When children with profound multiple disabilities are hospitalized: A cross-sectional survey of parental burden of care, quality of life of parents and their hospitalized children, and satisfaction with family-centered care

J Spec Pediatr Nurs. 2016 Jul;21(3):147-57. doi: 10.1111/jspn.12150. Epub 2016 Jun 20.

Abstract

Purpose: We aimed to assess parental burden of care, satisfaction with family-centered care, and quality of life (HRQoL) of parents and their hospitalized children with profound intellectual and multiple disabilities (PIMD), and determine the relationship among these factors.

Design: A cross-sectional study using printed questionnaires and qualitative questions was undertaken at a Swiss University Children's Hospital.

Results: The 117 parents (98 mothers, 19 fathers) studied indicated a substantial impact on burden of care and parental health-related quality of life. Significant correlations with the hospitalized children's well-being were rs = .408 for burden of care and rs -.368 for quality of life. Qualitative results showed parents struggling to safeguard their children and worrying most about the children's well-being.

Practice implications: Health professionals need to be aware of parental burden and that the perception of the children's well-being and the parents' efforts determine their support needs. Easing parents' burden and fostering confidence in the hospitalized children's well-being requires coordination of care provided by advanced nurse specialists, with an institutional framework that clarifies parental collaboration.

Keywords: Burden of care; cross-sectional study; pediatric nursing; profound intellectual and multiple disabilities (PIMD); quality of life; satisfaction with family-centered care.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child
  • Child, Hospitalized / psychology*
  • Cross-Sectional Studies
  • Disabled Children / psychology*
  • Female
  • Hospitals, Pediatric
  • Humans
  • Male
  • Parents / psychology*
  • Patient-Centered Care / organization & administration*
  • Pediatric Nursing / methods
  • Professional-Family Relations
  • Qualitative Research
  • Quality of Life / psychology*
  • Social Support