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Updated: May 3, 2026

Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure
Published on: September 19, 2019
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.
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.
Abstract:
The philosophy of family-centered care (FCC) promotes partnerships between families and staff to plan, deliver, and evaluate services for children and has been officially adopted by a majority of pediatric hospitals throughout North America. However, studies indicated that many parents have continued to be dissatisfied with their decision-making roles in their child's care. This is particularly salient for parents of children with chronic ongoing complex health problems. These children are dependent upon medical technology and require frequent hospitalizations during which parents must contribute to difficult decisions regarding their child's care. Given this clinical issue, an alternative theoretical perspective was explored to redress this problem. Pierre Bourdieu's theoretical concepts of field, capital, and habitus were used to analyze the hierarchical relationships in pediatric acute care hospitals and to design a briefing intervention aimed at improving parents' satisfaction with decision making in that health care setting.
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