RESEARCH ARTICLE

 

Managerial guidelines to support parents during the hospitalisation of their children in a private paediatric unit

 

 

M Verwey^I; K Jooste^II

^IMaster student, Department of Nursing, University of Johannesburg
^IIProfessor, Department of Nursing, University of Johannesburg

Correspondence

 

 

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ABSTRACT

The purpose of this article is to describe managerial guidelines to support parents with the hospitalisation of their child in a private paediatric unit. The hospitalisation of a child is regarded as a major stressor for both parents and child. The role of the family in participating in a child's illness is slowly being recognised (Kibel & Wagstaff, 2001:544), but the South African government per se has not yet issued any formal reports on parental participation in the hospitalisation process.
The study explored and described
• the nursing care experiences of parents regarding the hospitalisation of their child in a paediatric unit;
• managerial guidelines to support parents with their lived experiences of their child's hospitalisation in a paediatric unit.
To achieve the purpose and the objectives of the research, an interpretive-phenomenological qualitative approach was used in the research design and methods. Research was conducted through unstructured individual interviews, narrative diaries and field notes and data were analysed through open-coding (Tesch, 1990). Parents were asked to respond to the question "How did you experience your child's hospitalisation in the paediatric ward", followed by probing when the responses of the parents were ambiguous.
Purposive sampling was used to achieve saturation of data and seven parents were interviewed and fifteen parents completed narrative diaries. The model of Lincoln and Guba (1985) was used to ensure trustworthiness.
Ethical considerations were maintained throughout the study and consent was obtained from the respondents. The recommendations of the research were that attention should be given to 1) empowering parents to participate in their child's care; 2) guiding nursing personnel to plan the discharge process; 3) including parents in the unit routine; 4) fostering a trusting relationship with parents; 5) promoting the communication of information; and 6) creating a therapeutic environment for parents.

Key words: Managerial guidelines; support; parents; hospitalisation; private paediatric unit

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References

ANSTEY, M 1999: Managing Change. Negotiating conflict. Cape Town. Juta.         [ Links ]

BENNER, P 1985: Quality of life: A phenomenological perspective on explanation; prediction and understanding in nursing science. Advances in Nursing Science. 8(1):1 -14.         [ Links ]

BENNER, P 1994: Interpretive phenomenology. Embodiment; caring and ethics in health and illness. London: Sage publications.         [ Links ]

BOOYENS, S (Ed) 1998: Dimensions of nursing management. 2^nd edition. Cape Town. Juta.         [ Links ]

BURNS, N & GROVE, S 2001: The practice of nursing research. Conduct; critique and utilization. 4^th edition. Pennsylvania: WB Saunders company.         [ Links ]

COLLINS POCKET DICTIONARY, 2003: London: Collins.         [ Links ]

CRESSWELL, JW 1994: Research design: qualitative and quantitative approaches. London: Sage.         [ Links ]

DEPARTMENT OF HEALTH. 1999: A Patient's Right Charter. Pretoria: Department of Health, Quality Assurance.         [ Links ]

DE LIMA, R; ROCH A, S; SCHOCHI, C & CALLERY, P 2001: Involvement and fragmentation. A study of parental care of hospitalised children in Brazil. Paediatric nursing. 27 (6): 599.         [ Links ]

GUBA, EG & LINCOLN, YS 1985: Naturalistic Inquiry. London: Sage.         [ Links ]

HALLSTRÖM, I 2004: Parents and children's involvement in decisionmaking during hospitalisation.         [ Links ]

HUNTER, S 2006: Hourly rounding decreases call light frequency, may ultimately improve care quality. Nursing Executive Watch. (7)(11) 4-5        [ Links ]

KIBEL, M & WAGSTAFF, L 2001: Child health for all. A manual for Southern Africa. Cape Town: Oxford.         [ Links ]

KNAFL,J; CAVALLARI, K & DIXON, D 1988: Paediatric Hospitalisation family and nurse perspectives. Illinois: Scott; Foresman and company.         [ Links ]

