What are the experiences of the child with a brain tumour and their parents?
Brain tumours are one of the most common forms of childhood cancer, affecting approximately 350 children in the UK each year (CancerBackup, 2005). The complex and long treatment for such tumours is often delivered in more than one place of care, as a result children and their families meet a large number of healthcare professionals from a variety of disciplines. The study described in this paper was undertaken to explore the experiences of children/young people (C/YP) with a brain tumour (and their families) being treated at a NHS Trust. A longitudinal, exploratory and descriptive case study was undertaken, using multiple methods of data collection. Three age appropriate data collection techniques were used with children; a modified Mosaic Approach (Clark and Moss, 2001) for children 4-6 years; the 'draw and write technique' with children aged 6-12 year olds, children over 12 years old were interviewed. Semi-structured interviews were also undertaken with parents. Ten children aged 4-13 years, nine mothers and nine fathers took part in the study. Data were analysed using the process described by Ritchie and Spencer (1994). Four themes are identified, receiving and seeking information, finding your way through, how life is affected, who and what help? The process of receiving and seeking information was a challenge for both parents and children. Age appropriate environment and activities helped with adjustment and boredom during long waits and treatment. The need for support from one individual to help families find their way through the complexity of healthcare was a persistent theme. Insights into what children and their parents value from the services offered and areas that they as users find challenging were identified from this study and the findings have implications for future practice and service provision.
Royal Marsden NHS Foundation Trust, Children's/Adolescent Unit, Downs Road, Sutton, Surrey SM2 5PT, United Kingdom. louise.soanes@rmh.nhs.uk
Louise
L
Soanes
Darren
D
Hargrave
Lauren
L
Smith
Faith
F
Gibson
D000223:Adaptation, Psychological; D000293:Adolescent; D001155:Art Therapy; D001294:Attitude to Health; D001932:Brain Neoplasms / Q000523:psychology*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008016:Life Change Events; D008137:Longitudinal Studies; D008297:Male; D008960:Models, Psychological; D015404:Nursing Methodology Research; D010290:Parents / Q000193:education / Q000523:psychology*; D010353:Patient Education as Topic; D010989:Play Therapy; D002666:Psychology, Child; D036301:Qualitative Research; D012944:Social Support; D011795:Surveys and Questionnaires; D006113:United Kingdom