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Watts J, Ekberg S, Bluebond-Langner M, Langner R, Fleming S, Danby S, Ekberg K, Yates P, Bradford N, Delaney A, Herbert A. Questions directed to children with diverse communicative competencies in paediatric healthcare consultations. PATIENT EDUCATION AND COUNSELING 2024; 121:108103. [PMID: 38151429 DOI: 10.1016/j.pec.2023.108103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Accepted: 12/09/2023] [Indexed: 12/29/2023]
Abstract
OBJECTIVE This paper examines question-response sequences, in which clinicians asked questions to child patients who appear to interact using means other than the verbal mode of communication. METHODS Conversation Analysis methods were used to study questions in 46 paediatric palliative care consultations. These questions were directed towards children who observably used vocalisations and embodied modes of communication (e.g., gaze, gesture and facial expressions) but did not appear to use the verbal mode. RESULTS Most questions asked children either about their willingness and preferences for a proposed next activity, or their current feelings, experiences or intentions. Questions involved children by foregrounding their preferences and feelings. These questions occasioned contexts where the child's vocal or embodied conduct could be treated as a relevant response. CONCLUSION This paper demonstrates how questions are used to involve children in consultations about their own healthcare, and how their views come to be understood by clinicians and family members, even when children interact using means other than the verbal mode of communication. PRACTICE IMPLICATIONS Questions can be asked of both children who do and do not verbally communicate. When asking questions, clinicians should be mindful of the modes of communication an individual child uses to consider how the child might meaningfully respond.
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Affiliation(s)
- Janet Watts
- School of Early Childhood and Inclusive Education, Queensland University of Technology, Brisbane City, Queensland, Australia.
| | - Stuart Ekberg
- School of Psychology & Counselling, Queensland University of Technology, Brisbane, Australia; Centre for Cancer and Palliative Care Outcomes, Queensland University of Technology, Brisbane City, Queensland, Australia
| | - Myra Bluebond-Langner
- Louis Dundas Centre for Children's Palliative Care, University College London Great Ormond Street Institute of Child Health, London, UK; Department of Sociology, Anthropology and Criminal Justice, Rutgers University, Camden, New Jersey, USA
| | - Richard Langner
- Louis Dundas Centre for Children's Palliative Care, University College London Great Ormond Street Institute of Child Health, London, UK
| | | | - Susan Danby
- School of Early Childhood and Inclusive Education, Queensland University of Technology, Brisbane City, Queensland, Australia; Australian Research Council Centre of Excellence for the Digital Child, Queensland University of Technology, Brisbane City, Queensland, Australia
| | - Katie Ekberg
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland
| | - Patsy Yates
- Centre for Cancer and Palliative Care Outcomes, Queensland University of Technology, Brisbane City, Queensland, Australia; Faculty of Health, Queensland University of Technology, Brisbane City, Queensland, Australia
| | - Natalie Bradford
- Centre for Cancer and Palliative Care Outcomes, Queensland University of Technology, Brisbane City, Queensland, Australia; School of Nursing, Queensland University of Technology, Brisbane City, Queensland, Australia
| | - Angela Delaney
- Paediatric Palliative Care Service, Children's Health Queensland Hospital and Health Service, Brisbane City, Queensland, Australia
| | - Anthony Herbert
- Paediatric Palliative Care Service, Children's Health Queensland Hospital and Health Service, Brisbane City, Queensland, Australia; Centre for Children's Health Research, Queensland University of Technology, Brisbane City, Queensland, Australia
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Bally JMG, Burles M, Spurr S, McGrath J. Exploring the Use of Arts-Based Interventions and Research Methods in Families of Seriously Ill Children: A Scoping Review. JOURNAL OF FAMILY NURSING 2023; 29:395-416. [PMID: 37128884 PMCID: PMC10629247 DOI: 10.1177/10748407231165119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Family care is essential to pediatric nursing practice, as the entire family is affected by childhood illness. However, little is known about art making for therapeutic purposes and how art is used to better understand families' experiences. Our purpose was to examine the nature of arts-based interventions and research methods used with, and the experiences of families of children facing life-limiting and life-threatening illnesses, and those families who are bereaved. Academic peer-reviewed sources published between January 1999 and May 2022 were retrieved via four databases using key search terms. Twenty-five articles were analyzed, resulting in three multifaceted categories including Social, Emotional, and Family Health. Critical strengths and limitations were also identified. Art making has been incorporated into interventions and research studies due to its benefits for family well-being. Understanding the potential of art making can inspire nurses to implement such activities to enhance family nursing practice and research.
