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Published on: September 19, 2019
Children's psychosocial and behavioural consequences during their siblings' hospitalisation: A qualitative content
Kazuteru Niinomi1, Minae Fukui2
1Department of Integrated Health Sciences, Graduate School of Medicine, Nagoya University, Nagoya, Aichi, Japan.
Insights
Hospitalized children
Area of Science:
- Pediatric Psychology
- Family Studies
- Healthcare Research
Background:
- Hospitalization of a child can lead to psychological and behavioral issues in siblings.
- Siblings may experience a reduced quality of life due to a sibling's illness.
Purpose of the Study:
- To describe the psychosocial and behavioral consequences for siblings of hospitalized children.
- To capture the caregivers' perspectives on these impacts.
Main Methods:
- Qualitative content analysis of 147 caregivers' perspectives.
- Data collected via open-ended survey questions from 33 Japanese medical institutions (Jan-Mar 2015).
- Study followed COREQ guidelines for qualitative research.
Main Results:
- Four main themes emerged: maintaining usual self, internalizing difficulties, externalizing difficulties, and personal growth.
- 13 comprehensive categories were identified within these themes.
- Analysis focused on categorizing perspectives as positive or negative without value judgments.
Conclusions:
- Neutral analysis facilitated understanding of siblings' psychosocial and behavioral adjustments to 'maintain their usual self'.
- Findings can inform healthcare providers, educators, and families about the effects on siblings.
- Supports identification and assistance for siblings facing psychosocial challenges.
Aims And Objectives:
This study aimed to comprehensively describe the psychosocial and behavioural consequences experienced by siblings of hospitalised children from the caregivers' perspective.
Background:
After children are diagnosed with a major illness, their siblings may begin to exhibit psychological and behavioural problems, coupled with decreased quality of life.
Design:
This study employed qualitative content analysis to describe the perspectives of 147 caregivers of siblings of hospitalised children, following the COREQ guidelines.
Methods:
From January to March 2015, data were collected from 33 medical institutions in Japan using a survey that utilised an open-ended question.
Results:
Four themes comprising 13 comprehensive categories were extracted: (1) maintaining their usual self, (2) internalising difficulties, (3) externalising difficulties, and (4) personal growth. During data analysis, value judgments were avoided, with the focus instead placed on dividing the perspectives into positive and negative categories.
Conclusions:
The neutral data analysis enabled us to describe the psychosocial and behavioural adjustments that siblings make to 'maintain their usual self'.
Relevance To Clinical Practice:
This study's results can be used to educate healthcare providers, teachers and families about the psychosocial and behavioural effects of hospitalisation on siblings of hospitalised children to ensure that siblings struggling with psychosocial conflicts receive the necessary support.
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