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Published on: June 2, 2022
Parental experiences of their infant's hospitalization for cardiac surgery
L Kosta1, L Harms1, C Franich-Ray2,3
1Department of Social Work, The University of Melbourne, Melbourne, Vic., Australia.
Insights
Parents of infants undergoing congenital heart surgery face challenges with hospital systems and daily living. Strong relationships with healthcare staff significantly improve their experience.
Area of Science:
- Pediatric Healthcare
- Parental Support Systems
- Congenital Heart Disease
Background:
- Parental involvement is crucial in pediatric healthcare.
- Parental experiences during infant hospitalization are under-researched.
- Focus on parental perceptions during infant cardiac surgery.
Purpose of the Study:
- Explore parental difficulties during infant hospitalization for congenital heart disease (CHD) surgery.
- Identify areas for improvement in parental care.
- Understand helpful aspects of the hospitalization experience.
Main Methods:
- Structured interviews with 154 parents (mothers and fathers) of infants who had cardiac surgery.
- Interviews conducted one month post-discharge.
- Thematic and frequency analyses used to interpret data.
Main Results:
- Parents experienced difficulties with illness progression, surgery, recovery, and hospital logistics.
- Struggles included daily living necessities and transitions between hospital and home.
- Key areas for change: facility resources, information, and emotional support.
- Relationships with hospital staff were the primary source of support.
Conclusions:
- Improvements in parental hospital experiences are possible at organizational and clinical levels.
- Professional relationships with hospital staff significantly impact family experiences.
- Challenges highlight the need for comprehensive allied health services.
Background:
Parents are increasingly recognized as important partners in children's health care. Despite their involvement in care, parental experiences of their child's hospitalization have received little research attention. In this study we explored parents' perceptions of what they found difficult, what they would like to be different and what they found to be helpful during their infant's hospitalization and surgery for the treatment of congenital heart disease.
Methods:
Structured interviews were conducted with 154 parents (91 mothers, 63 fathers) whose infant underwent cardiac surgery (at <3 months of age) 1 month post discharge from hospital. Thematic and frequency analyses were performed.
Results:
Parents reported a range of difficulties from dealing with their baby's unfolding illness, surgery and recovery to the structural and systemic issues associated with the broader context of their experiences. In an effort to be near their baby, parents struggled to obtain the necessities for daily living at the hospital and negotiate transitions between their hospital and home lives throughout the admission. Domains parents identified for change included the availability of facilities and resources and the quantity and quality of information and emotional support. Parents reported relationships with hospital staff as the most common source of support during this challenging time.
Conclusions:
Opportunities to improve parents' experiences when their infant is in hospital exist at an organizational level as well as at the clinical level. The significance of parents' relationship with hospital staff indicates the potential for each professional to impact on families' experiences on a daily basis. The range of challenges indicates the scope and need for allied health services.
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Attachment