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Parenting Children with Cystic Fibrosis: Developmental Acquisition of Expertise
Audrey Tluczek1, Rachel Grob2, Emily Warne2
1University of Wisconsin-Madison, School of Nursing.
Insights
Parents managing children with cystic fibrosis (CF) develop expertise, but clinicians often overlook invisible caregiving tasks. This highlights needs for better support and recognition in pediatric chronic illness management.
Area of Science:
- Pediatric Healthcare
- Family Caregiving
- Chronic Illness Management
Background:
- Cystic Fibrosis (CF) requires extensive daily management by parents.
- Understanding parental experiences is crucial for improving care quality and identifying service gaps.
Purpose of the Study:
- To explore parents' experiences managing children's CF needs.
- To identify potential gaps in services for families affected by CF.
Main Methods:
- Grounded dimensional analysis of anonymous survey data.
- Utilized data from the Patient and Family Experience of Care (PFEC) survey.
- Included 80 parents/caregivers of children with CF (under 18) from 125 US CF centers.
Main Results:
- Parents' expertise grows with their child's development and health changes.
- Parental expertise in managing CF is not always recognized by clinicians.
- Visible expertise includes at-home treatments; invisible expertise encompasses emotional and social support.
Conclusions:
- Findings enhance understanding of parental CF experiences across childhood.
- Results guide future quality improvement and research in pediatric chronic conditions.
- Online surveys are effective for identifying unmet needs in families with chronic childhood illnesses.
Objective:
This study was designed to increase our understanding of parents' experiences managing the needs of their children with cystic fibrosis (CF) and to identify potential gaps in services.
Method:
We used grounded dimensional analysis of anonymous survey data obtained from a quality improvement initiative conducted by the Cystic Fibrosis Foundation (CFF). The Patient and Family Experience of Care (PFEC) survey was administered continuously at 125 CF care centers throughout the United States in 2017. The subsample of data for this study was completed by 80 parents/caregivers of children with CF (younger than 18 years).
Results:
Two unifying themes emerged from parents' survey responses: (1) parents' expertise expands continually as they learn and adapt to changes in their children's maturity or health and (2) parental expertise is sometimes visible or invisible to clinicians. Parents' expertise evolved with their children's development. Visible to care teams was at-home care, e.g., respiratory treatments and medications. Less visible were intangible management activities, e.g., social processes, emotions, and concerns that were omnipresent for parents but seldom disclosed to or seen/recognized by clinicians. Themes, such as the quality of encounters with care teams, progressive nature of CF, and hope derived from advances in research, were associated with specific contextual factors.
Conclusion:
The findings expand our understanding of lived parental experiences of CF across childhood and offer direction for future quality improvement and research. Online parent surveys offer a valuable tool to identify unmet needs across subgroups of families affected by chronic childhood health conditions.
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