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Published on: May 31, 2024
Child-Centered Care: A Qualitative Study Exploring Pediatric Hospitalization Through Children's Perspectives
Amalia Sillero Sillero1, Raquel Ayuso Margañon2,3, Elena Marques-Sule4
1Escoles Universitàries Gimbernat, Adscrites a Universitat Autònoma de Barcelona, 08174 Sant Cugat, Spain.
Insights
Hospitalized children experience fear, anxiety, and loneliness, highlighting the need for improved communication and family-centered care. Interventions like art therapy can enhance emotional support for pediatric patients.
Area of Science:
- Pediatric Healthcare
- Child Psychology
- Qualitative Research
Background:
- Hospitalization presents significant stressors for children, including unfamiliar environments and separation from family.
- Healthcare settings can be particularly challenging for pediatric patients' emotional and psychological well-being.
- A child-centered care perspective is essential for developing effective interventions.
Purpose of the Study:
- To explore children's hospitalization experiences from a child-centered perspective.
- To identify children's emotional and psychological needs during hospitalization.
- To inform the development of interventions to improve pediatric patient care.
Main Methods:
- Qualitative study using Husserl's descriptive phenomenology.
- In-depth interviews and drawings from 10 school-age children (9-13 years).
- Thematic analysis of data collected from October 2022 to June 2023 in Spain.
Main Results:
- Children reported experiencing fear, anxiety, and loneliness.
- Physical pain and discomfort were common during their hospital stay.
- Participants desired clearer communication and more detailed explanations from medical staff.
Conclusions:
- Family-centered care and enhanced communication are crucial for hospitalized children.
- Art therapy and flexible visiting hours can improve emotional support.
- Tailoring communication to children's developmental levels is vital for pediatric care.
Abstract:
Background/Objectives: Hospitalization can be stressful for children due to the influence of unfamiliar environments, separation from family, and interactions with healthcare professionals. This study aimed to explore children's hospitalization experiences from a child-centered care perspective to develop interventions that better meet their emotional and psychological needs. Methods: This qualitative study employed Husserl's descriptive phenomenology to explore hospitalization experiences among children aged 9-13 years. Conducted at a primary health center in Spain from October 2022 to June 2023, the study used purposive sampling to select participants hospitalized within the past six months. Data were collected through in-depth interviews and children's self-created drawings, analyzed using thematic analysis with ATLAS.ti software. Results: A total of 10 school-age children (five boys and five girls) were interviewed. Three main themes emerged: (1) Emotions and Feelings-children described fear, anxiety, and loneliness during their hospital stay; (2) Experiences of Pain and Discomfort-participants reported physical pain and discomfort; (3) Interactions with Medical Staff-children expressed a need for more detailed explanations and clearer communication. Conclusions: The findings highlight the importance of family-centered care and improved communication between healthcare providers and children. Strategies like art therapy and flexible visiting hours could provide better emotional support. Tailored communication to children's developmental levels is crucial. Integrating these strategies into clinical practice could enhance the well-being of hospitalized children. Future research should focus on evaluating these interventions to improve pediatric care.
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