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Parental Experience and Meaning Construction during a Pediatric Health Crisis

Institute of Clinical Nursing, National Yang-Ming University

Patricia Tomlinson

Maternal Child Family Research, School of Nursing and Family Social Science, University of Minnesota.

Loucine M. Huckabay, R.N., C.P.N.P, Ph.D., F.A.A.N.

Center for Nursing Research, California State University, Long Beach

Marsha L. Heims, R.N., Ed.D.

School of Nursing, Oregon Health Sciences University

This study explores parental lived experience following admission of their child to a pediatric intensive care unit. The interview data used were collected from 10 randomly chosen families from the Family Impact of Catastrophic Childhood Illness Project recruited during the early phase of critical care hospitalization of their child. A 3-stage contextual analysis procedure integrating interactional and contextual perspectives into Colaizzi's phenomenological approach was used to reduce text data to thematic content. The analysis uncovered a multidimensional and holistic phenomenon consisting offourorganizing concepts: initial boundaryambiguity, parents'coping patterns, family resources, andfunctioning of thefamily boundary. These results provide evidence of a collective family level perception of stress when experiencing the health crisis of a child and supportfurther use offamily stress perception as afamily levelphenomenon that represents family meaning construction during critical illness of a child.

Western Journal of Nursing Research, Vol. 19, No. 5, 608-636 (1997)
DOI: 10.1177/019394599701900504


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