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Research Article| Volume 66, e16-e21, September 2022

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The importance of an outdoor playground for children with epilepsy and their family during and after hospitalization: A qualitative study of parents' experiences

  • Mette Schou Larsen, RN, MScN
    Mette Schou Larsen
    Correspondence
    Corresponding author.
    Contact
    Affiliations
    Children's Department, The Danish Epilepsy Center Filadelfia, Dr. sellsvej 23, 4293 Dianalund, Denmark
    Search for articles by this author
  • Hanne Agerskov, RN, MSc(health), PhD
    Hanne Agerskov
    Contact
    Affiliations
    Department of Nephrology, Odense University Hospital, Department of Clinical Institute and Family Focused Health Care Research Centre, University of Southern Denmark, Kløvervænget 6, 5000 Odense C, Denmark
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Published:July 08, 2022DOI:https://doi.org/10.1016/j.pedn.2022.07.001
The importance of an outdoor playground for children with epilepsy and their family during and after hospitalization: A qualitative study of parents' experiences
Previous ArticleA investigation into hope, self-efficacy, distress and uncertainty in parents who have a child with a life-threatening or life-limiting illness
Next ArticleNeonatal intensive care unit nurse training in identifying ultrasound landmarks in the neonatal mediastinum. Α training program for nurses in North-Eastern Greece
      Advertisement

      Highlights

      • •
        Play supports children with epilepsy and their families to cope with hospitalization and their illness
      • •
        Play outdoor during hospitalization improves children with epilepsy and their families physical and emotionalwell-being
      • •
        Healthcare professionals can use an outdoor playground in the hospital environment in their clinical and therapeutic care

      Abstract

      Objectives

      To explore parents' experiences of using an outdoor playground during hospitalization with their child with epilepsy.

      Method

      The study is based on a qualitative exploratory design. Semi-structured individual interviews were conducted with 10 parents with a child with epilepsy (6–11 years). A phenomenological- hermeneutic approach was taken, inspired by Ricoeur. Data analysis and interpretation have been conducted at three levels: naive reading, structural analysis, and critical interpretation and discussion.

      Results

      During hospitalization the playground was the children's territory, where children felt safe, in control and normality. Parents experienced valuable time with their children through participation, and play facilitated communication and reduced pain and negative emotions. The playground improved parents and children's emotional well-being during hospitalization. Further, it supported coping with epilepsy, and contributed to gain successful experiences thus children developed self-esteem.

      Conclusion

      The study indicates that to the parents, an outdoor playground at the hospital environment is valuable for supporting children with epilepsy and their families to cope with hospitalization and everyday life, and it contributes to improve the family's physical, social and emotional well-being. The results emphasize that play at an outdoor playground could be integrated in the care and treatment during hospitalization.

      Keywords

      • Playtherapy
      • Hospitalization
      • Children
      • Family centered nursing
      • Epilepsy
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      Article info

      Publication history

      Published online: July 08, 2022
      Accepted: July 2, 2022
      Received in revised form: May 24, 2022
      Received: March 10, 2022

      Identification

      DOI: https://doi.org/10.1016/j.pedn.2022.07.001

      Copyright

      © 2022 Elsevier Inc. All rights reserved.

      ScienceDirect

      Access this article on ScienceDirect

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