QualitativeChild: care, health and development2023

Experiences of medical traumatic stress in parents of children with medical complexity.

Tammie Dewan, Katie Birnie, Julie Drury and 7 others

PMID 35947493

WHAT IT FOUND

Parents of medically complex children described repeated healthcare encounters as traumatic when staff dismissed their expertise, broke trust, or ignored basic needs.

Feeling believed and supported helped lower that distress.

Key findings

01Parents experienced medical traumatic stress from repeated healthcare encounters, not only life-threatening events.

02Dismissed parent expertise intensified fear and helplessness, while validation and respect could lessen traumatic stress.

03Trust, communication, continuity, flexible policies, and proactive mental health support were identified as factors that could hurt or heal.

STILL TO COME

How it was doneWhat they found

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What it does not show

Participants were recruited by convenience sampling from parent organizations and social media, so parents who were less engaged in advocacy or had language or immigration barriers may not be represented. The sample was mostly mothers and lacked ethnic, income, and gender diversity, so findings may not transfer to fathers, Indigenous parents, or families with different socioeconomic backgrounds. Children with high acute care needs were targeted, so the findings may not apply to children with medical complexity who mainly use outpatient or community care. Parents were not screened or diagnosed with post-traumatic stress using quantitative tools, so the study describes perceived traumatic experiences rather than measured symptom outcomes. The study did not test interventions, so parent suggestions should not be read as proven ways to reduce medical traumatic stress.

Declared interests

The University of Calgary and the Rare Disease Foundation funded the work. The authors reported no financial conflicts of interest.

The easy way to misread this

Do not read these parent accounts as proof that a particular approach reduces medical traumatic stress. The study describes subjective experiences and suggestions, not tested interventions.

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The study

Participants
22 parents (20 mothers and 2 fathers) from separate families
Certainty of evidence
Very low

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    Cite

    Tammie Dewan, Katie Birnie, Julie Drury, et al. Experiences of medical traumatic stress in parents of children with medical complexity. Child: care, health and development. 2023.

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