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Nurses' experiences of providing digital and in-person healthcare support to children living with complex chronic conditions.
Institute of Health and Care Sciences, University of Gothenburg, Sahlgrenska Academy, Gothenburg (SWE); The Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg (SWE).
The Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg (SWE).
The Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg (SWE).
Institute of Health and Care Sciences, University of Gothenburg, Sahlgrenska Academy, Gothenburg (SWE); The Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg (SWE); Centre for Person-Centred Care, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
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2025 (English)In: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, Vol. 82, p. 102-108Article in journal (Refereed) Epub ahead of print
Abstract [en]

OBJECTIVES: To demonstrate how nurses in pediatric care provide information and maintain access to health care for children with complex chronic conditions utilizing e-health or in-person support methods.

METHODS: The study involved 12 nurses/specialist nurses from the medical departments at Queen Silvia Children's Hospital in Gothenburg. A qualitative method was employed, using individual interviews with a semi-structured guide and analyzed using a reflexive thematic analysis method.

RESULTS: The analysis yielded two main themes and six subthemes. The nurses employed various information methods, used alone or in combination of oral communication, written materials, digital tools, visual aids, and demonstrations. Supportive conversations were provided for the child and the whole family. Nurses ensured contact with the entire care team, tailoring support to the child's individual needs based on age, maturity, developmental level, beliefs, culture, and language barriers.

CONCLUSION: Involving children in their own care through single or mixed methods, via e-health or in-person support, protects and strengthens their right to understand their health situation and health preparedness.

PRACTICE IMPLICATIONS: Effective, customized support from healthcare staff can ensure that children with complex chronic conditions with families are actively involved, improving children's control over their care, adherence to treatment plans, self-esteem and health outcomes.

Place, publisher, year, edition, pages
Elsevier, 2025. Vol. 82, p. 102-108
Keywords [en]
Children, E-health or in-person support method, Health care, Person-centered care, Qualitative method
National Category
Nursing Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-23142DOI: 10.1016/j.pedn.2025.03.003ISI: 001443108400001PubMedID: 40058095Scopus ID: 2-s2.0-86000286353OAI: oai:DiVA.org:hv-23142DiVA, id: diva2:1951220
Note

CC-BY 4.0

This research was partly funded by a regional ALF agreement (ALFGBG-965009, ALFGBG-1005130).

Available from: 2025-04-10 Created: 2025-04-10 Last updated: 2025-04-10

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Berghammer, Malin

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