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Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
An Exploration of How Parents Did Waiting for Their Child's Transplant: Inpatient, Outpatient, and Home Space-Times
Kristina A Smith1, Kelly P Arbour-Nicitopoulos2, Kimberley Widger3
1Institute on Aging and Lifelong Health, University of Victoria, Victoria, BC, Canada.
Insights
Waiting for a child's transplant is challenging. This study reveals parents' daily experiences and the complex, diverse rhythms of waiting in hospital and home settings, offering insights for better family support.
Area of Science:
- Pediatric Healthcare
- Transplant Medicine
- Family Psychology
Background:
- Waiting for a child's solid organ, stem cell, or bone marrow transplant causes significant distress.
- Limited research exists on the daily lives and activities of families during this waiting period.
Purpose of the Study:
- To explore the daily experiences of parents whose children are awaiting a transplant.
- To understand the concept of 'waiting' within hospital and home environments using a space-time framework.
Main Methods:
- A narrative ethnographic study was conducted.
- Data collection involved interviews and observations with six parents from four families.
- Analysis focused on parents' daily waiting experiences in hospital and home settings.
Main Results:
- Waiting experiences in hospital and home settings exhibit complex and diverse structures, rhythms, and flows.
- Inpatient 'space-time' offered comfort through managed expectations.
- Outpatient 'space-time' unpredictability caused significant stress, while home waiting was paradoxically busy, monotonous, and isolating.
Conclusions:
- Parental waiting for pediatric transplants is a multifaceted experience shaped by the environment.
- Findings highlight the need for tailored support strategies for families navigating transplant waiting periods.
- Understanding the daily realities of waiting can inform interventions to alleviate family suffering.
Abstract:
Current evidence shows that waiting for a child's solid organ, stem cell, or bone marrow transplant can cause social, emotional, and psychological suffering for children and their families. Despite waiting being a central theme, little research has investigated what families do while they are waiting in hospital and home settings and what daily life looks like in these contexts. This narrative ethnographic study explored what waiting may look like for parents of children waiting to receive a solid organ, stem cell, or bone marrow transplant drawing on the notion of space-time. Six parents from four different families participated in interviews and observations that explored the questions: How do parents wait on a daily basis and what does waiting look like in the hospital and home? Our narrative analysis suggested that the structure, rhythms, and flow were complex and diverse in the hospital and home space-time. Inpatient space-time could afford parents comfort by having expectations managed, while unpredictability of outpatient space-time caused immense stress. Waiting at home was a paradox in that it could be busy, monotonous, and isolating. Findings contribute to conceptual and practical work exploring how parents do waiting for their child's transplant on a daily basis and how they can be supported when they enter into unfamiliar illness narratives.
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