title: Parents' perspectives of asthma crisis hospital management in infants and toddlers: an interpretive view through the lens of attachment theory.
abstract: Interpretive phenomenology and attachment theory were used to discover the underlying concerns of parents and children during children's hospitalization for asthma. Home interviews were conducted with families of low income and with Latino and African-American infants and toddlers with severe persistent asthma. Narratives revealed that asthma crises were fearsome situations for parents and children. Hospital procedures escalated fear in children. Parents, agonized by their children's suffering, were embarrassed by feelings of helplessness. Results imply that effective, efficient care depends on addressing parents' fears, being aware of their sensitivity to the suffering of their children, and supporting their desire to alleviate it.
authors.affiliation: Yale University School of Nursing, New Haven, CT 06518, USA.
authors.forename: Karel
authors.initials: K
authors.lastname: Koenig
authors.forename: Catherine A
authors.initials: CA
authors.lastname: Chesla
authors.forename: Christine M
authors.initials: CM
authors.lastname: Kennedy
mesh_terms: D000328:Adult; D001741:Black or African American; D044466:Asian People; D001249:Asthma / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy*; D044383:Black People; D002140:California / Q000453:epidemiology; D002657:Child Development; D002673:Child, Hospitalized / Q000523:psychology*; D002675:Child, Preschool; D003448:Crying / Q000523:psychology; D005239:Fear / Q000523:psychology; D005260:Female; D006630:Hispanic or Latino; D006760:Hospitalization; D006801:Humans; D007198:Indians, North American; D007223:Infant; D007407:Interviews as Topic; D008297:Male; D008568:Memory; D009769:Object Attachment; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology*; D011203:Poverty; D036301:Qualitative Research