Sheltering in chaos: parents' experiences when facing moral challenges in childhood cancer care

被引:1
作者
Weiner, Charlotte [1 ,2 ,8 ]
Pergert, Pernilla [1 ,3 ]
Castor, Anders [4 ]
Molewijk, Bert [5 ,6 ]
Bartholdson, Cecilia [1 ,7 ]
机构
[1] Childhood Canc Res Unit, Dept Womens & Childrens Hlth, Stockholm, Sweden
[2] Karolinska Univ Hosp, Astrid Lindgren Childrens Hosp, Childrens Reg Hlth Care, Solna, Sweden
[3] Karolinska Univ Hosp, Astrid Lindgren Childrens Hosp, Paediat Haematol & Oncol, Solna, Sweden
[4] Lund Univ, Dept Paediat, Lund, Sweden
[5] Univ Amsterdam, Med Ctr, Dept Eth Law & Med Humanities, Amsterdam, Netherlands
[6] Univ Oslo, Ctr Med Eth, Oslo, Norway
[7] Karolinska Univ Hosp, Astrid Lindgren Childrens Hosp, Paediat Neurol & Musculoskeletal Disorders & Homec, Solna, Sweden
[8] Karolinska Inst, Dept Womens & Childrens Hlth, Childhood Canc Res Unit, Stockholm, Sweden
关键词
Childhood cancer; concerns; moral; parents; qualitative research; ETHICS CONSULTATION; PEDIATRIC ONCOLOGY; CHILDREN; DIAGNOSIS; DISTRESS; ISSUES; LIFE;
D O I
10.1080/10508422.2023.2267708
中图分类号
B82 [伦理学(道德学)];
学科分类号
摘要
Childhood cancers are life-threatening diseases that affect the whole family. During the treatment moral situations might arise. Research on how parents perceive moral challenges in childhood cancer care is sparse. The aim was to explore parents' main concern, and how they deal with their main concern, when facing moral challenges in childhood cancer care. Data collection included focus group interviews with parents. The data analysis was carried out according to a classical theory and revealed the core category "Sheltering in chaos". The strategies to handle the main concern included "To bring the child through a life-saving trajectory" by "Balancing control" and "Deliberating of suffering. The consequences included feelings of being "Torn between roles". "Familiarity" emerged as a facilitating factor to handle moral challenges. The results indicate that parents are torn between different roles, and that the care experience is improved through familiarity with the healthcare professionals. The following findings may inspire new ways of offering moral support to families in childhood cancer care.
引用
收藏
页码:545 / 558
页数:14
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