Beyond the Feed: A Descriptive Qualitative Study of Parental Experiences in Managing Paediatric Feeding Disorders in Children With Chronic Conditions

IF 3.4 3区 医学 Q1 NURSING
Brenda Jinyu Ng, Marion Margaret Aw, Qiao Xin Jamie Ng, Nicholas Beng Hui Ng, Shefaly Shorey
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Abstract

AimTo explore the experiences of Singaporean parents managing care for children with underlying chronic medical conditions and Paediatric Feeding Disorders.DesignDescriptive qualitative.MethodsData were collected via semi‐structured interviews from 4 July 2024 to 4 October 2024. Fourteen English‐speaking Singaporean parents were recruited via purposive sampling at an outpatient paediatric feeding clinic in a public tertiary hospital in Singapore. Data were thematically analysed using Braun and Clarke's six‐step inductive approach.ResultsThree themes and nine sub‐themes were identified. The three themes were: (1) Caregiver's Compass: From Survival to Stability, (2) Navigating Emotional Terrain in Caregiving, (3) Feeding Suck‐cess: Systemic, Medical, and Societal Challenges.ConclusionThe findings reflected the experiences of parents managing Paediatric Feeding Disorders. Parents transitioned from survival‐focused to development‐focused care, balancing medical guidance with parental instinct while navigating emotional strain, gendered caregiving roles, fragmented healthcare, and cultural conflicts.Implications for Patient CareNurses are vital in supporting parents by recognising their lived experiences and caregiving challenges. By incorporating family‐centered interventions, nurses can foster shared‐decision making and provide culturally sensitive care. Providing tailored education and collaboration with multidisciplinary teams will enable nurses to empower caregivers with essential knowledge and resources, such as accessible and culturally attuned digital health solutions.ImpactThis study contributes to the limited body of qualitative research on parents of chronically ill children with Paediatric Feeding Disorders in Singapore and underscores the need for culturally sensitive, multidisciplinary support models to address the manifold responsibilities parents face in managing feeding issues. These insights may have broader implications for diverse populations managing similar caregiving complexities, informing family‐centered interventions and healthcare policies that better support parents managing chronically ill children.Reporting MethodCOREQ checklist.Patient or Public ContributionThis study did not include patient or public involvement in its design, conduct, or reporting.
在饲料之外:对慢性疾病儿童喂养障碍管理中父母经验的描述性定性研究
目的探讨新加坡父母对患有慢性疾病和儿科喂养障碍儿童的护理经验。DesignDescriptive定性。方法于2024年7月4日至2024年10月4日通过半结构化访谈收集数据。通过有目的的抽样,在新加坡一家公立三级医院的门诊儿科喂养诊所招募了14名讲英语的新加坡父母。使用Braun和Clarke的六步归纳方法对数据进行主题分析。结果确定了3个主题和9个子主题。三个主题是:(1)照顾者的指南针:从生存到稳定;(2)在照顾中导航情感地形;(3)喂养吮吸:系统,医学和社会挑战。结论本研究结果反映了家长处理儿童喂养障碍的经验。父母从以生存为中心的护理转变为以发展为中心的护理,在应对情绪紧张、性别护理角色、分散的医疗保健和文化冲突的同时,要平衡医疗指导和父母本能。对病人护理的启示护士通过认识父母的生活经历和护理挑战来支持他们是至关重要的。通过纳入以家庭为中心的干预措施,护士可以促进共同决策并提供文化敏感的护理。提供量身定制的教育并与多学科团队合作,将使护士能够向护理人员提供必要的知识和资源,例如可获取且符合文化的数字卫生解决方案。本研究对新加坡患有儿科喂养障碍的慢性病儿童的父母进行了有限的定性研究,并强调需要对文化敏感的多学科支持模型来解决父母在管理喂养问题时面临的多重责任。这些见解可能对管理类似护理复杂性的不同人群具有更广泛的影响,为以家庭为中心的干预措施和医疗保健政策提供信息,从而更好地支持父母管理慢性病儿童。报告方法coreq核对表。患者或公众的贡献本研究的设计、实施或报告中没有患者或公众的参与。
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来源期刊
CiteScore
6.40
自引率
7.90%
发文量
369
审稿时长
3 months
期刊介绍: The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.
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