Family-centered care for child cancer treatment in Ethiopia-A qualitative descriptive study.

Child Ethiopia Family centered care Parent cancer

Journal

Journal of pediatric nursing
ISSN: 1532-8449
Titre abrégé: J Pediatr Nurs
Pays: United States
ID NLM: 8607529

Informations de publication

Date de publication:
30 Jul 2024
Historique:
received: 16 03 2024
revised: 25 07 2024
accepted: 25 07 2024
medline: 1 8 2024
pubmed: 1 8 2024
entrez: 31 7 2024
Statut: aheadofprint

Résumé

Families are the primary source of support and strength in the care process of children with cancer. Family-centered care (FCC) is a healthcare delivery approach that considers parents as both partners and care recipients, characterized by providing care based on dignity and respect, information sharing, participation, and collaboration or partnership. This study aimed to describe the delivery of care based on the family-centered care approach at the Tikur Anbessa Specialized Hospital pediatric cancer unit. An exploratory, descriptive qualitative study was conducted from March 2023 to August 2023. Eighteen participants (thirteen parents and five health care providers) were interviewed using a semi-structured interview guide. All interviews were audio-recorded, transcribed verbatim, and translated into English. The translated transcripts were used for inductive, data-driven thematic analysis. ATLAS.ti 9 software was used to assist the analysis process. Two themes have emerged during the analysis. These are (1) Information sharing, and (2) Enabling and partnership. Under the information sharing theme, we described parents' understanding of child cancer, parents' information-related expectations, the process of obtaining information, adequacy of information received, and factors inhibiting information sharing. Under the enabling and partnership theme, we presented family participation in childcare, discussion among parents, parents' communication with healthcare providers and psychosocial support. Suboptimal implementation of family-centered care practice was identified at the pediatric oncology unit. The findings from this study indicate the need to strengthen the provision of child cancer-related information, improve communication, and strengthen family participation in childcare.

Sections du résumé

BACKGROUND BACKGROUND
Families are the primary source of support and strength in the care process of children with cancer. Family-centered care (FCC) is a healthcare delivery approach that considers parents as both partners and care recipients, characterized by providing care based on dignity and respect, information sharing, participation, and collaboration or partnership.
AIM OBJECTIVE
This study aimed to describe the delivery of care based on the family-centered care approach at the Tikur Anbessa Specialized Hospital pediatric cancer unit.
METHOD METHODS
An exploratory, descriptive qualitative study was conducted from March 2023 to August 2023. Eighteen participants (thirteen parents and five health care providers) were interviewed using a semi-structured interview guide. All interviews were audio-recorded, transcribed verbatim, and translated into English. The translated transcripts were used for inductive, data-driven thematic analysis. ATLAS.ti 9 software was used to assist the analysis process.
RESULT RESULTS
Two themes have emerged during the analysis. These are (1) Information sharing, and (2) Enabling and partnership. Under the information sharing theme, we described parents' understanding of child cancer, parents' information-related expectations, the process of obtaining information, adequacy of information received, and factors inhibiting information sharing. Under the enabling and partnership theme, we presented family participation in childcare, discussion among parents, parents' communication with healthcare providers and psychosocial support.
CONCLUSION CONCLUSIONS
Suboptimal implementation of family-centered care practice was identified at the pediatric oncology unit.
PRACTICE IMPLICATIONS CONCLUSIONS
The findings from this study indicate the need to strengthen the provision of child cancer-related information, improve communication, and strengthen family participation in childcare.

Identifiants

pubmed: 39085006
pii: S0882-5963(24)00292-6
doi: 10.1016/j.pedn.2024.07.030
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest The authors declare that they have no conflicting interests in the performance and publication of this research.

Auteurs

Leul Deribe (L)

School of Nursing and Midwifery, Addis Ababa University, Addis Ababa, Ethiopia. Electronic address: leul.deribe@gmail.com.

Eshetu Girma (E)

School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.

Nataliya Berbyuk Lindström (NB)

Department of Applied Information Technology, University of Gothenburg, Goteborg, Sweden. Electronic address: nataliya.berbyuk.lindstrom@ait.gu.se.

Abdulkadir Gidey (A)

School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia.

Solomon Teferra (S)

School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia.

Adamu Addissie (A)

School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.

Classifications MeSH