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Published on: August 19, 2020
Coping with the unfamiliar: How do children cope with hospitalization in relation to acute and/or critical illness? A
Stine Leegaard Jepsen1, Anita Haahr2, Marianne Eg3,4
1Faculty of Health Sciences, VIA University College, Silkeborg, Denmark.
Insights
Young children hospitalized with acute or critical illness cope by making the unfamiliar hospital environment feel more familiar. They use strategies to maintain their sense of self and normalcy during treatment.
Area of Science:
- Pediatric Psychology
- Child Health Outcomes
- Qualitative Research Methods
Background:
- Hospitalization presents significant challenges for young children facing acute or critical illness.
- Understanding children's coping mechanisms is crucial for improving their healthcare experiences.
Purpose of the Study:
- To identify and describe how young children cope with hospitalization during acute and/or critical illness.
- To explore the strategies children employ to manage the unfamiliar aspects of their hospital stay.
Main Methods:
- Qualitative meta-synthesis approach.
- Exhaustive literature search identifying six relevant studies.
- Taxonomic analysis of collected data.
Main Results:
- Hospitalized children encounter numerous challenges due to their illness and the hospital environment.
- A primary challenge is coping with the 'unfamiliar' across physical, emotional, and relational domains.
- Children employ strategies to normalize the hospital stay, meet basic needs, and create familiarity.
Conclusions:
- Children actively strive to maintain their integrity and adapt to hospitalization.
- Coping behaviors are essential for children to navigate the complexities of illness and hospital environments.
- Findings highlight the need for supportive interventions tailored to children's coping needs.
Abstract:
The aim of this study was to identify and describe how young children cope with hospitalization in relation to acute and/or critical illness. The study is a qualitative metasynthesis inspired by the approach described by Sandelowski and Barroso. Based on an exhaustive literature search, six studies were included. Data were analyzed through a taxonomic analysis. The findings revealed that the hospitalized children face a variety of challenges during admission to the hospital due to acute and/or critical illness. The main challenge was that hospitalized children strive to cope with different aspects of 'the unfamiliar' that emerge in their illness treatment and hospital stay. The unfamiliar refers to unknown experiences on a physical, emotional, and relational level. Subsequently, children cope with the unfamiliar by striving to convert the hospital stay into something more similar to everyday life, using strategies to secure basic needs and constructing familiarity in the hospital stay. The consequences of the children's coping behavior are discussed and how children strive to keep their integrity intact during illness and hospitalization are revealed.
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