Abstract
Background: To clarify nurses’ awareness of and care for the indulgence and intentional indulgence of mothers who have children hospitalized with chronic diseases. Method: Between September and November 2014, semi-structured interviews were conducted with nurses who provided written consented. Verbatim transcripts of the audiotaped interviews were made. These transcripts were then encoded, and divided into subcategories and categories. Results: The data obtained from the interviews were divided into 33 labels, 17 subcategories, 8 categories, and 4 core categories. Nurses regarded indulgence as prioritization of mothers' needs, and intervened for them in consideration of such indulgence’s long-term adverse influence on their children. In addition, nurses considered that intentional indulgence shown by mothers had rational reasons, did not have a long-term adverse influence on children, was benefits for children, and was benefits for mothers, and only watched them closely. The conflicted feelings of nurses regarding intentional indulgence were caused by their professional ideas and prejudice about indulgence. To cope with such feelings, nurses aimed to provide care which did not require intentional indulgence, appropriately assessed pediatric patients, and gave their mothers care-related guidance.
Highlights
Children’s emotional dependence on their mothers is important for developing the mother-child relationship, and an essential factor for these children’s health and mentality [1]
As the present study investigated nurses’ awareness regarding mothers’ intentional indulgence, there is a need to study the longterm influence of mothers’ intentional indulgence on children with chronic diseases
Yukimatsu clarified that mothers who had children with chronic diseases could be intentionally indulgent in response to stressful situations or limitations from which these children were suffering, such as those caused by infusion, and warned against nurses’ negative perceptions regarding such indulgence[6]
Summary
Children’s emotional dependence on their mothers is important for developing the mother-child relationship, and an essential factor for these children’s health and mentality [1]. Mothers’ indulgence towards their children may promote their self-indulgence and regression, and hinder their development. Parents who have children with chronic diseases generally search for appropriate ways to raise them according to their disease symptoms, and encounter difficulties in being consistent about child raising due to these symptoms [5]. These parents’ indulgence towards their children is a significant issue
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