Father's struggling for relevance in the care of their terminally ill child

Tom Laws
School of Nursing and Midwifery, Division of Health Sciences, University of South Australia, Adelaide SA

PP: 034 - 045

Abstract

Children with terminal illness receive substantial amounts of care from their parents within their home, a palliative care facility or general hospital. Whilst there is a long history of research exploring child and family experiences and coping styles within these settings, the focus has not been on fathers' participation in care-giving.

This phenomenon can be explained by traditional sex-role socialisations whereby men are ostensibly conditioned as breadwinners and mothers remain embedded as the primary carers for children, particularly when illness arises. Nevertheless, nurses report that men do provide direct caregiving or seek to be more involved in caring for their child.

This literature review offers opportunities for health professionals to reflect on the significance of gender in parenting the terminally ill child and to develop empathy for men experiencing difficulties in their role as care-givers. As there is little literature available on this topic, this paper portrays men's experiences and importantly the barriers they encounter in meeting their desire to care. The approach provides a suitable basis for developing a research agenda to promote competencies and relevance for fathers in their role as care-giver.

| More

Keywords

care-giving; male participation; child health; fathers' needs; competency promotion; role barriers; literature review; research agenda

Article Text

Visit The Triumphant Child - Winning forumlas for mealtime routines

 


View references

References

Binger C and Ablin A (1969): Childhood leukemia: emotional impact on patient and family, The New England Journal of Medicine, 280(8): 414-418.

Black D (1998): Coping with loss: the dying child, British Medical Journal, May 2; 316(7141): 1376-1378.

Brown KAE and Barbarin OA (1996): Gender differences in parenting a child with cancer, Social Work in Health Care 22(4): 53-71.

Burton L (1975): The Family Life of Sick Children: A study of families coping with chronic childhood illness, Routledge & Kegan, Great Britain.

Chao-Hsing Y (2002): Gender differences of parental distress in children with cancer Journal of Advanced Nursing 38(6): 598-606.

Chesler MA and Parry C (2001): Gender roles and / or styles in crisis: an integrative analysis of the experiences of fathers of children with cancer, Qualitative Health Research, 11(3): 363-84.

Chochinov H and Kristjanson L. (1999): Dying to pay: the cost of end of life care, Journal of Palliative Care, 14(4): 5-15.

Collins J, Stevens M and Cousens P (1998): Home care for the dying child, Australian Family Physician, 27(7): 610-614.

Connell R (1995): Masculinities, Allen & Unwin, Great Britain.

Cook J (1984): Influence of gender on the problems of parents of fatally ill children, Journal of Psychosocial Oncology, (2): 71-91.

Dalley G (1988): Ideologies of Caring: Rethinking Community and Collectivism, MacMillian, Hong Kong.

Darbyshire P, Haller A and Fleming S, (1997): The interstellar cold: Parents' experiences of their child's palliative care. A Report Prepared for the South Australian Health Commission, Palliative Care Program - Statewide Projects, pp.130.

Darbyshire P (1994) Living with a sick child in hospital: the experiences of parents and nurses Chapman and Hall, London.

Davies B and Steele R (1996): Challenges in identifying children for palliative care, Journal of Palliative Care, 12(3): 5-8.

Farrell, M. and Sutherland, P. (1998): Providing paediatric palliative care: collaboration in practice, British Journal of Nursing 7(12): 712-716.

Fleischman A, Nolan K, Dubler N, Epstein M, Gerben M, Jellinek M, Litt I, Miles M, Oppenheimer M, Sha,A, Eys J and Vaughan V, (1994): Caring for gravely ill children, Pediatrics, 94(4): 433-439.

Fletcher R (2004) Fatherhood Week: Introduction, Radio National, Australian Broad Casting Commission. Life Matters (accessed 3/5/04) http://www.abc.net.au/rn/talks/lm/stories/s1098881.htm

Frager G (1996): Pediatric palliative care: building the model, bridging the gaps, Journal of Palliative Care, 12(3): 9-12.

Gillis E (1986): A single parent confronting the loss of an only child, in, Parental Loss of a Child, T. Rando, Champaign, Research Press, 315-319.

Goldman A (1996): Home care for the dying child, Journal of Palliative Care, 12(3): 16-19.

Hayout I and Krulik T (1999): A test of parenthood: dilemmas of parents of terminally ill adolescents, Cancer Nursing, 22(1): 71.

Hollen PJ and Brickle BB (1998): Quality parental decision making and distress Journal of Pediatric Nursing 13(3): 140-150.

Holm KE Patterson JM and Gurney JG (2003): Parental involvement and family - centered care in the diagnostic and treatment phases of childhood cancer: results from a qualitative study Journal of Pediatric Oncology Nursing 20(6): 301-313.

