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Inicio Enfermería Clínica (English Edition) Hospitalization due to bronchiolitis: factors influencing parents’ experience
Journal Information
Vol. 28. Issue 5.
Pages 292-299 (September - October 2018)
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Vol. 28. Issue 5.
Pages 292-299 (September - October 2018)
Original Article
DOI: 10.1016/j.enfcle.2018.06.003
Hospitalization due to bronchiolitis: factors influencing parents’ experience
Hospitalización por bronquiolitis: Factores influyentes en la vivencia de los progenitores
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Manuel Montilla-Péreza,
Corresponding author
, Miguel Ángel Zafra Antaa, Domingo Palacios-Ceñab
a Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, Spain
b Facultad Ciencias de la Salud, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain
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Table 1. Sociodemographic data.
Table 2. Focus group questions guide.
Table 3. Guba and Lincoln criteria.
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Abstract
Aim

To describe the experience of the parents of children hospitalised due to bronchiolitis.

Method

Phenomenological qualitative study. Purposeful sampling was undertaken of parents with children diagnosed with bronchiolitis, from December 7, 2015 to January 8, 2016, and admitted to the paediatric department of a public hospital of the Madrid Health Service. Data collection strategies included focus groups and researchers’ field notes. Afterwards, the data were analysed using thematic analysis. We included 10 parents, aged between 30 and 39 years. Five themes were explored: perception of monitoring, need to know, perception of child fragility, coping strategies, and reorganisation of the family environment.

Results

Oxygen saturation monitoring through devices produced dependence and uncertainty in the parents. In addition, there was a need to know and understand the technical language, which encouraged searching for information on the Internet. The parents perceived the fragility of the hospitalised child through their appearance and physical state. In addition, they developed different coping strategies to seek and confirm information, to approach professionals and be present with their children. Finally, the family was reorganised to maintain the constant presence of the parents during hospitalisation.

Conclusions

The results obtained can help paediatric professionals manage the information given to parents and thus empower them.

Keywords:
Bronchiolitis
Hospitalisation
Qualitative research
Parents
Psychological adaptation
Resumen
Objetivo

Describir la experiencia de los progenitores de niños hospitalizados por bronquiolitis.

Método

Estudio cualitativo fenomenológico. Se incluyeron progenitores con hijos ingresados por bronquiolitis, entre el 7 de diciembre de 2015 y el 8 enero de 2016, en el servicio de Pediatría de un hospital del Servicio Madrileño de Salud. Se recogieron los datos mediante grupos focales y notas de los investigadores. Se realizó el análisis temático de los datos. Se incluyeron 10 progenitores con edades comprendidas entre los 30 y 39 años. Se exploraron 5 temas: percepción de la monitorización, necesidad de saber, percepción de fragilidad del niño, estrategias de afrontamiento, y reorganización del entorno familiar.

Resultados

La monitorización de la saturación de oxígeno produce dependencia e incertidumbre en los progenitores. Además, existe una necesidad de conocer, que favorece la búsqueda de información en Internet. Los progenitores perciben la fragilidad del niño hospitalizado a través de su aspecto y estado físico. Además, desarrollan diferentes estrategias de afrontamiento para buscar y confirmar la información, aproximarse a los profesionales y estar presentes junto a los hijos/as. Por último, se produce una reorganización de la familia para mantener la presencia constante de los progenitores durante la hospitalización.

Conclusiones

Los resultados obtenidos pueden orientar a los profesionales de pediatría a manejar la información administrada a los progenitores y potenciar el empoderamiento de los progenitores.

Palabras clave:
Bronquiolitis
Hospitalización
Investigación cualitativa
Padres
Adaptación psicológica

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