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Afraid of medical care: school-aged children’s narratives about medical fear
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.ORCID iD: 0000-0003-1169-2172
2009 (English)In: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, Vol. 24, no 6, 519-528 p.Article in journal (Refereed) Published
Abstract [en]

Fear can be problematic for children who come into contact with medical care. This study aimed to illuminate the meaning of being afraid when in contact with medical care, as narrated by children 7–11 years old. Nine children participated in the study, which applied a phenomenological hermeneutic analysis methodology. The children experienced medical care as “being threatened by a monster,” but the possibility of breaking this spell of fear was also mediated. The findings indicate the important role of being emotionally hurt in a child's fear to create, together with the child, an alternate narrative of overcoming this fear.

Place, publisher, year, edition, pages
2009. Vol. 24, no 6, 519-528 p.
Keyword [en]
Children; Medical fear; Narratives; Fairytales; Phenomenological hermeneutic
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:du-12016DOI: 10.1016/j.pedn.2009.08.003OAI: oai:DiVA.org:du-12016DiVA: diva2:611355
Available from: 2013-03-15 Created: 2013-03-15 Last updated: 2015-10-06Bibliographically approved
In thesis
1. Att vara barn i sjukdom och sjukvård: barns berättelser om sina upplevelser av sjukdom och sjukvårdsrädsla
Open this publication in new window or tab >>Att vara barn i sjukdom och sjukvård: barns berättelser om sina upplevelser av sjukdom och sjukvårdsrädsla
2006 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overarching aim of this thesis is to illuminate the experience of illness and the meaning of fear of medical care through children’s narratives.

A purposive sample of 22 children and youths, aged from 2 to 18 years, narrated through play and conversation their experiences of illness and of their fear of contact with medical care. The data were analysed using thematic qualitative content analysis and the phenomenological hermeneutic method.

In childhood, the experience of being ill seems to vary with the child’s age. At the ages of 7 to 10 years, the child’s way of thinking can colour the experience;imagination can produce both problems and opportunities. Children seem to combine imagination and reality, and contrasts in the experience coexist such as being scared/confident, sad/cosy and hurt/having fun. At the age of 11 to 18,being ill seemed to imply being lost, hurt and in need of comfort from themselves and others. Medical care can be frightening to children and what is fearful can differ with age. To a 2-year-old child, medical care seemed to be dangerous; to children aged 7 to 11 years, it seemed threatening, like a monster. To the 2-year-old child, there seemed to be a conflict between, on the one hand, living up to expectations by ‘being good’ and hiding their feelings or, on the other hand, communicating their fear.

The narrations by children in the 7–11 year age group, point to the importance of empathy when caring for children, i.e., to be receptive of the child’s fear in order to help the child through and out of the fear. To be afraid for a two-yearold was to have one’s trust broken yet still be searching for a trustful relationship. However, if the child is received along with the fear, this opened up an opportunity for the child to develop courage and to gain control over the fear when under gentle care.

The results of this research revealed the possibility of using play to create stories in a creative relationship with the child. To express one’s inner feeling is a gift of trust, a gift of hospitality. Thus when caring for children we can be the ones who are receiving that gift. We can accept the offer of being a guest in the child’s world.

Place, publisher, year, edition, pages
Umeå: Umeå universitet, 2006. 71 p.
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 1048
Keyword
Child, adolescent, illness, medical fear, experiences, narration
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:du-12019 (URN)91-7264-156-8 (ISBN)
Public defence
2006-12-15, Aula, Vårdvetarhuset, Umeå, 13:00 (English)
Opponent
Supervisors
Available from: 2013-03-15 Created: 2013-03-15 Last updated: 2014-09-08Bibliographically approved

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CiteExportLink to record
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Citation style
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