Center for Injury Research and Prevention

A Qualitative Analysis of Children's Emotional Reactions During Hospitalization Following Injury.

TitleA Qualitative Analysis of Children's Emotional Reactions During Hospitalization Following Injury.
Publication TypeJournal Article
Year of Publication2016
AuthorsRamsdell KDonlon, Morrison M, Kassam-Adams N, Marsac ML
JournalJ Trauma Nurs
Volume23
Issue4
Pagination194-201
Date Published07/2016
Type of Articlejournal
ISSN1078-7496
Abstract

Children who sustain injuries are at risk for experiencing traumatic stress reactions. Few studies have obtained detailed, qualitative information regarding children's and parents' own understanding of their experiences during the peritrauma period. Understanding children's injury and early hospital experiences is crucial to inform the development of early interventions during the peritrauma period, which speak to these concerns. The primary purpose of this study was to understand child and parent views of the stressors experienced by children hospitalized for an injury. A secondary aim was to identify children's feelings and thoughts about injury- and hospital-related stressors. Ten children and their parents participated in semistructured interviews. Interviews were audio-recorded, transcribed, and coded. Stressors were classified into 5 domains: procedural concerns, uncertainty, sleep and nutrition challenges, being confined to the hospital, and home preparation. Children and parents were more likely to articulate feelings about stressors than thoughts about stressors. Feelings reported by children and parents were predominantly negative. Children and parents may have an easier time expressing feelings than thoughts, which has implications for communicating with medical teams as well as for psychological treatment. Future research should examine how children's perceptions of their injury- and hospital-related experiences relate to later outcomes such as traumatic stress reactions.

DOI10.1097/JTN.0000000000000217
Alternate JournalJ Trauma Nurs
PubMed ID27414141
PubMed Central IDPMC4948941
Grant ListK23 MH093618 / MH / NIMH NIH HHS / United States
UL1 RR024134 / RR / NCRR NIH HHS / United States