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Australian Hospital-Based Parenting Support for Adults with Incurable End-Stage Cancer: Parent Perspectives.

Vera SteinerLynette JoubertAron ShlonskyAlison Hocking
Published in: Journal of evidence-based social work (2019) (2020)
Parenting support needs of patients diagnosed with incurable end-stage cancer (IESC) with young families are not addressed as part of routine hospital health care. Their support needs and experiences of hospital-based parenting support are largely unknown. The study aims to explore hospital-based parenting support delivery from patient and co-parent perspectives in context to their parenting experience and support needs. Exploratory, prospective, cross-sectional qualitative design. Semi-structured in-depth interviews with eight adult patients with IESC and four co-parents purposively recruited from a tertiary hospital in Melbourne, Australia. Findings were thematically analyzed. Parents desire support with challenging multidimensional parenting issues. Organization, health professionals (HP), and parental-based factors hinder and facilitate optimal service provision. Responsibility rests with HP to initiate parenting support. Interdisciplinary family-focused support offered throughout IESC health-care journey is key. Patient-centered family-focused support is warranted. Surmountable challenges lie with management and HPs to address barriers affecting optimal service delivery.
Keyphrases
  • healthcare
  • mental health
  • squamous cell carcinoma
  • end stage renal disease
  • ejection fraction
  • young adults
  • peritoneal dialysis
  • health insurance
  • middle aged
  • lymph node metastasis