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Warming H, Fjordside S, Cortsen NLA, Stanek FAH, Vagtholm I. Drawing a River: Utilizing the Power of Metaphors in Interviews With Children and Young People. QUALITATIVE HEALTH RESEARCH 2023; 33:1104-1115. [PMID: 37571818 DOI: 10.1177/10497323231186892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/13/2023]
Abstract
In the field of qualitative health research on children, scholars have called for the inclusion of children's perspectives. Still, health care research on children appears to be characterized by an exclusionary approach that stems from a conception of disability and sickness as equivalent to a lack of agency. This article responds to the call to include children's perspectives. It presents the Double-view (Dovi)-river interview, which is a drawing- and metaphor-based interview method that enables ambiguous and multi-layered life course narratives. Based on two steps - (1) a life course interview conducted while drawing a river of the child's life and (2) revisiting and unfolding the child's stories - the method allows for an arts-based, joint exploration of life experiences. Inspired by childhood studies as well as a poststructuralist epistemology, the article discusses and proposes ways to challenge power relations between the adult interviewer and the child interviewee. It is argued that the method can also challenge the predominant deficit view and the dichotomous understanding of children's experiences of their life and capabilities that characterize much health care practice and health research, by focusing both on challenges and opportunities. Doing so enables a more nuanced and appreciative approach to children. We draw on empirical examples from a study with children with disabilities. However, we suggest that the method's potential for enabling articulation of the complex and ambiguous can inspire qualitative research and health care practice more broadly.
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Affiliation(s)
- Hanne Warming
- Department of Social Science and Business, Roskilde University, Roskilde, Denmark
| | - Signe Fjordside
- Børns Vilkår (Children's Welfare, a voluntary organisation), Valby, Denmark
| | - Nanna L A Cortsen
- Student Assistant, of Social Science and Business, Roskilde University, Roskilde, Denmark
| | - Freja A H Stanek
- Student Assistant, of Social Science and Business, Roskilde University, Roskilde, Denmark
| | - Isabella Vagtholm
- Student Assistant, of Social Science and Business, Roskilde University, Roskilde, Denmark
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Maynard E, Bennett M. Changing bodies: A scoping review and thematic analysis of family experience during serious childhood illness. J Child Health Care 2023:13674935231168683. [PMID: 37028372 DOI: 10.1177/13674935231168683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/09/2023]
Abstract
This scoping review has investigated experiences of children and parents encountering in-patient treatment for serious childhood illness, including current or potential use of technology as a support mechanism. The research questions were 1. What do children experience during illness and treatment? 2. What do parents experience when their child is seriously ill in hospital? 3. What tech and non-tech interventions support children's experience of in-patient care? The research team identified n = 22 relevant studies for review through JSTOR, Web of Science, SCOPUS and Science Direct. A thematic analysis of reviewed studies identified three key themes reflecting our research questions: Children in hospital, Parents and their children, and Information and technology. Our findings reflect that information giving, kindness and play are central in hospital experiences. Parent and child needs in hospital are interwoven and under researched. Children reveal themselves as active producers of pseudo-safe spaces who continue to prioritise normal child and adolescent experiences during in-patient care.
