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Published on: September 19, 2019
In hospital with a hearing impaired child - How parents experience communication between nurses and their child
Seraina Brooks1, Irene Eckerli-Wäspi2, Daniela Händler Schuster3
11 Kinder- und Jugendmedizin, Kantonsspital Graubünden, Chur, Schweiz.
Insights
Parents of children with hearing impairment want nurses to recognize their child's communication needs. They often mediate care due to perceived staff limitations, highlighting the need for better communication training and resources.
Area of Science:
- Pediatrics
- Communication Sciences
- Nursing
Background:
- Children with hearing impairment face communication barriers, especially during hospitalization.
- Hospitalization poses risks of misinformation and trauma for these children.
- Parental dependence is high due to communication challenges.
Purpose of the Study:
- To explore parents' experiences of communication between nursing staff and their hospitalized child with hearing impairment.
- To identify communicative needs of hospitalized children with hearing impairment.
- To prevent negative consequences of hospitalization and improve nursing communication.
Main Methods:
- Recruitment through an advisory center for hearing-impaired children.
- Conducting narrative, semi-structured interviews with parents.
- Analysis of transcribed interviews using interpretative phenomenology.
Main Results:
- Parents desire affectionate verbal and nonverbal care for their children.
- Parents perceived nursing staff as time-constrained, lacking continuity, and failing to recognize communicative needs.
- Parents often mediated communication, doubting staff's ability and seeking to protect their child.
Conclusions:
- Sensitization of nursing staff is crucial for effective care.
- Adequate time resources, continuity of care, professional knowledge, and benevolence are fundamental.
- Improving communication is vital for the well-being of hospitalized children with hearing impairment.
Abstract:
Background: In daily communication, children with hearing impairment are restricted and dependent on their parents’ help. In case of a hospitalisation, the risk of insufficient information and resulting traumatisation for those children is high. The aim of this study is the investigation of the communicative needs of the children concerned in order to avoid negative consequences of a hospitalisation and of inappropriate communication by nursing staff. Aim: This study explores how parents of a child with hearing impairment experience the communication between the nursing staff and their hospitalised child. Method: The study was conducted together with an advisory centre for hearing-impaired children, where most of the parents could be recruited. Narrative, semi-structured interviews were conducted. The transcribed interviews were analysed according to the method of interpretative phenomenology. Results: The parents expressed their wish for affectionate verbal and nonverbal love and care for their child. They often experienced the nursing staff having little time, that there was no continuity and that the communicative needs of the child were not recognised. Since the parents did not think the nursing staff were capable of communicating with the child and because they wanted to protect him or her, they adopted a mediating role. Conclusions: Besides the sensitisation of the nursing staff, time resources, continuity, professional knowledge and benevolence in the nursing care of a child with hearing impairment play a fundamental role.
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