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Published on: August 1, 2019
Parents' experiences of an e-health intervention implemented in pediatric healthcare: a qualitative study
Ingrid Larsson1, Petra Svedberg2, Susann Arvidsson2
1School of Health and Welfare, Halmstad University, PO Box 823, S-30118, Halmstad, Sweden. ingrid.larsson@hh.se.
Insights
The Sisom e-health solution enhances child participation in healthcare by centering communication on the child
Area of Science:
- Pediatric Healthcare
- Health Informatics
- Patient Engagement
Background:
- Child participation in healthcare is crucial for well-being and aligns with the UN Convention on the Rights of the Child.
- Effective communication and inclusion of children in care decisions are influenced by healthcare professionals and parental support.
- E-health solutions offer potential to overcome communication barriers between children and healthcare providers.
Purpose of the Study:
- To explore parents' perspectives on the outcomes of the Sisom e-health solution for children during healthcare appointments.
- To understand how the Sisom tool impacts children's engagement and communication in their own healthcare.
- To identify facilitators and outcomes associated with using Sisom in pediatric care.
Main Methods:
- Qualitative study employing constructivist grounded theory.
- Data collected through interviews with 16 parents whose children used the Sisom e-health solution.
- Analysis focused on understanding parents' experiences and perceptions of the tool's impact.
Main Results:
- The Sisom tool facilitates enhanced child participation by shifting focus to the child's voice, making them the primary agent in their care.
- Key facilitators for participation included engaging the child, voice-guarding, raising awareness, and preserving integrity.
- Use of Sisom also initiated a process that helped children cope with their illness experience.
Conclusions:
- Sisom effectively reorients healthcare communication towards the child's perspective, promoting their active involvement and human rights.
- The e-health solution increases child participation by including them in dialogues with healthcare professionals.
- Sisom supports children's rights by empowering them to voice their needs and views in healthcare settings.
Background:
The growing field of participation in healthcare has the potential to provide a number of benefits for children, patients, healthcare professionals and also the healthcare systems. According to the Convention on the Rights of the Child (UNCRC), children have the right to participate in their own healthcare and make their voice heard. Children's opportunities for understanding their conditions, sharing their views and participating in decisions regarding their care depend on healthcare professionals but also on parents' ability to communicate and include children. E-health solutions can remove barriers to children's communication with healthcare professionals. The aim of this study was to explore parents' perspectives on the outcomes of an e-health solution, Sisom, used by children during healthcare appointments.
Methods:
The empirical data is based on interviews with 16 parents. In the present study constructivist, grounded theory was chosen as the method.
Results:
The theory of enhancing participation, by orientating communication about healthcare towards the voice of the child instead of the parents, summarizes the process of how the outcome of Sisom for children lead to enhanced participation, by making the child the main actor and an agent in his/her own healthcare. The facilitators for achieving participation in Sisom were four interrelated outcomes; engaging, voice-guarding, raising awareness and integrity preserving. In addition to generating increased participation, it emerged that the use of Sisom also initiated a process, which was evident in all four subcategories that facilitated the child in coping with the experience of having an illness.
Conclusions:
We conclude, that Sisom orientated communication about healthcare towards the voice of the child instead of the parents as well as including the child in the dialogue with the healthcare professional and thus increasing the child's participation and human rights.
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