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Affiliation(s)
- Emma Maynard
- Dept of Child & Family Health & Methodologies Division, 4616King's College London, London, UK
| | - Megan Bennett
- School of Education & Sociology,171171University of Portsmouth Faculty of Humanities and Social Science, Portsmouth, UK
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Kim JS. Children's experiences of intravenous injection using the draw, write, and tell method: A mixed-methods study. J Pediatr Nurs 2023; 71:14-22. [PMID: 36958135 DOI: 10.1016/j.pedn.2023.03.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Revised: 03/09/2023] [Accepted: 03/09/2023] [Indexed: 03/25/2023]
Abstract
PURPOSES This study aimed to explore children's perceptions and experiences of receiving intravenous (IV) injections and the self-reported pain scores and management strategies that can support children while receiving IV injections. DESIGN AND METHODS This mixed-methods study included 17 children aged 4-11 years who presented to the outpatient clinic of a pediatric hospital and received IV injections. Data were collected using the draw, write, and tell method (DWT) and Facial Pain Rating Scale. Descriptive statistics and content analyses were performed. RESULTS The children's self-reported mean pain score was 4.82, indicating moderate pain. Many expressions indicated that IV injections were painful or caused tingling or stinging sensations. A vague fear of needles in addition to pain was identified after listening to the children and analyzing their own interpretation of drawings. Three main themes were identified: (1) physical and emotional experiences, (2) parents as my secure base, and (3) comfort and relief strategies. CONCLUSIONS Children expressed their experiences during IV injections, the alleviation of their pain and fear, and their suggestions for comfort and relief strategies visually, auditorily, and verbally. Parents played an important role in supporting their children and reducing pain, anxiety, and distress related to the IV procedure. PRACTICE IMPLICATIONS The DWT, as an arts-based and child-centered approach, is a useful and valid method to understand children's experience related to the IV injection. Children experience comfort and relief within a family-centered care context during IV injection. Nurses should promote children's and parents' participation in the development of strategies to reduce the negative effects of IV injections in children.
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Affiliation(s)
- Jin Sun Kim
- Department of Nursing, Chosun University, South Korea.
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Kelly D, Brimble M. The scream: the emotional dimensions of nursing in children's palliative care. Int J Palliat Nurs 2023; 29:3-4. [PMID: 36692479 DOI: 10.12968/ijpn.2023.29.1.3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Affiliation(s)
- Daniel Kelly
- Professor, Royal College of Nursing Chair of Nursing Research, School of Healthcare Sciences, Cardiff University, UK
| | - Mandy Brimble
- Senior Lecturer in Child and Young People Nursing, School of Healthcare Sciences, Cardiff University, UK
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Navein A, McTaggart J, Hodgson X, Shaw J, Hargreaves D, Gonzalez-Viana E, Mehmeti A. Effective healthcare communication with children and young people: a systematic review of barriers and facilitators. Arch Dis Child 2022; 107:1111-1116. [PMID: 36008089 DOI: 10.1136/archdischild-2022-324132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Accepted: 08/10/2022] [Indexed: 12/14/2022]
Abstract
OBJECTIVE To identify children and young people's preferences for effective healthcare communication. DESIGN A systematic review of qualitative studies was conducted to identify evidence from children and young people on effective healthcare communication. Electronic databases and reference lists of relevant articles were searched to July 2020. RESULTS A total of 13 studies were included. Five major themes were identified: medical information (timing, amount, coordination and futures), person not patient (creating relationships, time, nurse involvement, sensitivity), type of communication (creative and interactive, behavioural, talking and listening, written communication), consultations (first impressions, with and without parents, actively promoting involvement, open and honest, age appropriate) and communication with parents (using parental knowledge, support). CONCLUSIONS Research in this area remains sparse and consistent implementation is debateable. Children and young people articulate a preference for two-way healthcare communication. General principles for effective communication are identified as well as the need to avoid making assumptions and to tailor approaches to individuals. Establishing and maintaining relationships is essential and requires time and resources. Parents and carers have a positive role in healthcare communication which needs to be balanced with the needs and rights of children. All these factors also apply to children with communication difficulties or from marginalised groups, but additional extra support may be required. PROSPERO REGISTRATION NUMBER CRD42019145539.
