title: Experiences of parents with caring for their child after a cancer diagnosis.
abstract: Children and adolescents with cancer are increasingly treated and cared for at home; hospital stays are reduced to a minimum. Taking care of a sick child at home has an impact on the entire family: the sick child, the siblings, and the parents. This qualitative study examines the experiences of parents taking their child home for the first time after the diagnosis. Parents of 10 children newly diagnosed with cancer were interviewed twice around the time of the first discharge; data were analyzed using content analysis methodology. Findings illustrated parents' preparation of and experiences around their child's first discharge, the huge amount of new and changed tasks parents have to fulfill at home when caring for their child with cancer, and consequences for the parents. By providing individualized information and instruction, by having parents anticipate potential problems and solutions, and by describing available community support and integrating district nurses as well as other parents with the same experiences more frequently, health care professionals in the hospital can optimize discharge planning for these parents.
authors.affiliation: University Children's Hospital, Zurich, Switzerland. maria.flury@kispi.uzh.ch
authors.forename: Maria
authors.initials: M
authors.lastname: Flury
authors.forename: Ueli
authors.initials: U
authors.lastname: Caflisch
authors.forename: Andrea
authors.initials: A
authors.lastname: Ullmann-Bremi
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Spichiger
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006701:Home Nursing / Q000458:organization & administration / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000175:diagnosis / Q000451:nursing / Q000523:psychology*; D010287:Parent-Child Relations; D010290:Parents / Q000193:education / Q000523:psychology*; D010351:Patient Discharge; D011368:Professional-Family Relations; D036301:Qualitative Research; D055815:Young Adult