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Updated: May 5, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Using drawings to examine the interactions between parents with advanced lung cancer and their children/adolescents
Mei-Ling Chu1, I-Ching Hou2, Chao-Chi Ho3
1Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan.
Background:
Parental advanced lung cancer substantially affects parent-child relationships, particularly with children/adolescents.
Objective:
This study examined interactions, communication patterns, and coping strategies between middle-aged parents with advanced lung cancer and their children/adolescents.
Methods:
Purposive sampling recruited parents with advanced lung cancer and their children/adolescents. Data were collected through in-depth interviews and children's drawings using interpretative phenomenological analysis.
Results:
19 parents and 17 children/adolescents participated. Four themes emerged: (1) parental experiences and effects on parental roles; (2) effects on parent-child relationships; (3) children/adolescent's adjustment to Parental Cancer: physical and psychological; and (4) reconstruction of parent-child interactions and relationships. Families exhibited communication difficulties and emotional distancing, with children desiring love, support, and security.
Conclusion:
Middle-aged parents with advanced lung cancer experience emotional connection difficulties.
Practical Implications:
Family-centred support is essential for strengthening communication, emotional bonding, and coping strategies.
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