effective communication with adoptive parents is paramount for quality care.
Purpose:
To describe the experiences of families whose adopted children were hospitalized and to compare those experiences to the experiences of families of hospitalized biological children.
Method:
The parents of 10 adopted and 55 biological children participated in the study in which the source and intensity of stress for parents and the level of distress demonstrated by the children during their hospitalization were measured and compared.
Results:
Adopted children hospitalized for the first time were significantly more distressed during hospitalization than biological children hospitalized for the first time. Adoptive parents experienced significantly more stress than biological parents related to how staff communicated with them about their child's illness. Concerns identified by several adoptive families included difficulties associated with having limited information about their child's family medical history and concerns about attachment issues.
Conclusions:
Health care providers need to be aware of adoptive parents' concerns about their child's response to hospitalization, attachment issues, and limited family medical history. The quality of communication with adoptive parents is especially important.
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