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Mothers' process of decision making for gastrostomy placement
Ailsa Brotherton1, Janice Abbott
1University of Central Lancashire, Preston, Lancashire, United Kingdom. ambrotherton@uclan.ac.uk
Qualitative Health Research
|September 24, 2011
Summary
Mothers’ decision-making for pediatric gastrostomy (feeding tube) placement involves complex personal experiences and healthcare communication. Understanding these influences can improve support and child-centered choices.
Area of Science:
- Pediatric healthcare
- Decision-making processes
- Maternal health psychology
Background:
- Gastrostomy placement is a critical decision for children with feeding difficulties.
- Mothers' experiences significantly shape their decision-making journey.
- Healthcare communication plays a vital role in this process.
Purpose of the Study:
- To explore mothers' discourses on decision-making for pediatric gastrostomy placement.
- To understand how personal experiences influence mothers' constructions of decision-making.
- To identify factors impacting the decision-making process and its outcomes.
Main Methods:
- In-depth interviews with a purposive sample of mothers.
- Discourse analysis of interview transcripts.
- Exploration of lived experiences and healthcare interactions.
Main Results:
- Mothers negotiated decisions by integrating personal feeding experiences with healthcare team communications.
- Decision-making was often associated with anxiety and guilt, ranging from perceived coercion to true child-centered choice.
- The decision-making process had a profound impact on mothers' well-being.
Conclusions:
- Mothers' decision-making for gastrostomy placement is a complex, experience-driven process.
- Healthcare professionals must support mothers to ensure child-centered decisions.
- Improving communication and support can enhance the gastrostomy placement decision-making experience for children and mothers.
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