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      How do parents deal with their children’s chronic kidney disease? A qualitative study for identifying factors related to parent’s adaptation

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          Abstract

          Background

          Parents’ adaptation affects the health outcomes of children with chronic kidney diseases (CKD). Identifying factors that affect parents’ adaptation is necessary to understand their adaptation status. This study aims to explore factors related to the adaptation of parents who have children with CKD.

          Methods

          This was a qualitative study with a content analysis approach. Seventeen parents of children with CKD were selected by using purposive sampling. The leading researcher performed semi-structured, in-depth, face-to-face interviews to collect data. Conventional content analysis was used to analyze data.

          Results

          Two main categories extracted from the data were “adaptation facilitators” and “adaptation barriers.” Adaptation facilitators were supported by three sub-categories: “social support”, “family capability” and “spiritual beliefs”. Four sub-categories of “adaptation barriers” were revealed as: “family-related barrier s,” “mental stress by others,” “the chronic nature of the disease,” and “unfavorable treatment conditions.”

          Conclusions

          Identifying the factors influencing parental adaptation helps the medical staff to make the necessary interventions to support the parents. According to this study, increasing parent access to the required information, supporting them financially and emotionally, and helping them identify support resources can facilitate their adaptation to their child’s chronic illness. Also, identifying and eliminating adaptation barriers can help parents deal better with their child’s chronic disease.

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s12882-020-02170-4.

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          Most cited references44

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          Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness.

          Qualitative content analysis as described in published literature shows conflicting opinions and unsolved issues regarding meaning and use of concepts, procedures and interpretation. This paper provides an overview of important concepts (manifest and latent content, unit of analysis, meaning unit, condensation, abstraction, content area, code, category and theme) related to qualitative content analysis; illustrates the use of concepts related to the research procedure; and proposes measures to achieve trustworthiness (credibility, dependability and transferability) throughout the steps of the research procedure. Interpretation in qualitative content analysis is discussed in light of Watzlawick et al.'s [Pragmatics of Human Communication. A Study of Interactional Patterns, Pathologies and Paradoxes. W.W. Norton & Company, New York, London] theory of communication.
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            Parenting stress among caregivers of children with chronic illness: a systematic review.

            To critically review, analyze, and synthesize the literature on parenting stress among caregivers of children with asthma, cancer, cystic fibrosis, diabetes, epilepsy, juvenile rheumatoid arthritis, and/or sickle cell disease. Method PsychInfo, MEDLINE, and Cumulative Index to Nursing and Allied Health Literature were searched according to inclusion criteria. Meta-analysis of 13 studies and qualitative analysis of 96 studies was conducted. Results Caregivers of children with chronic illness reported significantly greater general parenting stress than caregivers of healthy children (d = .40; p = ≤.0001). Qualitative analysis revealed that greater general parenting stress was associated with greater parental responsibility for treatment management and was unrelated to illness duration and severity across illness populations. Greater parenting stress was associated with poorer psychological adjustment in caregivers and children with chronic illness. Conclusion Parenting stress is an important target for future intervention. General and illness-specific measures of parenting stress should be used in future studies.
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              Epistemological and methodological bases of naturalistic inquiry

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                Author and article information

                Contributors
                fkhorsandi2011@gmail.com
                parizad.n@umsu.ac.ir
                aramfeizi@yahoo.com
                hemmatma@yahoo.com
                Journal
                BMC Nephrol
                BMC Nephrol
                BMC Nephrology
                BioMed Central (London )
                1471-2369
                25 November 2020
                25 November 2020
                2020
                : 21
                : 509
                Affiliations
                [1 ]GRID grid.412763.5, ISNI 0000 0004 0442 8645, Department of Medical - Surgical Nursing, , School of Nursing and Midwifery, Urmia University of Medical Sciences, ; Urmia, IR Iran
                [2 ]GRID grid.412763.5, ISNI 0000 0004 0442 8645, Patient Safety Research Center, , Urmia University of Medical Science, ; Urmia, IR Iran
                [3 ]Department of Management, Psychology, Community, and Fundamental nursing, Urmia, IR Iran
                [4 ]GRID grid.412763.5, ISNI 0000 0004 0442 8645, Center for Mother and Child Obesity Research Center, , Urmia University of Medical Sciences, ; Urmia, IR Iran
                [5 ]Nursing and Midwifery Faculty, Campus Nazlu, 11 KM Road Seru, Urmia, West Azerbaijan 575611-5111 Iran
                Author information
                https://orcid.org/0000-0001-7393-3010
                https://orcid.org/0000-0002-2260-1451
                https://orcid.org/0000-0003-0563-1808
                Article
                2170
                10.1186/s12882-020-02170-4
                7690036
                33238900
                aa01513c-2ea3-49d3-8f88-1791f40dfe5c
                © The Author(s) 2020

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 10 March 2020
                : 15 November 2020
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100007298, Urmia University;
                Award ID: 2578
                Award Recipient :
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2020

                Nephrology
                adaptation,parents,children,chronic kidney diseases,qualitative study,iran
                Nephrology
                adaptation, parents, children, chronic kidney diseases, qualitative study, iran

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