KREFTING, L 1991: Rigor in qualitative research. The assessment of trust-worthiness. American Journal of Occupational Therapy. (45)(3):214-222.         [ Links ]

KVALE, S 1983: The qualitative research interview; A phenomenological and hermeneutical mode of understanding. Journal of Phenomenological Psychology. 14:171-196.         [ Links ]

MACKENZIE, J 1998: Ward management in practice. Edinburgh: Churchill Livingstone        [ Links ]

McCOLLUM, AT 1975: The chronically ill child; a guide for parents and professionals. London: Yale: University Press.         [ Links ]

MELLISH, JM; BRINK, HIL & PATON, F 2001 : Teaching and learning the practice of nursing. 4" Edition. Sandton: Heinemann        [ Links ]

MÜLLER, M 2002: Nursing Dynamics. Third edition. Sandton: Heinemann.         [ Links ]

NAUDÉ, M; MEYER, S & VAN NIEKERK, S 2001: The nursing unit manager: A comprehensive guide. Sandton: Heinemann.         [ Links ]

PASSERO, VA 1988: Parental perceptions of neonatal intensive care unit discharge teaching. Michigan: UMI dissertation services        [ Links ]

POGOLOFF, S 2004: Facilitative positive relationships between parents and professionals. Intervention in School and Clinic 40(2): 116-119.         [ Links ]

POLIT, DF, & HUNGLER, BP 1997: Essentials of Nursing Research-Methods; appraisal; and utilization. Philadelphia: JB Lippincott Company.         [ Links ]

REPUBLIC OF SOUTH AFRICA, 1983: Child Care Act no 74 of 1983. Cape Town: Government Publishers.         [ Links ]

SOUTH AFRICA, 1993: Constitution of the Republic of South Africa (No 200 of 1993). Pretoria: State Press.         [ Links ]

SOUTH AFRICA, 1997: White paper on Transforming Public Service Delivery. Batho Pele White Paper. No 18340 of 1997. Pretoria: Government Printer.         [ Links ]

SOUTH AFRICA, 2004: National Health Act no 61 of 2003. Pretoria: Government Printers.         [ Links ]

SOUTH AFRICAN NURSING COUNCIL, 1985: Regulation 2598 1984; as amended. Regulations relating to the scope of practice of persons who are registered or enrolled under Nursing Act No 50 of 1978. Pretoria.         [ Links ]

SOUTH AFRICAN NURSING COUNCIL, 2005: NURSING ACT 33 OF 2005. Pretoria: Government Printers.         [ Links ]

STRATTON, K 2004: Parents experiences of their child's care during hospitalisation. Journal of Cultural Diversity (11)(1): 4-11.         [ Links ]

STROBER, E 2005: "Is power-sharing possible?" Using empowerment evaluation with parents and nurses in a pediatric hospital transplant setting. Human Organisation Washington. (64)(10):201-211.         [ Links ]

SVENAEUS, F2000: The hermeneutics of medicine and the phenomenology of health. Netherlands: Kluwer Academic Publishers.         [ Links ]

SWANSBURG, R & SWANSBURG, R 2002: Introduction to management and leadership for nurse management. Sudbury: Jones and Bartlet publishers        [ Links ]

TALBOT, LT 1994: Principles and practice of nursing research. St. Louis: Mosby Company.         [ Links ]

TESCH, R 1990: Qualitative research: analysis types and software tools. New York: Falmer Press        [ Links ]

THOMPSON, D (ed) 1996: The pocket Oxford dictionary of current English. Oxford: Claredon Press        [ Links ]

VEREENIGING MEDI-CLINIC, 2004: Patient opinion survey. Unpublished.         [ Links ]

 

 

Correspondence:
Prof K Jooste
Department of Nursing
University of Johannesburg
PO Box 524
Auckland Park, 2006
Tel: (011) 559 2857
E-mail: kjooste@uj.ac.za