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Experiences of parents who give pharmacological treatment to children with functional constipation at home

AIM: The aim was to explore the lived experiences of parents who give oral and rectal pharmacological treatment to their children with functional constipation at home. DESIGN: A phenomenological design with a reflective lifeworld research approach that describes phenomena as they are experienced by...

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Autores principales: Flankegård, Gunilla, Mörelius, Evalotte, Duchen, Karel, Rytterström, Patrik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7702076/
https://www.ncbi.nlm.nih.gov/pubmed/33043491
http://dx.doi.org/10.1111/jan.14539
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author Flankegård, Gunilla
Mörelius, Evalotte
Duchen, Karel
Rytterström, Patrik
author_facet Flankegård, Gunilla
Mörelius, Evalotte
Duchen, Karel
Rytterström, Patrik
author_sort Flankegård, Gunilla
collection PubMed
description AIM: The aim was to explore the lived experiences of parents who give oral and rectal pharmacological treatment to their children with functional constipation at home. DESIGN: A phenomenological design with a reflective lifeworld research approach that describes phenomena as they are experienced by individuals. METHODS: From January–May 2019, 15 interviews were conducted with parents of children with functional constipation with home‐based oral and rectal treatment. Parents were recruited from three different healthcare levels. Open‐ended questions were used starting from the description of a normal day with constipation treatment. Analyses were made with an open and reflective ‘bridling’ attitude. FINDINGS: Constipation treatment causes parents to question their parental identity and what it means to be a good parent. Forced treatment makes them feel abusive and acting against their will as parents. There is a conflict between doubt and second thoughts about the treatment, the urge to treat based on the child's needs and encouragement from healthcare professionals to give treatment. CONCLUSION: As pharmacological constipation treatment can be experienced as challenging, it is important to help parents make an informed decision about how such treatment should be carried out at home. The findings reveal a medical treatment situation where parents hesitate and children resist, resulting in insecure parents who question their parental identity. IMPACT: The findings point to the importance of supporting parents in treatment situations. Healthcare providers need to treat children with constipation with greater focus and more prompt management to prevent these families from lingering longer than necessary in the healthcare system.
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spelling pubmed-77020762020-12-14 Experiences of parents who give pharmacological treatment to children with functional constipation at home Flankegård, Gunilla Mörelius, Evalotte Duchen, Karel Rytterström, Patrik J Adv Nurs RESEARCH PAPERS AIM: The aim was to explore the lived experiences of parents who give oral and rectal pharmacological treatment to their children with functional constipation at home. DESIGN: A phenomenological design with a reflective lifeworld research approach that describes phenomena as they are experienced by individuals. METHODS: From January–May 2019, 15 interviews were conducted with parents of children with functional constipation with home‐based oral and rectal treatment. Parents were recruited from three different healthcare levels. Open‐ended questions were used starting from the description of a normal day with constipation treatment. Analyses were made with an open and reflective ‘bridling’ attitude. FINDINGS: Constipation treatment causes parents to question their parental identity and what it means to be a good parent. Forced treatment makes them feel abusive and acting against their will as parents. There is a conflict between doubt and second thoughts about the treatment, the urge to treat based on the child's needs and encouragement from healthcare professionals to give treatment. CONCLUSION: As pharmacological constipation treatment can be experienced as challenging, it is important to help parents make an informed decision about how such treatment should be carried out at home. The findings reveal a medical treatment situation where parents hesitate and children resist, resulting in insecure parents who question their parental identity. IMPACT: The findings point to the importance of supporting parents in treatment situations. Healthcare providers need to treat children with constipation with greater focus and more prompt management to prevent these families from lingering longer than necessary in the healthcare system. John Wiley and Sons Inc. 2020-10-12 2020-12 /pmc/articles/PMC7702076/ /pubmed/33043491 http://dx.doi.org/10.1111/jan.14539 Text en © 2020 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle RESEARCH PAPERS
Flankegård, Gunilla
Mörelius, Evalotte
Duchen, Karel
Rytterström, Patrik
Experiences of parents who give pharmacological treatment to children with functional constipation at home
title Experiences of parents who give pharmacological treatment to children with functional constipation at home
title_full Experiences of parents who give pharmacological treatment to children with functional constipation at home
title_fullStr Experiences of parents who give pharmacological treatment to children with functional constipation at home
title_full_unstemmed Experiences of parents who give pharmacological treatment to children with functional constipation at home
title_short Experiences of parents who give pharmacological treatment to children with functional constipation at home
title_sort experiences of parents who give pharmacological treatment to children with functional constipation at home
topic RESEARCH PAPERS
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7702076/
https://www.ncbi.nlm.nih.gov/pubmed/33043491
http://dx.doi.org/10.1111/jan.14539
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