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Published on: September 19, 2019
"It Is a Whole Different Life from the Life I Used to Live": Assessing Parents' Support Needs in Paediatric
Samar M Aoun1,2,3, Roswitha Stegmann3, Renee Deleuil4
1University of Western Australia, Crawley, WA 6009, Australia.
Insights
Parents of children with life-limiting illnesses found a systematic support assessment valuable. However, they reported unmet needs in practical, psychosocial, and emotional support, highlighting gaps beyond clinical services.
Area of Science:
- Paediatric Palliative Care
- Family Support Services
Background:
- Children with life-limiting illnesses require comprehensive support for their families.
- Existing support systems may not fully address the multifaceted needs of these families.
Purpose of the Study:
- To assess the feasibility and acceptability of a systematic approach to identify and address parental support needs.
- To evaluate the relevance of the intervention to parents of children with life-limiting illnesses.
Main Methods:
- A feasibility study involving 28 parents in Western Australia (2018-2019).
- The intervention included two assessment visits with a paediatric palliative care team.
- Data collected through audio-recorded telephone interviews and analyzed using inductive thematic analysis.
Main Results:
- All participating parents completed interviews, indicating high engagement.
- Key themes included caregiving challenges, isolation, usefulness of the assessment, emotional responses, validation, and empowerment.
- Parents found the systematic assessment practical and validating, but identified gaps in support.
Conclusions:
- The systematic approach is valued by parents for addressing support needs.
- While clinical support was affirmed, significant needs remain in practical, psychosocial, and emotional domains.
- Palliative care services should collaborate with community networks and volunteer models to address non-clinical needs.
Aims:
This feasibility study aimed to systematically identify and address the support needs of parents of children with life-limiting illnesses and to assess whether the systematic approach was acceptable and relevant to parents.
Methods:
The CSNAT (Paediatric) intervention consisted of two assessment visits with the paediatric palliative care team, 2-8 weeks apart, comprising conversations about sources for support in a tertiary children hospital in Western Australia (2018-2019). Audio-recorded telephone interviews were conducted with parents, and inductive thematic analysis was undertaken.
Results:
All 28 parents who were involved in the intervention agreed to be interviewed. Five themes summarised their experience: caregiving challenges, perceived gaps and feelings of isolation; the usefulness and practicality of the systematic assessment; emotional responses to self-reflection; feelings of validation and empowerment; and received supports responsive to their needs.
Conclusions:
Parents appreciated the value of this systematic approach in engaging them in conversations about their needs and solutions to address them. While clinical service support was affirmed by parents, they were left wanting in other areas of practical, psychosocial, and emotional support. Palliative care services need to build stronger partnerships with supportive community networks through compassionate communities volunteer models of care to address the non-clinical needs of these families.
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