Barriers and Facilitators to Youth Decision-Making Involvement in Families Referred for Stem Cell Transplant.

IF 2.6 3区 医学 Q1 FAMILY STUDIES Journal of Family Nursing Pub Date : 2024-08-01 Epub Date: 2024-07-27 DOI:10.1177/10748407241261123
Ginny Lynn Schulz, Angela Christine Painter, Amy McQueen, Shalini Shenoy, James M DuBois
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Abstract

Youth prefer to be involved in treatment decisions, yet youth participation is minimally present in decisions like stem cell transplant (SCT) that require frequent medications and social isolation to be successful in curing cancer and chronic illness. The purpose of our study is to identify the barriers and facilitators to youth decision-making involvement in the youth-parent interaction when referred for treatment with SCT. We report qualitative findings from our theory-driven mixed-methods study. We thematically analyzed our field notes of youth and parent observations and audio-recordings during SCT consultations and semi-structured interviews. Data were collected from 10 youth, 8 to 16 (median 12) years of age, and their parents (n = 20). Three themes emerged: (a) Reluctant unless motivated, (b) Uncertain but capable, and (c) Limited unless supported. Our findings emphasize the critical role parents may take in facilitating youth involvement in decisions.

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青少年参与干细胞移植家庭决策的障碍和促进因素。
青少年更愿意参与治疗决策,但在干细胞移植(SCT)等需要频繁用药和社会隔离才能成功治愈癌症和慢性病的决策中,青少年的参与度却微乎其微。我们的研究旨在确定青少年在转诊接受 SCT 治疗时,参与青少年与家长互动决策的障碍和促进因素。我们报告了理论驱动的混合方法研究的定性结果。我们对在小班治疗咨询和半结构式访谈过程中观察到的青少年和家长的现场记录和录音进行了专题分析。我们从 10 名 8 至 16 岁(中位数为 12 岁)的青少年及其父母(n = 20)那里收集了数据。我们发现了三个主题:(a) 不情愿,除非有动力;(b) 不确定,但有能力;(c) 有限,除非得到支持。我们的研究结果强调了父母在促进青少年参与决策中可能扮演的关键角色。
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来源期刊
CiteScore
4.00
自引率
9.70%
发文量
40
审稿时长
>12 weeks
期刊介绍: Journal of Family Nursing (JFN) is a peer-reviewed, quarterly journal of nursing research, practice, education, and policy issues, as well as empirical and theoretical analyses on the subject of family health. Its interdisciplinary, international, and collaborative perspectives examine cultural diversity and families across the life cycle. This journal is a member of the Committee on Publication Ethics (COPE).
期刊最新文献
Family Nursing Network Caring for Families of Patients With Acquired Brain Injury Early During Hospitalization: A Feasibility Study of the SAFIR© Intervention What Is the Most Compelling Global Family Nursing Clinical Skill? Curious Compassion. Barriers and Facilitators to Youth Decision-Making Involvement in Families Referred for Stem Cell Transplant. The Impact of the COVID-19 Pandemic on the Paternal Parenting Experience: A Scoping Review.
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