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Published on: September 19, 2019
Social support and family resources influence workload and capacity in parents of children with medical complexity
Patricia R Lawrence1, Melissa Spezia Faulkner1, Regena Spratling1
1Byrdine F. Lewis College of Nursing and Health Professions, Georgia State University, 140 Decatur Street, Urban Life, Atlanta, GA 30303, USA.
Insights
Caring for children with medical complexity and critical congenital heart disease is demanding. Higher family resources and social support reduce parental workload and increase care capacity.
Area of Science:
- Pediatric Cardiology
- Family Medicine
- Healthcare Management
Background:
- Limited research exists on factors affecting parents of children with medical complexity (CMC) who also have critical congenital heart disease (CCHD).
- Understanding these factors is crucial for developing effective support systems for these families.
Purpose of the Study:
- To examine the relationships among family resources, social support, and their influence on parental workload and care capacity for children with CCHD.
- To identify key factors that can alleviate the burden on parents caring for CMC with CCHD.
Main Methods:
- A national sample of 106 parents of CMC with CCHD participated in a non-experimental, cross-sectional study.
- Data on family resources, social support, workload, and care capacity were collected and analyzed using correlation and multiple regression.
Main Results:
- Higher family resources were linked to reduced workload and increased care capacity.
- Greater social support was associated with higher care capacity.
- Increased parental workload was correlated with decreased care capacity.
Conclusions:
- Fewer resources, less social support, and lower perceived capacity are associated with increased parental workload for caring for CMC with CCHD.
- Universal screening for social support and family resources is recommended to aid these families.
Purpose:
Research examining factors that impact parents of children with medical complexity (CMC) who also have critical congenital heart disease (CCHD) is limited. We examined relationships among family resources and social support, and how these influence parents' workload and capacity to care for their CMC with CCHD.
Methods:
A non-experimental, cross-sectional design was conducted in a national sample of 106 parents of CMC with CCHD. Measures of family resources, social support, workload and capacity to care for these children were analyzed using correlation and multiple regression.
Results:
The majority of CMC (40.6 %) had between 1 and 3 health conditions requiring an average of 5 daily medications, and 2 medical technologies. Parents reported a mean of 72.25 weekly hours to care for their CMC, and a mean of 8.57 weekly hours to coordinate care. Higher family resources were associated with less workload (r = - 0.47, p < .001) and increased capacity (r = 0.54, p < .001), while more social support was associated with higher capacity (r = 0.44, p < .001). Decreased capacity was associated with increased workload (r = - 0.33, p < .001). Social support and family resources accounted for 24.5 % of the variance in workload and accounted for 30.1 % of the variance in capacity.
Conclusions:
Fewer resources, less social support, and less perceived capacity were associated with more perceived parental workload to care for their CMC with CCHD.
Practice Implications:
Results emphasize the importance of universal screening for social support and family resources.
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