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Affiliation(s)
- Alice Navein
- Royal College of Obstetricians and Gynaecologists, London, UK
| | - James McTaggart
- Highland Council, Inverness, UK .,School of Humanities, Social Sciences and Law, University of Dundee, Dundee, UK
| | | | - Joanna Shaw
- London Ambulance Service NHS Trust, London, UK
| | - Dougal Hargreaves
- Department of Primary Care and Public Health, Imperial College London, London, UK
| | - Eva Gonzalez-Viana
- Department of Clinical, Educational and Health Psychology, University College London, London, UK.,National Guideline Alliance, Royal College of Obstetricians and Gynaecologists, London, UK
| | - Agnesa Mehmeti
- National Guideline Alliance, Royal College of Obstetricians and Gynaecologists, London, UK
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Xie QW, Zhang Y, Dai X, Yang W, Chan CLW. A qualitative synthesis of drawing-based research on the illness-related experiences of children living with physical health problems. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e3843-e3870. [PMID: 36264153 DOI: 10.1111/hsc.14082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/10/2022] [Revised: 08/30/2022] [Accepted: 10/01/2022] [Indexed: 06/16/2023]
Abstract
The strengths of drawing-based approaches for encouraging children's participation in health research and facilitating communication with them have been increasingly acknowledged in the medical literature. However, there is a lack of methodological discussion on drawing-based approaches suitable for researching children living with physical health problems. The present study systematically reviewed qualitative research using drawing-based approaches on the experiences of children living with physical health problems and summarised how the approaches were used as well. We identified 54 studies from five databases. The characteristics of qualitative methods and drawing-based approaches were analysed. To obtain an overall understanding of the illness-related experiences of these children, qualitative data generated from the included studies were synthesised using the thematic synthesis approach. This systematic review highlights the appropriateness and accuracy of the use of drawings-based approaches in health research with children on their illness-related experiences, fostering inclusive participation and engagement of young generations.
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Affiliation(s)
- Qian-Wen Xie
- Department of Social Welfare and Risk Management, School of Public Affairs, Zhejiang University, Hangzhou, China
- Center of Social Welfare and Governance, Zhejiang University, Hangzhou, China
- Institute for Common Prosperity and Development, Zhejiang University, Hangzhou, China
| | - Yiran Zhang
- College of Social Work, The Ohio State University, Columbus, Ohio, USA
| | - Xiaolu Dai
- Department of Social Work and Social Administration, The University of Hong Kong, Pok Fu Lam, Hong Kong
| | - Wenya Yang
- Department of Social Welfare and Risk Management, School of Public Affairs, Zhejiang University, Hangzhou, China
| | - Cecilia L W Chan
- Department of Social Work and Social Administration, The University of Hong Kong, Pok Fu Lam, Hong Kong
- Centre on Behavioral Health, The University of Hong Kong, Pok Fu Lam, Hong Kong
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West CH, Dusome DL, Winsor J, Winther Klippenstein A, Rallison LB. Dialoguing With Images: An Expressive Arts Method for Health Research. QUALITATIVE HEALTH RESEARCH 2022; 32:1055-1070. [PMID: 35414321 PMCID: PMC9251748 DOI: 10.1177/10497323221084924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Despite the increasing integration of arts-based methods within qualitative research, few expressive arts methods have been studied to understand their process, rationale and impact on the inquiry process. We conducted a grounded theory study on family experiences of paediatric HSCT where we simultaneously adapted and studied a 'dialoguing with images' (DI) expressive arts process as method. Fifteen family members participated in two interviews, drew an image and were guided through the DI method. We articulate the social process shared by researchers, participants and the images as they co-constructed knowledge through the DI method. The four distinct phases of the method include: 1) containing the imaginative space within an outer and inner frame, 2) creating an embodied image: image work is an expressive, generative process, 3) a shared, participatory aesthetic interpretation and 4) crystallizing stories of illness. The findings are grounded in expressive arts theory and philosophy, hermeneutics and analytical art psychotherapy theory.
