Child-parent shifting and shared decision-making for asthma management

Garnett, VE; Smith, J; Ormandy, P

Abstract

Aim: To explore and describe child-parent shared decision-making for the management of childhood asthma.
Methods: A qualitative descriptive interview based study was undertaken. Eight children and nine parents participated. The framework approach underpinned data analysis.
Findings: A dynamic model of the way children and parents transfer, shift and share asthma management decisions was uncovered; asthma management decisions between children and parents were non-linear with responsibility transferring from parent to child under different conditions. Children made a range of decisions about their asthma, often sharing decisions with their parents. However, during acute illness episodes children often relied on parents to make decisions about their asthma.
Conclusion: Neither the child nor parent have complete autonomy over asthma management decisions. Decision-making is a dynamic shifting and shared process, dependent on contextual factors and child and parent decision preferences.

Citation

Garnett, V., Smith, J., & Ormandy, P. (2016). Child-parent shifting and shared decision-making for asthma management. Nursing Children and Young People, 28(4), 16-22. https://doi.org/10.7748/ncyp.28.4.16.s20

• Journal Article Type: Article
• Acceptance Date: Nov 16, 2015
• Publication Date: May 9, 2016
• Deposit Date: Nov 18, 2016
• Publicly Available Date: May 13, 2017
• Journal: Nursing Children and Young People
• Print ISSN: 2046-2336
• Electronic ISSN: 2046-2344
• Publisher: RCN Publishing
• Volume: 28
• Issue: 4
• Pages: 16-22
• DOI: https://doi.org/10.7748/ncyp.28.4.16.s20
• Publisher URL: http://dx.doi.org/10.7748/ncyp.28.4.16.s20
• Related Public URLs: http://journals.rcni.com