“It is like a jungle gym, and everything is under construction”: The parent's perspective of caring for a child with a rare disease

Child: Care, Health and Development - Tập 45 Số 1 - Trang 96-103 - 2019
Genevieve Currie1, Joanna Szabo1
1School of Nursing and Midwifery, Faculty of Health, Community, and Education, Mount Royal University, Calgary, Canada

Tóm tắt

AbstractDescriptive titleParents of children with rare diseases face pervasive challenges in meeting medical and social care needs. Existing research on the parents' experience of caring for a child with a rare disease is limited. This paper offers suggestions for better supporting families living with rare disease as well as possible avenues of future research.BackgroundParents of children with rare diseases face pervasive challenges in meeting medical and social care needs. Existing research on the parent's experience of caring for a child with a rare disease is limited.MethodsAn interpretive phenomenological approach was applied in this inquiry. Fifteen parents of children with rare diseases participated in semistructured interviews.ResultsInterpretive thematic analysis revealed that due to the rarity of the disease and an overall lack of knowledge of the disease, there is an increase in the burden on the family in relation to “rarity” in addition to “disability.” Four insights were also revealed: (a) Parents often know more about the disease then Health Care providers, and this leads to entanglements in communication and collaboration as experts and parents; (b) there is lack of coordination of care between providers and services caring for children with rare diseases; (c) there is a gap in accessibility to government supports; and (d) due to fragmented care, parents must fill the aforementioned gaps by juggling multiple roles including that of advocate, case manager, and medical navigator.ConclusionThis paper offers suggestions for better supporting families living with rare disease as well as possible avenues of future research.

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Tài liệu tham khảo

10.1186/1471-2431-13-10

Alberta Innovates Health Solutions. (n.d.).Patient engagement platform. Retrieved fromhttp://www.aihealthsolutions.ca/initiatives‐partnerships/spor/patient‐engagement‐platform/

10.1016/j.acap.2017.02.010

10.1016/j.ijnurstu.2017.04.011

10.1377/hlthaff.2012.1133

Casey P. H., 2011, Effect of hospital‐based comprehensive care clinic on health costs for medicaid‐insured medically complex children, Archives of Pediatrics & Adolescent Medicine, 65, 392

10.1542/peds.2014-1956

10.1111/hex.12104

Creswell J. W., 2007, Qualitative inquiry and research design: Choosing among five approaches, 147

Creswell J. W., 2013, Qualitative inquiry and research design: Choosing among five approaches

10.1016/j.acap.2015.08.003

European Commission. (n.d.).Rare Diseases.http://ec.europa.eu/research/health/index.cfm?pg=area&areaname=rare

Europlan. (n.d.)Europlan project: European project for rare diseases national plans development.http://www.europlanproject.eu/Content?folder=1EURORDIS. Rare Diseases

EURORDIS. (n.d.).Rare diseases Europe: The voice of rare disease patients in Europe about rare diseases. 2014. Available at:http://www.eurordis.org/about‐rare‐diseases.

Foster M. Whitehead L. &Maybee P.(2016).The parents' hospitalized child's and health care providers' perceptions and experiences of family‐centered care within a pediatric critical care setting: A synthesis of quantitative research.

10.4135/9781483327426

Gadamer H. G., 1998, Truth and method

Genetic Rare Diseases Information Centre(n.d.) Retrieved from:https://rarediseases.info.nih.gov/

10.1016/j.pedn.2014.09.013

10.1016/j.pedhc.2014.12.005

10.5334/ijic.2250

Ireland Dept. of Health, 2014, National rare disease plan for Ireland 2014 – 2018

Johnson B. Abraham M. Conway J. Simmons L. Edgman‐Levitan S. Sodomka P. &Ford D.(2008).Partnering with patients and families to design a patient‐and family‐centered health care system: Recommendations and promising practices.http://www.hqontario.ca/Portals/0/modals/qi/en/processmap_pdfs/articles/partnering%20with%20patients%20and%20families%20to%20design%20a%20patient‐%20and%20family‐centered%20health%20care%20system.pdf

10.1016/j.jpeds.2015.10.010

10.1007/s10995-010-0648-x

10.1007/s10995-011-0751-7

10.1111/j.1369-7625.2005.00319.x

Mayers M., 2001, Street kids and streetscapes: Panhandling, politics, and prophecies

Moules N. J., 2002, Hermeneutic inquiry: Paying heed to history and Hermes—An ancestral, substantive and methodological tale, International Journal of Qualitative Methods, 1, 1, 10.1177/160940690200100301

10.3726/978-1-4539-1473-1

Moules P., 2016, Nursing research: An introduction

10.1542/peds.2006-2528

National Action League for People with Rare Diseases (NAMSE). (2013).National plan of action for people with rare diseases: Action files recommendations proposed actions.http://www.namse.de/images/stories/Dokumente/Aktionsplan/national%20plan%20of%20action.pdf.

10.1016/j.pedn.2015.10.022

10.1016/j.dhjo.2015.03.009

10.1007/s10826-013-9864-5

Rare Disease Foundation. (n.d.).Rare Disease Foundation. Retrieved fromhttps://www.rarediseasefoundation.org/

10.1542/peds.2008-2238

10.2196/jmir.5994

10.1002/nur.4770180211

10.1186/1472-6963-14-402

10.1080/10401330701366812

Smith J., 2008, The SAGE encyclopedia of qualitative research methods, 460

Smith J. A., 2008, Qualitative psychology: A practical guide to research methods, 53

10.1186/s13023-016-0521-0

10.1016/j.jpeds.2016.01.049

UK Department of Health. (2013).The UK strategy for rare diseases. Retrieved from:https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/260562/UK_Strategy_for_Rare_Diseases.pdf

10.1186/s12913-017-2046-1

Valdez R., 2016, Public health and rare diseases: Oxymoron no more, Preventing Chronic Disease, 13, 1545

Von Bertalanffy L., 1968, General system theory: Foundations, development, applications