AI Article Synopsis
- The study aimed to understand how parents of children with advanced cancer decided on their child's place of care at the end of life.
- Seven themes emerged from the analysis, with key insights about the value of time left, the need for safety and security, uncertainty about expectations, and varying experiences with healthcare staff.
- Ultimately, parents' decisions were often instinctive rather than deliberative, and they highlighted the importance of supportive care regardless of whether it occurred at home or in a hospital setting.
Article Abstract
Aim: to explore retrospectively the decisions made by parents regarding their choice of place of care at time of death for their child with advanced cancer.
Design: cross-sectional descriptive study.
Analysis: interpretive phenomenological analysis.
Sample: parents of five children who had died of advanced cancer, whose care was overseen by the participating paediatric oncology centre in the southeast of England. Three children died at home and two in hospital.
Results: seven themes were identified, four of which will be discussed: valuing time left; needing to feel safe and secure; we didn't know what to expect; and the difference between specialist and non-specialist staff. Families' decisions were instinctive or intuitive rather than a calculated weighing up of options. Families identified aspects of care that were both valuable and could be improved.
Conclusion: parents value the time that their children have to live when they know that their child's disease is incurable. Decisions around place of care are just that, decisions around place of care not place of death. Families valued the same types of support from staff regardless of the setting in which care was provided and found the same deficiencies difficult.
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| http://dx.doi.org/10.12968/ijpn.2005.11.6.18296 | DOI Listing |
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