Parental intuition: a phenomenological structure of intuitive knowing in the context of child illness and shared decision-making in healthcare.

IF 2.1 4区 医学 Q2 NURSING
Rachel L Shaw, Gemma Heath, Virginia Eatough, Lisa Thackeray
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引用次数: 0

Abstract

Purpose: Parents describe knowing instinctively when there is something wrong with their child, but they experience challenges convincing healthcare professionals of these concerns, which could prohibit timely escalation of care. Our purpose was to develop a phenomenological description of parental intuition from parents' lived experience.

Methods: We interviewed 12 parents remotely using a semi-structured schedule. Interviews were analysed using descriptive phenomenology.

Results: We developed a phenomenological description of parental intuition with essential elements including: parental intuition as pre-reflective and pre-linguistic, as corporeal, affective, instinctive, hysteria, and phronesis. Parental intuition was expressed as prior to consciousness and felt within the body. It manifests as heightened arousal and emotion. Parental intuition was defined as ever-present, yet questionable, potentially gendered, requiring validation. Finally, parental intuition was defined as practical wisdom built up over years of exposure to one's child, enabling a reciprocal, unspoken and intimate bond.

Conclusions: Our work has demonstrated the significance of parental intuition in early detection of health deterioration. We discuss philosophical conceptualizations of knowledge and evidence relating to healthcare professionals' resistance to accept parental intuition as a valid source of knowledge in healthcare. We argue that parental intuition demands integration into practice guidance on paediatric shared decision-making.

父母直觉:在儿童疾病和医疗保健共享决策的背景下,直观认识的现象学结构。
目的:父母描述了他们本能地知道孩子什么时候出了问题,但他们在说服医疗保健专业人员这些担忧方面遇到了挑战,这可能会阻止及时升级护理。我们的目的是从父母的生活经验中发展对父母直觉的现象学描述。方法:采用半结构化时间表对12位家长进行远程访谈。访谈采用描述现象学进行分析。结果:我们发展了一种父母直觉的现象学描述,其基本要素包括:父母直觉作为前反思和前语言,作为身体的,情感的,本能的,歇斯底里的和现实的。父母的直觉被表达为先于意识,并在身体内感受到。它表现为高度的觉醒和情绪。父母的直觉被定义为永远存在,但有问题,潜在的性别,需要验证。最后,父母的直觉被定义为在与孩子多年接触中建立起来的实用智慧,使一种互惠的、无言的、亲密的联系成为可能。结论:我们的工作证明了父母直觉在早期发现健康恶化的重要性。我们讨论了与医疗保健专业人员拒绝接受父母直觉作为医疗保健知识的有效来源有关的知识和证据的哲学概念化。我们认为,父母的直觉要求整合到实践指导儿科共同决策。
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来源期刊
CiteScore
3.20
自引率
5.60%
发文量
99
审稿时长
14 weeks
期刊介绍: International Journal of Qualitative Studies on Health and Well-being acknowledges the international and interdisciplinary nature of health-related issues. It intends to provide a meeting-point for studies using rigorous qualitative methodology of significance for issues related to human health and well-being. The aim of the International Journal of Qualitative Studies on Health and Well-being is to support and to shape the emerging field of qualitative studies and to encourage a better understanding of all aspects of human health and well-being.
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