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Neves ET, Silva JHD, Urbanetto JDS, Buboltz FL, Kegler JJ, Ribeiro CF, Oliveira DCD, Lorenzini E. Quality of life in the voice of children who depend on health technologies: Mixed methods study. J Pediatr Nurs 2023; 73:e83-e92. [PMID: 37596116 DOI: 10.1016/j.pedn.2023.07.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Revised: 07/17/2023] [Accepted: 07/17/2023] [Indexed: 08/20/2023]
Abstract
OBJECTIVE To examine the quality of life of children who depend on health technologies as expressed in their own words. METHODS A parallel and convergent mixed methods design was employed with 30 aged five to 12 year old children who depend on health technologies. Data collection was done through a characterization form, Pediatric Quality of Life Inventory 4.0 questionnaire with the total sample in quantitative phase; semi-structured interviews with a subset of nine participants in qualitative phase. Quantitative and qualitative data were analyzed using descriptive statistics and deductive thematic content analyses, respectively. RESULTS Findings from PedsQL 4.0 showed that quality of life for children who depend on health technologies is average. However, data integration through mixed methods showed that this average goes beyond quantitative data through hearing the children's own voices. The results from data integration pointed out that children recognize their limitations and adapt to them; what most affects their quality of life is the emotional domain; children reported suffering prejudice due to their physical limitations; and that the school positively impacts their quality of life. CONCLUSIONS Data integration highlighted that children acknowledge their limitations and pain generated by these devices. Concerns about the future and the ability to do things that other children the same age can do was the most impactful aspect on their quality of life. IMPLICATIONS FOR PRACTICE Nursing care plans should consider that what affects most children who depend on health technologies' quality of life is anxiety for the future of being incapacitated or dependent.
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Affiliation(s)
- Eliane Tatsch Neves
- Nurse, Ph.D. in Nursing, Titular Professor of Federal University of Santa Maria, Nursing Department, 1000 Roraima Avenue, Building 26, Office Room 1306, Camobi, Santa Maria, RS 97105-900, Brazil.
| | - Júlia Heinz da Silva
- Nurse, Ph.D. in Nursing, Federal University of Santa Maria, Nursing Department, 1000 Roraima Avenue, Building 26, Office Room 1306, Santa Maria, RS 97105-900, Brazil.
| | - Janete de Souza Urbanetto
- Nurse, Ph.D. in Nursing, Assistant Professor of School of Health and Life Sciences, Pontifical Catholic University of Rio Grande do Sul, Ipiranga Avenue 6681 - Partenon, Porto Alegre, RS 90619-900, Brazil.
| | - Fernanda Luisa Buboltz
- Nurse, Ph.D. in Nursing, Federal University of Santa Maria, Nursing Department, 1000 Roraima Avenue, Building 26, Office Room 1306, Camobi, Santa Maria, RS 97105-900, Brazil.
| | - Jaquiele Jaciára Kegler
- Nurse, Ph.D. in Nursing, Federal University of Santa Maria, Nursing Department, 1000 Roraima Avenue, Building 26, Office Room 1306, Santa Maria, RS 97105-900, Brazil.
| | - Caroline Félix Ribeiro
- Nurse, Federal University of Santa Maria, Nursing Department, 1000 Roraima Avenue, Building 26, Office Room 1306, Santa Maria, RS 97105-900, Brazil.
| | - Diúlia Calegari de Oliveira
- Nurse, Federal University of Santa Maria, Nursing Department, 1000 Roraima Avenue, Building 26, Office Room 1306, Santa Maria, RS 97105-900, Brazil.
| | - Elisiane Lorenzini
- Nurse, Ph.D. in Nursing, Adjunct Professor of Federal University of Santa Catarina, Nursing Department, R. Eng. Agronômico Andrei Cristian Ferreira, s/n - Trindade, Florianópolis, SC 88040-900, Brazil.
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Camara C, Watson C. Hypothermia and cold injuries in children and young people. BRITISH JOURNAL OF NURSING (MARK ALLEN PUBLISHING) 2022; 31:776-779. [PMID: 35980920 DOI: 10.12968/bjon.2022.31.15.776] [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: 06/15/2023]
Abstract
Although hypothermia and cold injuries are rare in children and young people in the UK, the risk is persistent and requires urgent medical management when it does occur. This article outlines some considerations for professionals who may be caring for hypothermic patients or those at risk of becoming hypothermic.
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Affiliation(s)
| | - Chloe Watson
- Staff Nurse, Royal Victoria Infirmary, Newcastle upon Tyne
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Mitchell TK, Bray L, Blake L, Dickinson A, Carter B. 'It doesn't feel like our house anymore': The impact of medical technology upon life at home for families with a medically complex, technology-dependent child. Health Place 2022; 74:102768. [PMID: 35219047 DOI: 10.1016/j.healthplace.2022.102768] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Revised: 12/18/2021] [Accepted: 02/11/2022] [Indexed: 11/16/2022]
Abstract
The study aimed to identify how medical technology impacts upon the home and life at home. Inductive auto-driven photo-elicitation or semi-structured interviews were conducted with technology-dependent children/young people (n = 2) and their family members (n = 15) from 10 families. Thematic analysis generated three themes: Altered physicality and look of the home; Altered sounds in the home; and 'It's worth it! Technology enables us to stay as a family'. Fundamentally, the detrimental impacts of living with medical technology were perceived as worth it as these enabled their child to be at home. Home was not home, and families were incomplete without their child at home.
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Affiliation(s)
- Tracy Karen Mitchell
- Department of Public Health, Policy and Systems, Institute of Population Health, University of Liverpool, UK.
| | - Lucy Bray
- Faculty of Health, Social Care and Medicine, Edge Hill University, Ormskirk, Lancashire, UK
| | - Lucy Blake
- Department of Health and Social Sciences, University of the West of England (UWE), Bristol, UK
| | | | - Bernie Carter
- Faculty of Health, Social Care and Medicine, Edge Hill University, Ormskirk, Lancashire, UK
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