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Affiliation(s)
| | - Debra L. Dusome
- Brandon University - Faculty of Health
Studies, Brandon, MB, Canada
| | - Joanne Winsor
- McKenzie Towne Continuing Care
Centre, Calgary, AB, Canada
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Plummer K, McCarthy M, Newall F, Manias E. The influence of contextual factors on children's communication of pain during pediatric Haematopoietic Stem Cell Transplantation: A qualitative case study. J Pediatr Nurs 2022; 64:e119-e129. [PMID: 35086748 DOI: 10.1016/j.pedn.2021.12.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Revised: 11/08/2021] [Accepted: 12/09/2021] [Indexed: 10/19/2022]
Abstract
PURPOSE The aim of this study was to describe how contextual factors related to the clinical setting of a pediatric HSCT unit influenced children's communication of pain to their health-care providers and parents during hospitalization. DESIGN AND METHODS A qualitative case study design was conducted in two-phases in a tertiary level pediatric HSCT unit. The Social Communication Model of Pain provided the conceptual framework for the study. In phase one participants were parents and phase two participants were health-care providers and children in a pediatric HSCT unit. Parents participated in semi-structured interviews at 30- and 90-days post-transplantation regarding their child's communication of pain. Naturalistic observations of children receiving clinical care were conducted and health-care providers participated in semi-structured interviews. RESULTS Children extensively denied pain to their parents and health-care providers. When children did communicate pain, they were motivated by a need to seek interventions for their pain. Children's willingness to communicate pain was influenced by the physiological impact of HSCT therapy, their previous experiences of pain, their relationship with parents and health-care providers and parents and an environment of fear and uncertainty. CONCLUSIONS There is a pressing need for child-centric approaches to support children to communicate their pain experiences to overcome the limitations imposed by the complexity of their medical treatment and the clinical environment in which they receive healthcare. PRACTICE IMPLICATIONS In the context of HSCT therapy children may not communicate pain until pain is severe, and no longer bearable, or outright deny the presence of pain.
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Affiliation(s)
- Karin Plummer
- Department of Nursing, Melbourne School of Health Sciences, University of Melbourne, Australia; Children's Cancer Centre, Royal Children's Hospital, Melbourne, Australia; Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia; Department of Pediatrics, Melbourne Medical School, University of Melbourne, Australia.
| | - Maria McCarthy
- Children's Cancer Centre, Royal Children's Hospital, Melbourne, Australia; Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia; Department of Pediatrics, Melbourne Medical School, University of Melbourne, Australia.
| | - Fiona Newall
- Department of Nursing, Melbourne School of Health Sciences, University of Melbourne, Australia; Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia; Department of Pediatrics, Melbourne Medical School, University of Melbourne, Australia; Department of Nursing Research, Royal Children's Hospital, Melbourne, Australia.
| | - Elizabeth Manias
- Department of Nursing, Melbourne School of Health Sciences, University of Melbourne, Australia; School of Nursing and Midwifery, Deakin University, Melbourne, Australia; Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Australia.
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Mimmo L, Woolfenden S, Travaglia J, Strnadová I, Phillips MTAK, van Hoek MAD, Harrison R. Codesigning patient experience measures for and with children and young people with intellectual disability: a study protocol. BMJ Open 2021; 11:e050973. [PMID: 34872999 PMCID: PMC8650477 DOI: 10.1136/bmjopen-2021-050973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
INTRODUCTION Children and young people with intellectual disability represent one of the most vulnerable groups in healthcare, yet they remain under-represented in projects to design, develop and/or improve healthcare service delivery. Increasingly, healthcare services are using various codesign and coproduction methodologies to engage children and young people in service delivery improvements. METHODS AND ANALYSIS This study employs an inclusive approach to the study design and execution, including two co-researchers who are young people with intellectual disability on the project team. We will follow an adapted experience-based co-design methodology to enable children and young people with intellectual disability to participate fully in the co-design of a prototype tool for eliciting patient experience data from children and young people with intellectual disability in hospital. ETHICS AND DISSEMINATION This study was granted ethical approval on 1 February 2021 by the Sydney Children's Hospitals Network Human Research Ethics Committee, reference number 2020/ETH02898. Dissemination plan includes publications, doctoral thesis chapter, educational videos. A summary of findings will be shared with all participants and presented at the organisation quality and safety committee.
