University of Oulu

Rantala, A., Jansson, M. M., Helve, O., Lahdenne, P., Pikkarainen, M., & Pölkki, T. (2020). Parental Experiences of the Pediatric Day Surgery Pathway and the Needs for a Digital Gaming Solution: Qualitative Study. JMIR Medical Informatics, 8(11), e23626. https://doi.org/10.2196/23626

Parental experiences of the pediatric day surgery pathway and the needs for a digital gaming solution : qualitative study

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Author: Rantala, Arja1; Jansson, Miia M2; Helve, Otto3;
Organizations: 1Research Group of Medical Imaging, Physics and Technology, Research Unit of Nursing Science and Health Management, Faculty of Medicine, University of Oulu, Oulu, Finland
2Research Group of Medical Imaging, Physics and Technology, University of Oulu, Oulu, Finland
3Pediatric Research Center, Department of Pediatrics, Helsinki University Hospital, University of Helsinki, Helsinki, Finland
4Department of Pediatrics, Helsinki University Hospital, Helsinki, Finland
5Research Group of Medical Imaging, Physics and Technology, VTT Technical Research Centre of Finland, University of Oulu, Oulu, Finland
6Research Unit of Nursing Science and Health Management, Faculty of Medicine, University of Oulu, Oulu, Finland
7Department of Children and Women, Oulu University Hospital, Oulu, Finland
8Medical Research Center Oulu, Oulu, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.2 MB)
Persistent link: http://urn.fi/urn:nbn:fi-fe2020111991961
Language: English
Published: JMIR Publications, 2020
Publish Date: 2020-11-19
Description:

Abstract

Background: The parents of hospitalized children are often dissatisfied with waiting times, fasting, discharge criteria, postoperative pain relief, and postoperative guidance. Parents’ experiences help care providers to provide effective, family-centered care that responds to parents’ needs throughout the day surgery pathway.

Objective: The objective of our study was to describe parental experiences of the pediatric day surgery pathway and the needs for a digital gaming solution in order to facilitate the digitalization of these pathways.

Methods: This was a descriptive qualitative study. The participants (N=31) were parents whose children were admitted to the hospital for the day surgical treatments or magnetic resonance imaging. The data were collected through an unstructured, open-ended questionnaire; an inductive content analysis was conducted to analyze the qualitative data. Reporting of the study findings adheres to the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist.

Results: Parental experiences of the children’s day surgery pathway included 3 main categories: (1) needs for parental guidance, (2) needs for support, and (3) child involved in his or her own pathway (eg, consideration of an individual child and preparation of child for treatment). The needs for a digital gaming solution were identified as 1 main category—the digital gaming solution for children and families to support care. This main category included 3 upper categories: (1) preparing children and families for the day surgery via the solution, (2) gamification in the solution, and (3) connecting people through the solution.

Conclusions: Parents need guidance and support for their children’s day surgery care pathways. A digital gaming solution may be a relevant tool to support communication and to provide information on day surgeries. Families are ready for and are open to digital gaming solutions that provide support and guidance and engage children in the day surgery pathways.

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Series: JMIR medical informatics
ISSN: 2291-9694
ISSN-E: 2291-9694
ISSN-L: 2291-9694
Volume: 8
Issue: 11
Article number: e23626
DOI: 10.2196/23626
OADOI: https://oadoi.org/10.2196/23626
Type of Publication: A1 Journal article – refereed
Field of Science: 113 Computer and information sciences
3141 Health care science
316 Nursing
Subjects:
Funding: The research was conducted as part of the project entitled Icory (Intelligent Customer-driven Solution for Orthopaedic and Paediatric Surgery Care), which was funded by Business Finland, a Finnish Funding agency, during 2018-2020.
Copyright information: © Arja Rantala, Miia M Jansson, Otto Helve, Pekka Lahdenne, Minna Pikkarainen, Tarja Pölkki. Originally published in JMIR Medical Informatics (http://medinform.jmir.org), 13.11.2020. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Medical Informatics, is properly cited. The complete bibliographic information, a link to the original publication on http://medinform.jmir.org/, as well as this copyright and license information must be included.
  https://creativecommons.org/licenses/by/4.0/