Barriers to family-centred care of hospitalised children at a hospital in Gauteng

Health SA Gesondheid

 
 
Field Value
 
Title Barriers to family-centred care of hospitalised children at a hospital in Gauteng
 
Creator Malepe, Tsholofelo C. Havenga, Yolanda Mabusela, Paulina D.
 
Subject Nursing; children; family-centered care primary caregivers; nurses; barriers; family-centred care; hospitalisation; children
Description Background: Hospitalisation is a stressful event for the admitted child and the family. The unfamiliar and stressful hospital environment could increase children’s anxiety and pain experiences. Family-centred care has the potential to promote families’ holistic health, but its implementation is limited.Aim: To describe the barriers to family-centred care at a specific hospital in Gauteng.Setting: The study was contextual and was conducted at a specific hospital situated in Gauteng.Methods: A descriptive qualitative research design was used to collect data from 11 nurses and 14 primary caregivers of hospitalised children. Purposive sampling was used. Data were collected using semi-structured interviews and analysed using qualitative content analysis. Rigour through measures to enhance trustworthiness was ensured and ethical principles related to research with human participants were adhered to.Results: Three themes indicating the barriers to family-centred care emerged from the data, namely nurse-primary caregiver relationship, primary caregiver involvement, and ward structure and policy.Conclusion: Barriers to family-centred care involved interpersonal, environmental, and managerial dimensions of the hospital environment where children received care and treatment. A need to enhance family-centred care was therefore identified in order to address relational dimensions of the nurse-primary caregiver relationship, ward structure, and revision of current policies.Contribution: The article highlights barriers to family-centred care to enable action to be taken in the clinical environment to enhance a family-centred approach and improve the hospitalisation experience for children and caregivers.
 
Publisher AOSIS Publishing
 
Contributor None
Date 2022-10-28
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Qualitative research
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/hsag.v27i0.1786
 
Source Health SA Gesondheid; Vol 27 (2022); 10 pages 2071-9736 1025-9848
 
Language eng
 
Relation
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https://hsag.co.za/index.php/hsag/article/view/1786/html https://hsag.co.za/index.php/hsag/article/view/1786/epub https://hsag.co.za/index.php/hsag/article/view/1786/xml https://hsag.co.za/index.php/hsag/article/view/1786/pdf
 
Coverage Africa; South Africa; Gauteng 2018-2019 Primary caregivers' age; nurses qualification; length of stay; number of admissions
Rights Copyright (c) 2022 Tsholofelo C. Malepe, Yolanda Havenga, Paulina D. Mabusela https://creativecommons.org/licenses/by/4.0
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