The purpose of this naturalistic inquiry was to describe, interpret, and link through voices of parents the lived experience of caring for a child with a lifelimiting and lifethreatening diagnosis within the context of existing social polices. Critical ethnology and Habermas critical theory framework together provided a broad framework from which to delve beneath the surface of everyday appearances and to produce theoretically informed accounts of social phenomena grounded in parents perceptions of caring for children who have palliative care needs. This framework provided the means to deconstruct power structures and relationships to reveal and redress oppression by unlocking silent discourses, emancipating voices, and empowering families. The stories of six parents were captured and presented a critical discourse concerning outcomes of the operationalized welfare state within a liberal paradigm that celebrates the autonomous individual as the appropriate unit of political analysis. <p>Four themes emerged that illuminated and provided a fuller understanding of the lived experiences of parenting a child with a lifelimiting and lifethreatening diagnosis. The initial theme, Mother as Caregiver, described the profound effect that assuming the caregiving role had on the lives of these mothers. The theme, Respite and Coping, explored and identified the overwhelming need for parents to obtain relief through respite, so they could parent better. The third theme, Surviving Past Expectancy, explained how their child, outliving their initial diagnosis, placed yet another new stress and burden on the family. The final theme, Getting Everyone on the Same Page, described frustrations parents experienced on a regular basis trying to find services and then act as coordinator for their child and family.<p>This study provided a unique and valuable optic to an untapped data source, which until now has remained silent. Results demonstrate the significance and meaning of the identified themes and their interrelatedness, and the study concludes with a discussion of the findings and policy implications. The main findings were the untapped resilience and strength of each participant, the uniqueness of each of their stories, and the reality that the harms associated with having a child with a lifelimiting and lifethreatening diagnosis can certainly be lessened through social polices that direct the provision and access to pediatric palliative care services to all who require them. A researchedbased understanding of the lived experience and the contextual nature of parents perceptions provides policymakers, politicians, and health care professionals an opportunity to offer specialized services and programs to children with lifelimiting and lifethreatening diagnosis and their families.
| Identifer | oai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:SSU.etd-05302008-163022 |
| Date | 05 June 2008 |
| Creators | Fowler-Kerry, Susan Eva |
| Contributors | Smadu, Marlene, Henry, Carol J., Donnelly, G., Bertman, Sandra, Backman, Allen, Wason-Ellam, Linda |
| Publisher | University of Saskatchewan |
| Source Sets | Library and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://library.usask.ca/theses/available/etd-05302008-163022/ |
| Rights | unrestricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to University of Saskatchewan or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
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