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03:56

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Published on: October 5, 2018

Parents' views of the response of siblings to a pediatric hospitalization

K A Knafl

    Research in Nursing & Health
    |March 1, 1982
    PubMed

    Insights

    Siblings adjust to a brother's or sister's hospitalization, with active participation linked to better outcomes. Family structure influences sibling adjustment, and most siblings showed few negative responses.

    Area of Science:

    • Pediatric Psychology
    • Family Studies
    • Child Development

    Background:

    • Hospitalization of a child significantly impacts family dynamics.
    • Sibling adjustment to a child's illness is a critical area of family well-being.
    • Understanding sibling experiences requires examining family structure and participation patterns.

    Purpose of the Study:

    • To explore siblings' adjustments to a brother's or sister's hospitalization.
    • To investigate the relationship between sibling participation patterns, family structure, and sibling response.
    • To analyze how family dynamics influence sibling adjustment during a child's hospitalization.

    Main Methods:

    • Qualitative study involving intensive interviews with parents of hospitalized children.
    • Semistructured interview guides used to gather detailed family and sibling adjustment data.
    • Families (N=59) categorized by active vs. passive sibling participation in adjustment.

    Main Results:

    • Parents reported minimal negative sibling responses to hospitalization.
    • Active sibling participation in adjustment was associated with more positive outcomes.
    • The degree of change experienced by the family correlated with the quality of sibling response.

    Conclusions:

    • Sibling adjustment to hospitalization is influenced by their level of participation and family structure.
    • Active sibling involvement can mitigate negative impacts of hospitalization.
    • Family-centered care approaches should consider and support sibling adjustment.

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