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Parental experiences of a developmentally focused care program for infants and children during prolonged
Stephanie So1, Alaine Rogers2, Catherine Patterson2
1Hospital for Sick Children, Toronto, Canada stephanie.so@sickkids.ca.
Insights
Parents in a prolonged hospitalization study valued respectful care and child development programs. The Beanstalk Program (BP) empowered parents, shifting focus from medical overwhelm to confidence in caring for their child.
Area of Science:
- Pediatric Healthcare
- Family-Centered Care
- Child Development
Background:
- Prolonged pediatric hospitalizations present unique challenges for families.
- Parental experiences and perceptions of care significantly impact family well-being.
- Developmentally focused programs are crucial in acute care settings.
Purpose of the Study:
- To investigate parental experiences with care during prolonged pediatric hospitalizations.
- To evaluate the Beanstalk Program (BP), a developmental care initiative.
- To understand how developmental focus influences parental confidence and empowerment.
Main Methods:
- Quantitative survey using the Measures of Processes of Care (MPOC-20) with 20 parents.
- Qualitative semi-structured interviews with 11 parents.
- Exploration of parental perceptions of healthcare provider behaviors and the BP.
Main Results:
- Parents rated Respectful and Supportive Care highest and Providing General Information lowest.
- Key themes included striving for normalcy, valuing developmental focus, and the impact of education.
- Developmentally focused education empowered parents, reducing feelings of overwhelm.
Conclusions:
- The Beanstalk Program (BP) positively impacts parental experiences during child hospitalization.
- Prioritizing child development is essential for hospitalized infants and young children.
- Empowering parents through education enhances their confidence in managing their child's care and transition home.
Abstract:
This study investigates parental experiences and perceptions of the care received during their child's prolonged hospitalization. It relates this care to the Beanstalk Program (BP), a develop-mentally focused care program provided to these families within an acute care hospital setting. A total of 20 parents (of children hospitalized between 1-15 months) completed the Measures of Processes of Care (MPOC-20) with additional questions regarding the BP. Scores rate the extent of the health-care provider's behaviour as perceived by the family, ranging from 'to a great extent' (7) to 'never' (1). Parents rated Respectful and Supportive Care (6.33) as highest, while Providing General Information (5.65) was rated lowest. Eleven parents participated in a follow-up, qualitative, semi-structured interview. Interview data generated key themes: (a) parents strive for positive and normal experiences for their child within the hospital environment; (b) parents value the focus on child development in the midst of their child's complex medical care; and (c) appropriate developmentally focused education helps parents shift from feeling overwhelmed with a medically ill child to instilling feelings of confidence and empowerment to care for their child and transition home. These results emphasize the importance of enhancing child development for hospitalized infants and young children through programs such as the BP.
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