Parental Perspectives on Children's Functional Experiences After Limb Fracture: A Qualitative Study
Stevi Golden-Plotnik, Samina Ali, Mackenzie Moir1
1From the Department of Pediatrics, Faculty of Medicine & Dentistry.
Pediatric Emergency Care
|July 20, 2021
Summary
Pediatric fractures significantly impact children's daily function, affecting sleep, play, and independence. Caregivers reported universal functional changes, highlighting the need for comprehensive discharge guidance beyond pain management.
Area of Science:
- Pediatric Orthopedics
- Child Health
- Qualitative Research
Background:
- Childhood fractures are common, with pain well-documented but functional impact less understood.
- Impaired function restricts children's daily activities and participation.
- Eighty percent of pediatric fractures compromise daily function, impacting discharge instructions.
Purpose of the Study:
- To explore caregivers' perspectives on the functional impact of limb fractures in children.
- To understand how pediatric fractures affect children's day-to-day life activities.
Main Methods:
- Qualitative study involving semistructured interviews with caregivers of children (5-11 years) with acute, nonoperative long bone fractures.
- Interviews conducted 7-14 days post-emergency department (ED) visit.
- Content analysis of audio-recorded interviews focusing on functional areas.
Main Results:
- All 25 participating caregivers reported functional changes in their children.
- Most affected areas included sleep, activities of daily living, and play.
- Children experienced emotional distress, required parental assistance, and families adapted routines, impacting work.
Conclusions:
- Pediatric fractures universally impair function, significantly affecting family life post-discharge.
- Discharge discussions should encompass pain, daily activities, routines, play, and healing expectations.
- Understanding functional impact is crucial for effective emergency department provider guidance.
