Parental experience and understanding of parent-provider discussions of treatment for infants with ureteropelvic junction obstruction

Objective: The purpose of the current study was to understand what families identify as necessary information to guide decision-making in the treatment of their child with UPJO. Methods: We conducted semi-structured interviews with parents of children with UPJO using phenomenological methodology. Da...

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Bibliographic Details
Main Authors: Cindy L. Buchanan, Megan A. Morris, Daniel Matlock, Allison Kempe, Vijaya M. Vemulakonda
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:PEC Innovation
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772628223000225
Description
Summary:Objective: The purpose of the current study was to understand what families identify as necessary information to guide decision-making in the treatment of their child with UPJO. Methods: We conducted semi-structured interviews with parents of children with UPJO using phenomenological methodology. Data were systematically analyzed according to principles of thematic analysis, using a team-based inductive approach. Results: 32 parents were interviewed. Findings are organized by three major themes including barriers to meaningful participation in decision making, logistical aspects of the decision, and psychosocial aspects of the decision. Conclusion: These findings suggest the need to increase parent education and understanding around medical and surgical decision-making, and the need to enhance psychosocial support for more meaningful parental engagement in the surgical decision-making process. Practice implications: The findings from the interviews highlight the importance of caregivers needing clear and accurate information in order to engage in meaningful discussions related to surgical decision-making for decisions around surgery for UPJO treatment.
ISSN:2772-6282