References

Bowes S, Lowes L, Warner J, Gregory JW. Chronic sorrow in parents of children with type 1 diabetes. Journal of Advanced Nursing. 2009; 65:(5)992-1000

Burke L, Kirkham J, Arnott J, Gray V, Peak M, Beresford MW. The transition of adolescents with juvenile idiopathic arthritis or epilepsy from paediatric health-care services to adult health-care services: A scoping review of the literature and a synthesis of the evidence. Journal of Child Health Care. 2018; 22:(3)332-358

Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ Open. 2013; 3

Gale NK, Heath G, Cameron E, Rashid S, Redwood S. Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Medical Research Methodology. 2013; 13:(1)

Briefing notes for researchers: public involvement in NHS, public health and social care research.Eastleigh: INVOLVE; 2012

INVOLVE. Guidance on co-producing a research project. 2018. https://www.invo.org.uk/posttypepublication/guidance-on-co-producing-a-research-project/ (accessed 20 January 2020)

Lincoln YS, Guba EG. Naturalistic inquiry.London: SAGE Publications; 1985

Miller AR, Condin CJ, McKellin WH, Shaw N, Klassen AF, Sheps S. Continuity of care for children with complex chronic health conditions: parents' perspectives. BMC Health Services Research. 2009; 9

NHS. The NHS Long Term Plan. 2019. http://www.longtermplan.nhs.uk (accessed 20 January 2020)

Nygård C, Clancy A. Unsung heroes, flying blind-A metasynthesis of parents' experiences of caring for children with special health-care needs at home. Journal of clinical nursing. 2018; 27:(15–16)3179-3196

Rankin D, Harden J, Waugh N, Noyes K, Barnard KD, Lawton J. Parents' information and support needs when their child is diagnosed with type 1 diabetes: a qualitative study. Health Expectations. 2014; 19:(3)580-591

Royal College of Paediatrics and Child Health. State of Child Health. 2017. https://www.yhphnetwork.co.uk/media/1601/state-of-child-health-england-rcpch-2018.pdf

Smith JA, Flowers P, Larkin M. Interpretative phenomenological analysis : theory, method and research.London: SAGE Publications; 2009

Smith J, Cheater F, Bekker H. Parents' experiences of living with a child with a long-term condition: A rapid structured review of the literature. Health Expectations. 2015; 18:(4)452-474

Smith J, Swallow V, Coyne I. Involving parents in managing their child's long-term condition : a concept synthesis of family-centered care and partnership-in-care. Journal of Pediatric Nursing. 2014; 30:(1)143-159

The Nuffield Trust. International comparisons of health and wellbeing in adolescence and early adulthood. 2019. https://www.nuffieldtrust.org.uk/research/international-comparisons-of-health-and-wellbeing-in-adolescence-and-early-adulthood (accessed 23 January 2020)

Trollvik A, Severinsson E. Parents' experiences of asthma: Process from chaos to coping. Nursing and Health Sciences. 2004; 6:(2)93-99

Williams B, Mukhopadhyay S, Dowell J, Coyle J. From child to adult: An exploration of shifting family roles and responsibilities in managing physiotherapy for cystic fibrosis. Social Science and Medicine. 2007; 65:(10)2135-2146

Willis A, Swann J, Thompson J. Childhood long-term conditions in primary care: A qualitative study of practitioners' views. British Journal of General Practice. 2015; 65:(638)e593-e600

Parents' lived experience of health care for children with long-term conditions

02 June 2022
Volume 3 | British Journal of Child health · Issue 3

Abstract

Background:

Young people in the UK with a long-term condition experience a poorer quality of life than those in most comparable countries.

Aims:

To gain an understanding of parents' experiences of and contribution to health care for children with Long-term conditions.

Methods:

This qualitative study includes 15 semi-structured interviews with parents of children with Long-term conditions. The interviews were audiotaped, transcribed verbatim and analysed using Framework analysis.

Findings:

The analysis generated a meta theme ‘complexity of experience’ and five key themes: Impact, Interactions, Experience of Care, Feelings, Feedback. Parents have a substantial role in coordinating and communicating between health-care teams. Consultations can be like an iceberg where attending the appointment is visible, but the constant and complex demands of the illness, the child, and the family remain hidden.

Conclusions:

Clinicians have a major role in signposting parents to different avenues of support. The impact of appointments on families can be reduced by increasing the use of virtual consultation.

Internationally, the UK is underperforming in the context of young people's health. Young people in the UK with a long-term condition are more likely to experience a poorer quality of life than those in most comparable countries (The Nuffield Trust, 2019). In 2019, the NHS Long Term Plan (LTP) reported that there were 1.7 million children with longstanding illnesses in England (NHS, 2019). Within the plan there is a focus on improving the quality of care for children with long-term conditions by sharing best clinical practice, quality improvement projects and integrating paediatric skills across services (NHS, 2019).

Compared to other wealthy countries, a greater number of childhood deaths are caused by non-communicable diseases in the UK, although there is uncertainty as to whether this high mortality reflects higher environmental risks in the UK or issues with health care for long-term conditions (Royal College of Paediatrics and Child Health, 2017).

Register now to continue reading

Thank you for visiting Journal of Child Health and reading some of our peer-reviewed resources for children’s health professionals. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to our clinical or professional articles

  • New content and clinical newsletter updates each month