Jones JB and Neil-Urban S 2(003) Father to father: focus group of fathers of children with cancer, Social Work in Health Care 37(1): 41-61.

Katz S & Krulik T (1999): Fathers of children with chronic illness: do they differ from fathers of healthy children? Journal of Family Nursing, 5(3): 292-315.

Kirsch SED & Brandt PA (2002): Telephone interviewing: a method to reach fathers in family research, Journal of Family Nursing 8(1): 73-84.

Kupts M (1986): Death of a Child from Serious Illness in: Parental Loss of a Child, T. Rando (ed.), Champaign, Research Press, 191-199.

Lauer M, Mulhern R, Hoffmann R and Camitta B (1986): Utilisation of hospice/ home care in pediatric oncology, Cancer Nursing, 9(3): 102-107.

Lauer M, Mulhern R, Wallskog J and Camitta B (1983):A comparison study of parental adaptation following a child's death at home or in the hospital, Pediatrics, 71(1): 107-112.

Laws TA (2003): Letters: parents are not homogenous, British Medical Journal, May, 326: 1039b.

Liaschenko J and Underwood SM (2001) Children in research: fathers in cancer research - meanings and reasons for participation, Journal of Family Nursing 7(1): 71-91.

Liben S (1996): Pediatric palliative medicine: obstacles to overcome, Journal of Palliative Care, 12(3): 24-28.

Martinson I (1996): An international perspective on palliative care for children, Journal of Palliative Care, 12(3): 13-15.

McGrath P (2001): Treatment for childhood acute lymphoblastic leukaemia: the fathers' perspective, Australian Health Review 24(2): 135-42.

McGrath P and Huff (2003a): Including the father's perspective in holistic care: Part 1, findings on fathers' experience with childhood acute lymphoblastic leukemia, Australian Journal of Holistic Nursing, 10(1): 4-12.

McGrath P and Huff (2003b): Including the father's perspective in holistic care: Part 2, findings on fathers' experience with childhood acute lymphoblastic leukemia, Australian Journal of Holistic Nursing, 10(2): 5-10.

Mulhern R, Lauer, M., and Hoffmann R (1983): Death of a child at home or in hospital: subsequent psychological adjustment of the family, Pediatrics, 71(5): 743-747.

Robinson K (1997): Family caregiving: who provides the care, and at what cost, Nursing Economic, 15(5): 243-247.

Sabbeth B and Leventhal J (1984): Marital adjustment to chronic childhood illness: a critique of the literature, Pediatrics, 73(6): 762-768.

Sabbeth B (1984): Understanding the impact of chronic childhood illness on families, Pediatric Clinics of North America, 31(1): 47-57.

Schwab R (1992): Effects of a child's death on the marital relationship: a preliminary study, Death Studies, 16: 141-154.

Sterken DJ (1996): Uncertainty and coping in fathers of children with cancer ... including commentary by Mishel MH Journal of Pediatric Oncology Nursing 13(2): 81-90.

WHO (2004): World Health Organisation: Definition of palliative care (accessed, 20/9/04) http://www.who.int/cancer/palliative/definition/en/

Young B, Dixon-Woods M,Windridge KC and Heney D (2003): Managing communication with young people who have a potentially life threatening chronic illness: qualitative study of patients and parents. British Medical Journal 326: 305-307.



RSS Facebook Twitter

Sign Me Up

*Email Address
First Name
Surname

Web Feed

Latest Articles

Special Issues

Advances in Contemporary Health Care for Vulnerable Populations
Volume 42/1
Summary


Advances in Contemporary Community & Family Health Care (3rd edn)
Volume 41/1
Summary | Contents


Advances in Contemporary Complex Health Care: Nursing Interventions
Volume 40/2
Summary | Contents


Advances in Contemporary Community and Family Health Care (2nd edn)
Volume 40/1
Summary | Contents


Advances in Contemporary Nurse Education (2nd edn)
Volume 38/1-2
Summary | Contents


Advances in Contemporary Indigenous Health Care (2nd edn)
Volume 37/1
Summary | Contents


Advances in Contemporary Nursing: Workforce and Workplaces
Volume 36/1-2
Summary | Contents


Advances in Contemporary Modeling of Clinical Nursing Care
Volume 35/2
Summary | Contents


Advances in Contemporary Mental Health Nursing (2nd edn)
Volume 34/2
Summary | Contents


Advances in Contemporary Nursing and Gender
Volume 33/2
Summary | Contents


Advances in Contemporary Nurse Education
Volume 32/1-2
Summary | Contents


Advances in Contemporary Nursing: History of Nursing and Midwifery in Australasia
Volume 30/2
Summary | Contents


crossref.org - The citation linking backbone



Website by Arrowsmith Websites. Website Design Sunshine Coast, Australia.