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Parental Experiences Caring for Their Hospitalized Medically Fragile Infants: A Description of Grief, Stress, and
Lyndsay MacKay1, Karen Benzies1,2, Chantelle Barnard3
1Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada.
Insights
Parents of medically fragile infants experience significant stress and grief. They recommend psychological support and health system navigators to improve care and coping.
Area of Science:
- Pediatric Nursing
- Family-Centered Care
- Qualitative Research
Background:
- Increased survival rates for infants with complex diseases necessitate long-term hospitalization.
- Medically fragile infants rely on technology, posing unique challenges for families.
- Parents face significant stress and role adaptation difficulties when caring for hospitalized infants.
Purpose of the Study:
- To explore and understand the lived experiences of parents providing care for their hospitalized, medically fragile infant.
- To identify the challenges and coping mechanisms employed by parents in this unique caregiving situation.
Main Methods:
- A qualitative, constructivist grounded theory approach was used.
- 21 parents of hospitalized medically fragile infants were interviewed.
- Semi-structured interviews were transcribed and analyzed using coding techniques.
Main Results:
- Parents experienced grief over the loss of a healthy infant and faced numerous stressors.
- Coping strategies varied, with some parents experiencing significant physical and mental health impacts.
- Key recommendations included psychological support, physical activity access, primary nursing, and health system navigators.
Conclusions:
- Parental insights are crucial for developing effective interventions.
- Findings can inform healthcare providers and policymakers to better support families of medically fragile infants.
Background:
Advances in care have increased survival and improved outcomes of infants with complex and chronic diseases. These medically fragile infants require long-term hospitalization and depend on technology for survival. Parents of these infants experience stress and difficulties adapting to their parental role.
Purpose:
To present an account of parental experiences as they provided care for their hospitalized medically fragile infant.
Methods:
This study was part of a larger constructivist grounded theory study to provide a holistic understanding of the processes of care for medically fragile infants. For this sub-study, 21 parents of hospitalized medically fragile infants were recruited from a pediatric hospital in Western Canada. Parents participated in face-to-face, semi-structured interviews, which were transcribed and analyzed using initial and focused coding.
Results:
Parents of hospitalized medically fragile infants grieved the loss of parenting a healthy infant, and they experienced multiple stressors. Parents utilized various coping strategies to manage their grief and stressors. Some parents were unable to cope, which exacted a heavy toll on their physical and mental health. Parents recommended psychological support, access to physical activity, primary nursing, and health system navigators.
Conclusions:
Parental recommendations can inform the design of interventions for parents of hospitalized medically fragile infants.
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