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Abstract
This study examined the feeding issues that parents of 11 children with bronchopulmonary
dysplasia (BPD) identified and explored the informational bases or criteria for decisions
to initiate, continue, and/or terminate the feeding. An oral feeding by the parents
was videotaped and replayed to assist in interviewing the parents regarding the decisions
they had made during the feeding. Six types of feeding issues were identified. The
smoothness or amenability of the child's feeding behavior was most frequently expressed
as important, and about half of the parents mentioned the child's dietary intake as
an issue. Most parents consistently tried to maintain the child's eating and to achieve
a predetermined amount of nutritional intake. Over half the parents were concerned
about adequacy of the child's nutrition, and many were concerned about their child's
acceptance of or resistance to food. Parents did not express concern about their child's
development but were concerned about their child's somatic growth. Parents' concern
about feeding behaviors requires joint problem-solving by nurses and parents. Whether
use of decision criteria that refer to the child's behavior rather than a predetermined
amount of food is possible for parents and likely to contribute to reduced vomiting
and resistive behavior and increased dietary intake needs further study.
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Article info
Footnotes
☆Supported in part by funds from the Pediatric Pulmonary Center, Maternal Child Health Grant #MCJ-009072-02-0, and by School of Nursing State Research Funds.
Identification
Copyright
© 1988 Published by Elsevier Inc.