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Affiliation(s)
- Laurel Mimmo
- Clinical Governance Unit, Sydney Children's Hospitals Network, Randwick, New South Wales, Australia
- Population Child Health, School of Women's and Children's Health, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia
| | - Susan Woolfenden
- Population Child Health, School of Women's and Children's Health, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia
- Community Child Health, The Sydney Children's Hospitals Network, Randwick, New South Wales, Australia
| | - Joanne Travaglia
- Centre for Health Service Management, University of Technology Sydney, Sydney, New South Wales, Australia
| | - Iva Strnadová
- Special Education and Disability Studies, School of Education, Faculty of Arts, Design and Architecture, University of New South Wales, Sydney, New South Wales, Australia
| | | | | | - Reema Harrison
- Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia
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Methods, Ethics, and Cross-Language Considerations in Research With Ethnic Minority Children. Nurs Res 2021; 70:383-390. [PMID: 34225322 DOI: 10.1097/nnr.0000000000000537] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Qualitative research seeking the perspectives of minority children on child health issues such as childhood obesity and healthy weight care is limited, especially in nursing research. OBJECTIVE Our objective is to share methodological, ethical, and cross-language knowledge gained from conducting an ethnonursing research study. This study focused on providing a voice for ethnic minority children in childhood obesity literature. METHODS The purpose of the study was to discover cultural influences on healthy weight care in children of Burmese refugees of Karen ethnicity. Researchers may exclude children of ethnic minorities from studies because of the distinct challenges in conducting cross-language research and research with children. We critically examine these challenges. The challenge of being a stranger was addressed by a period of immersion in the children's activities prior to data collection, in addition to volunteering as an English teacher with Karen adults. The immersion period was crucial for developing the trust needed in child-inclusive research and research in ethnic minority communities. The challenge of designing an inclusive study with families who experience language barriers was addressed with an interpreter who not only spoke Karen but was also a part of the Karen community. The interpreter provided the authentic sociocultural language equivalence needed for the study's rigor. Ensuring the child's voice was clearly heard was addressed with member checking. Methodological changes necessitated by a pandemic were a distinct challenge discussed in detail. RESULTS We described methods useful for nurse researchers seeking transformative knowledge to reduce health disparities in childhood obesity. Nurse researchers may use these methods related to cross-language research and child research for designing research inclusive of minorities with language barriers. DISCUSSION The perspectives of children from ethnic minorities are needed to inform culturally congruent healthy weight care for their communities. The goal in providing transparency of the difficulties, successes, and recommendations for methods in research with children of Burmese refugees is to encourage more nurse researchers to work with marginalized groups. Nurse researchers can inform evidence-based, culturally appropriate interventions to address health inequities of minority communities by including the voice of children from these communities.
