title: The effects of a cochlear implant on the family of a hearing-impaired child.
abstract: OBJECTIVE
  The purpose of this study was to evaluate the effects of a cochlear implant on the family of a hearing-impaired child. A single family was interviewed to answer these research questions: How does the family adapt initially to hearing impairment?, What are the family's concerns before, during, and after the implantation?, and How does the family accept and adjust to the outcomes of the procedure?
  
  
  METHODS
  Immediate family members (mother, father, and child) of the child receiving a cochlear implant were interviewed individually three times: before, during, and after implantation using an investigator-designed interview guide. The child's behavior was also observed during a speech therapy session before and after completion of the implantation.
  
  
  RESULTS
  The findings reflect several common themes concerning ambivalence, excitement, fear, anxiety, impatience, and transformation.
  
  
  CONCLUSIONS
  The family choosing cochlear implantation progressed through several phases of adaptive responses from before to after the procedure. Implications for nurses working with families during this process are identified.
authors.affiliation: Children's Hospital and Regional Medical Center, Seattle, WA, USA.
authors.forename: Christina M
authors.initials: CM
authors.lastname: Allegretti
mesh_terms: D000223:Adaptation, Psychological; D001007:Anxiety / Q000523:psychology; D001294:Attitude to Health; D002648:Child; D019929:Cochlear Implantation / Q000451:nursing / Q000523:psychology*; D003220:Conflict, Psychological; D003638:Deafness / Q000451:nursing / Q000523:psychology* / Q000601:surgery*; D003717:Denial, Psychological; D005220:Fathers / Q000193:education / Q000523:psychology*; D005239:Fear; D006801:Humans; D020407:Internet; D008137:Longitudinal Studies; D009035:Mothers / Q000193:education / Q000523:psychology*; D024802:Nurse's Role; D015404:Nursing Methodology Research; D010353:Patient Education as Topic; D010371:Pediatric Nursing / Q000379:methods; D002666:Psychology, Child; D011795:Surveys and Questionnaires