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Protecting, providing, and participating: fathers' roles during their child's unplanned hospital stay, an
1Faculty of Health and Social Care, Open University, Milton Keynes, UK. s.higham@open.ac.uk
Insights
Fathers actively participate in caring for their hospitalized children, fulfilling roles in protection, provision, and direct care. Healthcare professionals should recognize fathers
Area of Science:
- Pediatric Nursing
- Family-Centered Care
- Qualitative Research
Background:
- Family-centered care is a cornerstone of high-quality pediatric nursing.
- Existing research predominantly focuses on mothers' roles, leaving fathers' contributions under-explored.
- Understanding fathers' experiences is crucial for comprehensive family support.
Purpose of the Study:
- To explore fathers' experiences during their child's unplanned hospital admission.
- To identify the specific roles fathers assume in caring for their acutely ill child.
- To inform healthcare practices to better support fathers in pediatric care settings.
Main Methods:
- A qualitative field study employing ethnographic observation (150 hours).
- Interviews conducted with 12 fathers and 7 children's nurses.
- Data collected over a 15-month period (August 2009 - December 2010).
Main Results:
- Fathers expressed a strong desire to be present with their hospitalized child.
- Fathers made significant contributions to the overall family experience.
- Key paternal roles identified: protecting the child, providing for the family, and participating in care.
Conclusions:
- Fathers are as motivated as mothers to care for their sick children in hospital.
- Fathers encounter unique challenges, often balancing hospital care with work and care for well siblings.
- Healthcare professionals must acknowledge and accommodate fathers' significant caregiving roles and responsibilities.
Aim:
To gain an increased understanding of fathers' experiences during their child's stay in hospital as an unplanned admission for acute illness or injury.
Background:
Family-centred care is promoted in children's nursing as providing high quality care but internationally, research has in the main focused on mothers whilst fathers' contribution to care remains relatively under explored.
Design:
A qualitative field study.
Methods:
The study was conducted from August 2009-December 2010 involving 150 hours of ethnographic observation on two children's wards and interviews with 12 fathers and seven qualified children's nurses.
Findings:
Fathers wanted to be with their sick child in hospital and made essential contributions to the whole family's experience. Three aspects of the fathers role in caring for their sick child in hospital were identified which included: protecting, providing for the family, and participating in care.
Conclusion:
Fathers, no less than mothers, want to be with and care for their sick child in hospital, yet they face challenges in doing so. The working practices of children's nurses and other healthcare professionals must take into account that fathers play a significant role in caring for their sick child in hospital but may do this alongside paid work and caring for well siblings.
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