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Parents' Roles and Strategies for Caring for a Child With Cancer During Hospitalisation at Home: A Qualitative Study
Voskan Kirakosyan1, Matthieu Plichart2, Caroline Miler2
1Paris Nanterre University, Nanterre Cedex, France.
Insights
Parents caring for children with cancer at home (HaH) adapt to new roles, sharing care with healthcare teams. This demanding experience requires constant adjustments and support for parental well-being.
Area of Science:
- Pediatric Oncology
- Family Caregiving
- Childhood Cancer Support
Background:
- Hospitalisation at home (HaH) is a growing model in paediatric oncology.
- Limited understanding exists on how parents redefine roles and strategies in this setting.
- Paediatric cancer significantly impacts family dynamics and parenting.
Purpose of the Study:
- To describe how parents of children with cancer redefine parenting within the HaH model.
- To identify the specific roles and strategies parents adopt at home.
- To explore the lived experiences of parents managing childhood cancer care at home.
Main Methods:
- Qualitative study utilizing semi-structured individual interviews.
- Data collected through recorded and transcribed interviews.
- Analysis performed using Reflexive Thematic Analysis.
Main Results:
- Twenty-seven parents (18 mothers, 9 fathers) were interviewed.
- Four key themes emerged: adapting to care dynamics, shared parenting with healthcare teams, assuming multiple parental roles (e.g., caregiver, mediator, coordinator), and developing specific parenting strategies (e.g., mutual support, anticipation, distancing).
Conclusions:
- Hospitalisation at home transforms parenting into a demanding, adaptive process for childhood cancer.
- Parenting in HaH involves creativity, adaptability, and navigating vulnerability.
- There is a critical need for recognition and support for parents managing paediatric cancer at home.
Objective:
Paediatric cancer impacts both children and their families, transforming relationships and parenting styles. Within this context, hospitalisation at home (HaH) is increasingly offered in paediatric oncology, transferring care to the home setting and reconfiguring parenting styles. However, the literature on how parents redefine their roles and strategies at home remains limited. The aim of this study is to describe how parents of children with cancer redefine parenting in HaH by identifying the roles and strategies they use.
Methods:
A qualitative study using semi-structured individual interviews was conducted. The interviews were recorded, transcribed and analysed using Reflexive Thematic Analysis.
Results:
Twenty-seven parents were interviewed (18 mothers and 9 fathers). Analysis highlighted four themes: (a) adapting to a new care dynamic; (b) sharing parenting with health care teams; (c) taking on multiple parental roles (emotional parent, caregiver, mediator, child's guide, parent for siblings and leader/coordinator); and (d) developing parenting strategies (mutual support between spouses, anticipation and control strategies, selective distancing and negotiating personal distress).
Conclusion:
HaH transforms parenting into a demanding experience that requires constant adjustments. Parenting manifests itself as an ongoing process, not just based on creativity and adaptability, but also marked by a silent vulnerability that highlights the need to fully recognise and support parents.
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