Abstract

BackgroundBronchiectasis is a worsening public health problem in New Zealand. This study aimed to explore the health care experiences of mothers of children with bronchiectasis in the Counties Manukau District Health Board area of Auckland, New Zealand.MethodsSemi-structured interviews were undertaken with ten mothers of children with bronchiectasis. Data were analysed using thematic analysis.ResultsFive themes emerged: 1) Searching for answers, describing mothers’ search for a diagnosis; 2) (Dis)empowerment, describing mothers’ acquisition of knowledge, leading to empowerment; 3) Health care and relationships, describing the impact of relationships on the mother’s health care experiences; 4) A juggling act, describing the challenges of juggling health care with school, work and family; 5) Making it work, describing how mothers overcome barriers to access health care for their child.ConclusionsThe health provider-parent relationship was crucial for fostering positive health care experiences. Mothers’ acquisition of knowledge facilitated empowerment within those relationships. Additionally, mothers’ perceptions of the quality and benefit of health services motivated them to overcome barriers to accessing care. Study findings may help to improve health care experiences for parents of children with bronchiectasis if identified issues are addressed.

Highlights

  • Bronchiectasis is a worsening public health problem in New Zealand

  • In comparison to other developed countries, prevalence of bronchiectasis is high in New Zealand (NZ), where the general population hospitalisation rate increased by 41% between 2000 and 2015 [6]

  • Study population This study was conducted in the Counties Manukau District Health Board (CMDHB) area of Auckland - one of twelve district health boards (DHB) in NZ

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Summary

Introduction

Bronchiectasis is a worsening public health problem in New Zealand. This study aimed to explore the health care experiences of mothers of children with bronchiectasis in the Counties Manukau District Health Board area of Auckland, New Zealand. In comparison to other developed countries, prevalence of bronchiectasis is high in New Zealand (NZ), where the general population hospitalisation rate increased by 41% between 2000 and 2015 [6]. Reports of delayed diagnosis of childhood bronchiectasis suggest that there is a limitation in health care access and early identification of signs of infection for children who develop bronchiectasis [7, 9]. Effective health care is crucial for identifying respiratory infections early and preventing the development of bronchiectasis. Literature has identified barriers to accessing health care for different populations, including indigenous groups

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