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Published on: January 17, 2011
The voices of children: stories about hospitalization
Margaret E Wilson1, Mary E Megel, Laura Enenbach
1College of Nursing, University of Nebraska Medical Center, Omaha, NE 68198-5330, USA. mwilson@unmc
Insights
Children often feel lonely and scared when hospitalized, desiring companionship and protection. Their experiences, while sometimes negative, were not always frightening, highlighting the complex nature of hospital stays for kids.
Area of Science:
- Pediatric Psychology
- Child Development
- Healthcare Experiences
Background:
- Understanding children's perspectives on hospitalization is crucial for improving care.
- Previous research often lacks direct input from children regarding their hospital experiences.
Purpose of the Study:
- To explore hospitalized children's views and experiences through their own narratives.
- To identify key themes and emotions associated with childhood hospitalization.
Main Methods:
- Secondary analysis of stories from 93 children (aged 5-9) using drawings of hospital settings.
- Qualitative thematic analysis of narratives collected from children recruited both in-hospital and in the community.
Main Results:
- Children's narratives frequently centered on feelings of loneliness, fear, sadness, and a desire for protection and companionship.
- Experiences were not solely negative; children also perceived the hospital environment as potentially fun, alongside threatening aspects.
- Awareness of both positive and negative potential outcomes of hospitalization was evident in children's stories.
Conclusions:
- Hospitalization evokes complex emotions in children, including but not limited to fear and sadness.
- The core themes of hospitalized children's experiences differ from those of never-hospitalized children primarily in the level of detail and emotional intensity.
Introduction:
The study explored children's views of hospitalization through their own voices.
Method:
In this secondary analysis, 93 children aged 5 to 9 years told stories about hospitalization using a set of drawings of children in the hospital. Children were recruited in the hospital and in the community. Themes were identified through qualitative analysis.
Results:
Children's stories focused on being alone and feeling scared, mad, and sad. These children wanted protection. Children in the stories were not always facing scary events. They were simply not at home and feeling bored, lonely, and sad. They wanted companions. Children displayed awareness of both good and bad outcomes. The hospital was a unique environment that could be fun as well as threatening.
Discussion:
Children's views of hospitalization were not invariably negative. The themes of hospitalized and never-hospitalized children were different only in degree of detail.
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