Bourdieu at the bedside: briefing parents in a pediatric hospital

Karen LeGrow1,2, Ellen Hodnett3, Robyn Stremler3

  • 1Daphne Cockwell School of Nursing, Faculty of Community Services, Ryerson University, Toronto, ON, Canada.

Nursing Inquiry
|January 29, 2014
PubMed

Insights

Family-centered care (FCC) partnerships aim to improve pediatric care, but parents remain dissatisfied with decision-making roles. A new intervention using Bourdieu

Area of Science:

  • Pediatric healthcare research
  • Sociology in medicine
  • Health services research

Background:

  • Family-centered care (FCC) is widely adopted in pediatric hospitals to foster family-staff partnerships.
  • Parental dissatisfaction persists regarding their decision-making roles, especially for children with complex chronic conditions.
  • Children with complex health needs require frequent hospitalizations and parental involvement in critical care decisions.

Purpose of the Study:

  • To explore an alternative theoretical perspective to address parental dissatisfaction in pediatric care decision-making.
  • To analyze hierarchical relationships within pediatric acute care settings.
  • To design a briefing intervention to enhance parental satisfaction with decision-making.

Main Methods:

  • Utilized Pierre Bourdieu's theoretical concepts: field, capital, and habitus.
  • Applied these concepts to analyze power dynamics and hierarchical structures in pediatric acute care hospitals.
  • Developed and proposed a briefing intervention strategy.

Main Results:

  • Analysis revealed hierarchical relationships impacting parental involvement in decision-making.
  • The theoretical framework provided insights into barriers to effective parental participation.
  • A briefing intervention was designed to improve parent satisfaction.

Conclusions:

  • Sociological theories can illuminate challenges in implementing family-centered care.
  • A targeted intervention may improve parents' satisfaction with their decision-making roles.
  • Further research is needed to evaluate the intervention's effectiveness in pediatric settings.

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