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Congenital cardiac surgery and parental perception of risk: a qualitative study

Lotto, RR, Jones, ID, Guerrero, R, Dhannapuneni, R and Lotto, AA (2019) Congenital cardiac surgery and parental perception of risk: a qualitative study. Cardiology in the Young. ISSN 1047-9511

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Abstract

Introduction: The way risk is interpreted by parents of children undergoing congenital cardiac surgery is poorly documented. Literature suggests clinicians have concerns that parents may not understand the complexity of procedures. Conversely, some parents perceive an unnecessary over-emphasise of risks.
Aim: To explore how risk is encountered by parents of children who are undergoing cardiac surgery, in order to deliver effective and compassionate care.
Methods: A qualitative approach was adopted. Interviews were undertaken with eighteen parents (mothers n=10 fathers n=8). Recordings were transcribed verbatim and analyzed using a constant comparative based approach. Findings: Three themes emerged from the data: the nature of risk, reflecting the complexity of parental perception of risk and the influence of the doctor-parent relationship; presenting risk, highlighting the way in which risk is presented to and interpreted by parents; and risk and responsibility, examining the way in which parents engaged with risk and the impact of this on their relationship.
Conclusions: The way in which risk is perceived by parents is complex and multifactorial. The doctor-parent relationship is key to parental engagement. However, parents manage risk and uncertainty through a number of mechanisms, including those perceived as being not rational. This can cause tension, particularly when required to engage in informed decision-making.

Item Type: Article
Uncontrolled Keywords: 1102 Cardiorespiratory Medicine and Haematology
Subjects: R Medicine > RT Nursing
Divisions: Nursing & Allied Health
Publisher: Cambridge University Press (CUP)
Date Deposited: 13 Sep 2019 11:27
Last Modified: 13 Sep 2019 11:30
DOI or Identification number: 10.1017/s1047951119002087
URI: http://researchonline.ljmu.ac.uk/id/eprint/11334

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