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Parents' Experiences and Information Needs in the Management of Their Child With Intellectual Developmental Disorders
Gwenllian Erdmann1, Hannah M Brooks1, Lisa Hartling2
1Translating Evidence in Child Health (ECHO) Research Program, Faculty of Nursing, University of Alberta, Edmonton, Canada.
Insights
Parents of children with intellectual developmental disorders (IDDs) are key care coordinators in the emergency department (ED). Mutual respect, trust, and communication with healthcare providers (HCPs) facilitate positive ED experiences for children with IDDs.
Area of Science:
- Pediatric Emergency Medicine
- Healthcare Management
- Disability Studies
Background:
- Children with intellectual developmental disorders (IDDs) frequently utilize emergency department (ED) services.
- Effective healthcare utilization for these children requires incorporating parental experiences and addressing information gaps.
Purpose of the Study:
- To examine the experiences of parents managing a child with an IDD in the ED.
- To identify the information needs of parents during emergency care for their children.
Main Methods:
- Conducted semi-structured individual interviews with 10 parents of children with IDDs.
- Analyzed interview data thematically to identify key themes and patterns.
Main Results:
- Parents act as crucial care coordinators and health experts for their children, often advocating for their needs.
- Positive ED experiences are facilitated by mutual respect and trust between parents and healthcare providers (HCPs), parental preparedness, and clear communication.
- Parents utilize peer support and trusted information sources for decision-making and validation.
Conclusions:
- Understanding parental experiences and needs is vital for improving ED care for children with IDDs.
- Findings can inform the development of targeted knowledge translation strategies for caregivers and HCPs.
- Strengthening the partnership between parents and HCPs can enhance emergency care for children with IDDs.
Abstract:
Children with intellectual developmental disorders (IDDs) are frequent users of emergency department (ED) services. Incorporating parents' experiences and addressing information gaps is crucial to supporting healthcare utilization. This study examined the experiences and information needs of parents managing their child with an IDD in the ED. Semi-structured individual interviews were conducted with 10 parents; data was analyzed thematically. Results draw attention to the role of parents as key care coordinators and experts in their child's health, often advocating for the needs of their child. Facilitators to positive ED experiences were mutual respect and trust between parents and healthcare providers (HCPs), parental preparedness, and effective communication. Parents rely on each other and trusted sources of information when making decisions and seeking validation. Findings can aid researchers, HCP, families, and change-makers to gain insight into factors that drive parental expectations and care decisions within the ED. Findings can also be used to support the development of targeted knowledge translation strategies supporting both caregivers and HCPs in managing emergency healthcare of children with IDDs.
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