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Föräldrars upplevelser och erfarenheter av barns rädslor i samband med sjukhusförlagda procedurer: En intervjustudieParents´ experiences of children´s fears during hospital procedures - an interview study
Umeå University, Faculty of Medicine, Department of Nursing.
Umeå University, Faculty of Medicine, Department of Nursing.
2017 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Parents´ experiences of children´s fears during hospital procedures- : An interview study (English)
Abstract [en]

Background: Hospital-procedures can be perceived as intimidating by children. There are situations in pediatric care where the childrens' care can be compromised if they are afraid and therefore not treated.Purpose: The purpose of the study was to highlight the parents' experiences of childrens' fear of hospital procedures and how the fears could have been relieved.Design: Descriptive interview study.Method: The study's design was qualitative where data was collected using eleven interviews. The interviews were analyzed using qualitative content analysis with inductive approach. Participants were caregivers to children aged six to twelve years, who were hospitalized. Twelve parents participated in the study. Data collection took place in February to March in 2017.Results: The results of the study are presented on the basis of two categories with eight subcategories: Cause of fear including four subcategories: experiencing pain, the feeling of being disadvantaged, hospital stay and medical procedures. Factors causing security including four subcategories: family presence, preparedness and participation, cared for by child-qualified staff and staff continuity.Conclusion: The study shows that hospitalized children experience fear due to varied causes. The cause for hospitalization is not always the reason for their fears. Child-focused care is required where healthcare staff ask for the child's perspective. Through child-focused nursing, dialogue is conducted with the child allowing expressions of what causes fear. Based on that information the healthcare staff and the child can address the unpleasant experiences and try to reduce the fear.

Abstract [sv]

Bakgrund: Procedurer kan upplevas som skrämmande av barn. Det finns situationer inom pediatrisk vård där barnets vård kan äventyras om de är rädda och de av den anledningen inte får sin behandling.Syfte: Syftet med studien var att belysa föräldrars upplevelser och erfarenheter av barns rädslor i samband med sjukhusförlagda procedurer samt hur rädslorna hade kunnat lindras.Design: Deskriptiv intervjustudie.Metod: Studiens design var kvalitativ där data samlades in med hjälp av elva intervjuer. Intervjuerna analyserades med kvalitativ innehållsanalys med induktiv ansats. Deltagarna var vårdnadshavare som hade barn inlagda på sjukhus i åldern sex till tolv år. Totalt deltog tolv föräldrar i studien. Data samlades in under februari-mars månad, år 2017.Resultat: Studiens resultat presenteras utifrån två kategorier med åtta underkategorier: Orsak till rädsla innefattande fyra underkategorier: upplevelsen av smärta, känslan av att vara i underläge, sjukhusvistelse samt medicinska procedurer. Trygghetsskapande faktorer innefattande fyra underkategorier: närhet till familjen, förberedelse och delaktighet, vård av barn kompetent personal samt personalkontinuitet.Slutsats: Studien visar att barn som befinner sig på sjukhus upplever rädsla av varierande orsaker. Inläggningsorsaken är inte alltid grunden till deras rädslor. Det krävs ett barnfokuserat omhändertagande där vårdpersonalen efterfrågar barnets perspektiv. I den barnfokuserad omvårdnad förs en dialog med barnen där de själva får berätta vad som gör dem rädda. Utifrån den informationen kan vårdpersonalen tillsammans med barnet ta sig an obehagliga upplevelser och försöka reducera rädslan.

Place, publisher, year, edition, pages
2017. , 39 p.
Keyword [en]
nursing, qualitative content analysis, interviews, experiences, experiences, fear, procedure, children, health care, child-focused nursing
Keyword [sv]
omvårdnad, kvalitativ innehållsanalys, intervjuer, upplevelser, erfarenheter, rädsla, procedur, barn, hälso- och sjukvård, barnfokuserad omvårdnad
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-136136OAI: oai:DiVA.org:umu-136136DiVA: diva2:1109290
External cooperation
Dorota Schoug
Subject / course
Magisterkurs i omvårdnad
Educational program
Graduate Programme in Pediatric Nursing
Supervisors
Examiners
Available from: 2017-06-27 Created: 2017-06-13 Last updated: 2017-06-27Bibliographically approved

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