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Erschienen in: Dysphagia 3/2009

01.09.2009 | Original Article

The Lived Experience of Mothers of Children with Chronic Feeding and/or Swallowing Difficulties

verfasst von: Ronelle Hewetson, Shajila Singh

Erschienen in: Dysphagia | Ausgabe 3/2009

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Abstract

The purpose of this phenomenologic study was to describe the lived experiences of seven mothers who were providing home-based care for their children with feeding and/or swallowing difficulties. Data were collected using semistructured interviews and were analysed as per Colaizzi’s method of inductive reduction. Results suggest that the mothers’ experiences can be understood as two continuing journeys that were not mutually exclusive. The first, “Deconstruction: A journey of loss and disempowerment,” comprised three essences: (1) losing the mother dream, (2) everything changes: living life on the margins, and (3) disempowered: from mother to onlooker. The second journey was “Reconstruction: Getting through the brokenness” with the essences of (4) letting go of the dream and valuing the real, (5) self-empowered: becoming the enabler, (6) facilitating the journey, and (7) the continuing journey: negotiating balance. The phenomenon of being the mother of a child with chronic feeding and/or swallowing difficulties continued to be a transformative experience in which personal growth emerged along with chronic sorrow and periodic resurgence of struggle and loss. Implications call for healthcare professionals to incorporate maternal meanings and needs in providing appropriate family-focused intervention.
Literatur
8.
Zurück zum Zitat Lewis E, Kritzinger A. Parental experiences of feeding problems in their infants with Down syndrome. Down Syndr Res Pract. 2004;9:45–52.CrossRef Lewis E, Kritzinger A. Parental experiences of feeding problems in their infants with Down syndrome. Down Syndr Res Pract. 2004;9:45–52.CrossRef
10.
12.
Zurück zum Zitat Woodward K. Motherhood: identities, meanings and myths. In: Woodward K, editor. Identity and difference. London: Sage Publications; 1997. Woodward K. Motherhood: identities, meanings and myths. In: Woodward K, editor. Identity and difference. London: Sage Publications; 1997.
13.
Zurück zum Zitat Brown S, Lumley J, Small R, Astbury J. Missing voices: the experience of motherhood. Melbourne: Oxford University Press; 1994. Brown S, Lumley J, Small R, Astbury J. Missing voices: the experience of motherhood. Melbourne: Oxford University Press; 1994.
17.
Zurück zum Zitat Blaska JK. Cyclical Grieving: reoccurring emotions experienced by parents who have children with disabilities. Minnesota: St Cloud State University; 1998. ERIC Document Reproduction Service No. ED 419 349. Blaska JK. Cyclical Grieving: reoccurring emotions experienced by parents who have children with disabilities. Minnesota: St Cloud State University; 1998. ERIC Document Reproduction Service No. ED 419 349.
18.
Zurück zum Zitat American Speech-Language Hearing Association. Roles of speech-language pathologists in swallowing and feeding disorders: technical report. ASHA Desk Ref. 2002;3:181–99. American Speech-Language Hearing Association. Roles of speech-language pathologists in swallowing and feeding disorders: technical report. ASHA Desk Ref. 2002;3:181–99.
19.
Zurück zum Zitat Holloway I, Wheeler S. Qualitative research for nurses. Oxford: Blackwell Science; 1996. Holloway I, Wheeler S. Qualitative research for nurses. Oxford: Blackwell Science; 1996.
21.
Zurück zum Zitat Whalley Hammell K, Carpenter C. Qualitative research in evidence-based rehabilitation. Philadelphia: Churchill Livingstone; 2004. Whalley Hammell K, Carpenter C. Qualitative research in evidence-based rehabilitation. Philadelphia: Churchill Livingstone; 2004.
22.
Zurück zum Zitat Patton MQ. Qualitative research & evaluation methods. 3rd ed. San Diego, CA: Sage Publications; 2002. Patton MQ. Qualitative research & evaluation methods. 3rd ed. San Diego, CA: Sage Publications; 2002.
