In:
Annales françaises de médecine d’urgence, Lavoisier, Vol. 8, No. 5 ( 2018-10), p. 295-300
Abstract:
Introduction : Parents increasingly visit paediatric emergency services, although some visits are medically inappropriate. In order to understand the origin of these inappropriate visits and the internal logics of parents, beyond previously identified determinants such as medical demography or attraction towards technical platform, a qualitative study was conducted in the Pays de la Loire area. Procedure : Qualitative study with semi-directive interviews was conducted in Nantes and La Roche-sur-Yon. Participants were parents who had brought their child to the emergency departments, who were not in need of any particular care or technical investigation after clinical examination. The interviews focused on the narration of the episode that motivated the decision to visit the emergencies, and on the family context of the decision. Thematic and conceptual analyses attempted to define a typology of visit. Results : The main recurrent themes allowing interpretations of inappropriate visit were: the level of anxiety related to the unusual or unexplainable nature of the preliminary symptoms; the trust in the emergency services, disregarding any possible inconveniences; a contrasted perception or misconception of the primary care network, hence delaying its unplanned use. Conflicting themes regarding the family context have helped to isolate three modalities of inappropriate visit: parental abdication and delegation of responsibility as parents considered themselves profane or incompetent; confrontation of competence associated with a claim of parental expertise acknowledgement; search for complementarity of competence with the physicians. Conclusion : Certain inappropriate visits to paediatric emergencies may mask an implicit demand of urgent support to parenthood.
Type of Medium:
Online Resource
ISSN:
2108-6524
,
2108-6591
DOI:
10.3166/afmu-2018-0033
Language:
French
Publisher:
Lavoisier
Publication Date:
2018
detail.hit.zdb_id:
2588257-0
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