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Bryan G, Kelly P, Chesters H, Franklin J, Griffiths H, Langton L, Langton L, Wakefield CE, Gibson F. Access to and experience of education for children and adolescents with cancer: a scoping review protocol. Syst Rev 2021; 10:167. [PMID: 34099059 PMCID: PMC8182947 DOI: 10.1186/s13643-021-01723-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2020] [Accepted: 05/28/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Cancer diagnosis in childhood or adolescence impacts significantly on school attendance, experience and educational outcomes. While there is longstanding recognition in clinical practice that these effects span the whole illness trajectory and continue beyond treatment completion, further clarity is required on the specific barriers and facilitators to education during cancer treatment and beyond, as well as on the experiences of children and adolescents across the full range of education settings (hospital, home, virtual, original school of enrolment), in order to determine which interventions are successful in improving access and experience from their perspective. The aim of this review is to identify what is known from the existing literature about access to and experience of education for children and adolescents with cancer during and post treatment. METHODS We have planned a scoping literature review searching the following databases from inception onwards: MEDLINE (Ovid), Embase and Embase Classic, Web of Science Core Collection, Education Resources Index, Sociological Abstracts, APA PsycINFO, SCOPUS, CINAHL Plus, Emcare and The Cochrane Library. In addition, DARE, conference abstracts, key journals, and institutional websites will be searched. Arksey and O'Malley's six-step process will be followed, including a consultation exercise. Studies, reports and policies from any country providing care and treatment for children and adolescents with cancer published in English will be considered eligible for inclusion. Two reviewers will independently screen all citations, full-text articles and abstract data. A narrative summary of findings will be conducted. Data analysis will involve quantitative (e.g., frequencies) and qualitative (e.g., content and thematic analysis) methods. DISCUSSION This is a timely examination given the increased incidence of childhood cancer, more intensive treatment regimens and improved survival rates for childhood cancer. The inclusion of a substantive consultation exercise with families and professionals will provide an important opportunity to examine the scoping review outputs. Findings will assist the childhood cancer community in developing a comprehensive evidence-based understanding of a significant associated bio-psychosocial impact of cancer diagnosis and treatment and will form the first step towards developing effective interventions and policies to mitigate identified detrimental effects. SYSTEMATIC REVIEW REGISTRATION Open Science Framework (osf/io/yc4wt).
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Affiliation(s)
- Gemma Bryan
- School of Health Sciences, University of Surrey, Stag Hill, Guildford, GU2 7XH, Surrey, UK.,Louis Dundas Centre for Children's Palliative Care, UCL Great Ormond Street Institute of Child Health, 30 Guilford Street, London, UK
| | - Paula Kelly
- Centre for Outcomes and Experience Research in Children's Health, Illness and Disability (ORCHID), Great Ormond Street Hospital for Children NHS Foundation Trust, 37 Queen Square, London, UK.
| | - Heather Chesters
- Great Ormond Street Institute of Child Health Library, UCL Great Ormond Street Institute of Child Health, 30 Guilford Street, London, UK
| | - Jayne Franklin
- The Children's Hospital School at Great Ormond Street Hospital & UCH, Great Ormond Street Hospital for Children NHS Foundation Trust, Great Ormond Street, London, UK
| | - Helen Griffiths
- Clinical Health Psychology Psychological Medicine, Oxford University Hospitals NHS Foundation Trust, Children's Psychological Medicine, John Radcliffe Hospital, Oxford, UK
| | | | | | - Claire E Wakefield
- School of Women's and Children's Health, UNSW MEDICINE, UNSW, Sydney, Australia.,Behavioural Sciences Unit, Kids Cancer Centre, Sydney Children's Hospital, High Street, Randwick, New South Wales, Australia
| | - Faith Gibson
- School of Health Sciences, University of Surrey, Stag Hill, Guildford, GU2 7XH, Surrey, UK.,Centre for Outcomes and Experience Research in Children's Health, Illness and Disability (ORCHID), Great Ormond Street Hospital for Children NHS Foundation Trust, 37 Queen Square, London, UK
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Eastham R, Kaley A. "We're Talking About You, Not to You": Methodological Reflections on Public Health Research With Families With Young Children. QUALITATIVE HEALTH RESEARCH 2020; 30:1888-1898. [PMID: 32396056 PMCID: PMC7905741 DOI: 10.1177/1049732320917927] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
In this article, we critically reflect upon the experience of public health research involving children and contribute to existing conversations about the methodological and ethical facets of research in this field. Drawing on two phases of a study that sought to explore the lived experiences of families with young children who have had a recent common childhood illness (gastrointestinal infection), we address the research process, from inception of the studies, to fieldwork and the resultant material obtained. We argue that when researching with families about a child-centered experience, it is important to look beyond the individual adult as "participant" and to conceptualize dependents either as, or "like" participants-what we suggest as a "family-centered approach." Theoretically, this strategy best addresses the lived reality of relationality and responsibility of parent/carers for dependent children; while improving the ease and safety of data collection for the researcher and participants alike.