23.
Zurück zum Zitat Rubin HJ, Rubin IS. Qualitative interviewing: the art of hearing data. 2nd ed. San Diego, CA: Sage Publications; 2005. Rubin HJ, Rubin IS. Qualitative interviewing: the art of hearing data. 2nd ed. San Diego, CA: Sage Publications; 2005.
24.
Zurück zum Zitat Riemen DJ. The essential structure of a caring interaction. In: Munhall PM, Oiler CJ, editors. Nursing research: a qualitative perspective. 2nd ed. Norwalk, CT: Appleton-Crofts; 1988. p. 85–105. Riemen DJ. The essential structure of a caring interaction. In: Munhall PM, Oiler CJ, editors. Nursing research: a qualitative perspective. 2nd ed. Norwalk, CT: Appleton-Crofts; 1988. p. 85–105.
25.
Zurück zum Zitat Colaizzi PF. Psychological research as the phenomenologist views it. In: Valle R, King M, editors. Existential-Phenomenological alternatives for Psychology. New York: Oxford Press; 1978. p. 48–71. Colaizzi PF. Psychological research as the phenomenologist views it. In: Valle R, King M, editors. Existential-Phenomenological alternatives for Psychology. New York: Oxford Press; 1978. p. 48–71.
27.
Zurück zum Zitat Lincoln YS, Guba E. Naturalistic inquiry. San Diego, CA: Sage Publications; 1985. Lincoln YS, Guba E. Naturalistic inquiry. San Diego, CA: Sage Publications; 1985.
28.
Zurück zum Zitat Ulin PR, Robinson ET, Tolley EE. Qualitative methods in public health: a field guide for applied research. San Francisco: Jossey-Bass; 2005. Ulin PR, Robinson ET, Tolley EE. Qualitative methods in public health: a field guide for applied research. San Francisco: Jossey-Bass; 2005.
29.
Zurück zum Zitat Olshansky S. Chronic sorrow: a response to having a mentally defective child. Soc Casework. 1962;43:190–3. Olshansky S. Chronic sorrow: a response to having a mentally defective child. Soc Casework. 1962;43:190–3.
30.
Zurück zum Zitat Wikler L, Wasow M, Hatfield E. Chronic sorrow revisited: parents vs. professional depiction of the adjustment of parents of mentally retarded children. Am J Orthopsychiatry. 1981;51:63–70.PubMedCrossRef Wikler L, Wasow M, Hatfield E. Chronic sorrow revisited: parents vs. professional depiction of the adjustment of parents of mentally retarded children. Am J Orthopsychiatry. 1981;51:63–70.PubMedCrossRef
31.
Zurück zum Zitat Summers JA, Behr SK, Turnbull AP. Positive adaptation and coping strengths of families who have children with disabilities. In: Singer GHS, Irvin LK, editors. Support for caregiving families: enabling positive adaptation to disability. Michigan: Paul H. Brookes Pub. Co.; 1989. p 27–40. Summers JA, Behr SK, Turnbull AP. Positive adaptation and coping strengths of families who have children with disabilities. In: Singer GHS, Irvin LK, editors. Support for caregiving families: enabling positive adaptation to disability. Michigan: Paul H. Brookes Pub. Co.; 1989. p 27–40.
35.
Zurück zum Zitat Hobdell E. Chronic sorrow and depression in parents of children with neural tube defects. J Neurosci Nurs. 2004;36:82–8.PubMedCrossRef Hobdell E. Chronic sorrow and depression in parents of children with neural tube defects. J Neurosci Nurs. 2004;36:82–8.PubMedCrossRef
37.
Zurück zum Zitat Summers JA, Behr SK, Turnbull AP. Positive adaptation and coping strengths of families who have children with disabilities. Fam Relat. 1998;47:263–8. doi:10.2307/584976.CrossRef Summers JA, Behr SK, Turnbull AP. Positive adaptation and coping strengths of families who have children with disabilities. Fam Relat. 1998;47:263–8. doi:10.​2307/​584976.CrossRef
38.
Zurück zum Zitat Boss P. Ambiguous loss. In: Walsh F, McGoldrick M, editors. Living beyond loss: death in the family. New York: Norton; 1991. p. 164–75. Boss P. Ambiguous loss. In: Walsh F, McGoldrick M, editors. Living beyond loss: death in the family. New York: Norton; 1991. p. 164–75.
41.
Zurück zum Zitat Fuller GB, Rankin RE. Differences in levels of parental stress among mothers of learning disabled, emotionally impaired, and regular school children. Percept Mot Skills. 1994;78:583–92.PubMed Fuller GB, Rankin RE. Differences in levels of parental stress among mothers of learning disabled, emotionally impaired, and regular school children. Percept Mot Skills. 1994;78:583–92.PubMed
43.
Zurück zum Zitat Calhoun LG, Tedeschi RG. Posttraumatic growth: future directions. In: Tedeschi RG, Park CL, Calhoun LG, editors. Posttraumatic growth: positive changes in the aftermath of crisis. Mahwah, NJ: Erlbaum Associates; 1998. p. 215–40. Calhoun LG, Tedeschi RG. Posttraumatic growth: future directions. In: Tedeschi RG, Park CL, Calhoun LG, editors. Posttraumatic growth: positive changes in the aftermath of crisis. Mahwah, NJ: Erlbaum Associates; 1998. p. 215–40.
44.
Zurück zum Zitat Baksi A, Cradock S. What is empowerment. IDF Bull. 1998;43:29–31. Baksi A, Cradock S. What is empowerment. IDF Bull. 1998;43:29–31.
47.
Zurück zum Zitat McKeever P. Mothering chronically-ill technology-dependent children: an analysis using critical theory. PhD thesis, York University, Toronto, Ontario, Canada; 1991. McKeever P. Mothering chronically-ill technology-dependent children: an analysis using critical theory. PhD thesis, York University, Toronto, Ontario, Canada; 1991.
48.
Zurück zum Zitat Douglas SJ, Michaels MW. The mommy myth: idealization of mother-hood and how it has undermined women. New York: Free Press; 2004. Douglas SJ, Michaels MW. The mommy myth: idealization of mother-hood and how it has undermined women. New York: Free Press; 2004.
49.
Zurück zum Zitat Nobile C, Drotar D. Research on the quality of parent-provider communication in pediatric care: implications and recommendations. J Dev Behav Pediatr. 2003;24:279–90.PubMed Nobile C, Drotar D. Research on the quality of parent-provider communication in pediatric care: implications and recommendations. J Dev Behav Pediatr. 2003;24:279–90.PubMed
50.
Zurück zum Zitat Singer GHS, Marquis J, Powers LK, Blanchard L, Divenere N, Santelli B, et al. A multi-site evaluation of parent-to-parent programs for parents of children with disabilities. J Early Interv. 1999;22:217–29.CrossRef Singer GHS, Marquis J, Powers LK, Blanchard L, Divenere N, Santelli B, et al. A multi-site evaluation of parent-to-parent programs for parents of children with disabilities. J Early Interv. 1999;22:217–29.CrossRef
51.
Zurück zum Zitat Rogers C. A way of being. New York: Houghton Mifflin; 1980. Rogers C. A way of being. New York: Houghton Mifflin; 1980.
52.
Zurück zum Zitat Hastings RP, Taunt HM. Positive perceptions in families of children with developmental disabilities. Am J Ment Retard. 2002;107:116–27. doi:10.1352/0895-8017(2002)107<0116:PPIFOC>2.0.CO;2.PubMedCrossRef Hastings RP, Taunt HM. Positive perceptions in families of children with developmental disabilities. Am J Ment Retard. 2002;107:116–27. doi:10.1352/0895-8017(2002)107<0116:PPIFOC>2.0.CO;2.PubMedCrossRef
53.
Zurück zum Zitat Scorgie K, Sobsey D. Transformational outcomes associated with parenting children who have disabilities. Ment Retard. 2000;38:195–206. doi:10.1352/0047-6765(2000)038<0195:TOAWPC>2.0.CO;2.PubMedCrossRef Scorgie K, Sobsey D. Transformational outcomes associated with parenting children who have disabilities. Ment Retard. 2000;38:195–206. doi:10.1352/0047-6765(2000)038<0195:TOAWPC>2.0.CO;2.PubMedCrossRef
55.
Zurück zum Zitat Marks S. Divided Sisterhood: race, class and gender in the South African Nursing profession. Basingstoke: St Martin’s Press; 1994. Marks S. Divided Sisterhood: race, class and gender in the South African Nursing profession. Basingstoke: St Martin’s Press; 1994.
Metadaten
Titel
The Lived Experience of Mothers of Children with Chronic Feeding and/or Swallowing Difficulties
verfasst von
Ronelle Hewetson
Shajila Singh
Publikationsdatum
01.09.2009
Verlag
Springer-Verlag
Erschienen in
Dysphagia / Ausgabe 3/2009
Print ISSN: 0179-051X
Elektronische ISSN: 1432-0460
DOI
https://doi.org/10.1007/s00455-009-9210-7

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