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van der Riet P, Jitsacorn C, Thursby P. Hospitalized children's experience of a Fairy Garden in Northern Thailand. Nurs Open 2020; 7:1081-1092. [PMID: 32587727 PMCID: PMC7308686 DOI: 10.1002/nop2.482] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2020] [Revised: 02/17/2020] [Accepted: 02/28/2020] [Indexed: 11/29/2022] Open
Abstract
Aim To explore through draw, observation and talk hospitalized children's experience of a Fairy Garden in Northern Thailand. Design A participatory visual arts method of draw, observations and talk along with Clandinin's narrative inquiry framework of three-dimensional space (sociality, temporality and place). Methods This study was conducted in a paediatric ward in a large tertiary hospital in Northern Thailand over 12 months (July 2017-2018). A purposive sample of 17 hospitalized children aged between 4 and 13 years participated in drawings and face-to-face interviews. The study adhered to the COREQ checklist for qualitative research (see Supplementary File S1). Results The analysis resulted in five interrelated threads: (1) representations of the illness experience; (2) imagination and fantasy; (3) connection to place, family and home; (4) moments of social representations of play; and (5) happiness and enjoyment.
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Affiliation(s)
- Pamela van der Riet
- School of Nursing and MidwiferyFaculty of Health and MedicineThe University of Newcastle (UoN)NewcastleNSWAustralia
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Hamilton S, Reibel T, Maslen S, Watkins R, Jacinta F, Passmore H, Mutch R, O'Donnell M, Braithwaite V, Bower C. Disability "In-Justice": The Benefits and Challenges of "Yarning" With Young People Undergoing Diagnostic Assessment for Fetal Alcohol Spectrum Disorder in a Youth Detention Center. QUALITATIVE HEALTH RESEARCH 2020; 30:314-327. [PMID: 31691628 DOI: 10.1177/1049732319882910] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Undertaking research with young people presents an array of methodological challenges. We report the findings from a qualitative study that took place alongside a fetal alcohol spectrum disorder (FASD) prevalence study among detainees in Australia. Of 38 participants, 27 were Aboriginal youth. Interviews were conducted using "social yarning" and "research topic yarning," an Indigenous research method which allows for data collection in an exploratory, culturally safe way. A complex interplay emerged between social yarning and research topic yarning which provided a space to explore responsively with participants their experiences of FASD assessments. Flexibility, including language adaptation and visual descriptions about assessments, was utilized to assist participants recall and retell their experiences. There were, however, challenges in gathering data on the assessment experiences of some participants. We describe how employing a "yarning" method for collecting data could benefit children and young people undergoing neurodevelopmental assessments in the future.
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Affiliation(s)
| | - Tracy Reibel
- Telethon Kids Institute, West Perth, Western Australia, Australia
| | - Sarah Maslen
- University of Canberra, Canberra, Australian Capital Territory, Australia
| | - Rochelle Watkins
- Telethon Kids Institute, West Perth, Western Australia, Australia
| | - Freeman Jacinta
- Telethon Kids Institute, West Perth, Western Australia, Australia
| | - Hayley Passmore
- Telethon Kids Institute, West Perth, Western Australia, Australia
| | - Raewyn Mutch
- Telethon Kids Institute, West Perth, Western Australia, Australia
| | | | - Valerie Braithwaite
- Australian National University College of Asia and the Pacific, Canberra, Australian Capital Territory, Australia
| | - Carol Bower
- Telethon Kids Institute, West Perth, Western Australia, Australia
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