Background Cancer treatments may induce side effects and cause eating problems. A gastrostomy tube may be required in order to maintain and optimise the child's nutritional needs. Despite the use of a gastrostomy tube, it is important to maintain a natural and attractive mealtime for the child. The Five Aspect Meal Model is age neutral and originally designed to improve restaurant visits. Its five aspects conceptualise what is necessary to ensure a complete meal experience. To date, there is lack of knowledge to guided model development about mealtimes adapted to children and limited knowledge regarding mealtime experiences for children with a gastrostomy tube. Aim The aim was to investigate whether the Five Aspect Meal Model could be appropriate to be used for children with a gastrostomy tube in caring science and paediatric care. Methods The design followed steps retrieved from Renjith and colleagues. Seven interviews were performed with the Five Aspect Meal Model as a base in the interview guide. The transcripts were analysed by using a qualitative directed content analysis with a deductive approach, which finally passed into a more inductive one. Findings All aspects of the Five Aspect Meal Model were represented in the interviews. There were also experiences related to the gastrostomy tube and the mealtimes that did not fit into any of the five predetermined categories. As a result, the modified version was developed, an adapted prescribing practice model that includes seven aspects, whereof bodily discomfort and time for change and acceptance are specific to children with a gastrostomy tube. Conclusion Based on children and their parent's experiences, the Five Aspect Meal Model has been developed and adapted into a modified version, which includes seven aspects. The modified version seems to be appropriate to use within caring science and paediatric care.
Purpose : Adolescents with cerebral palsy may need a feeding tube due to feeding challenges, since nutritional intake and mealtimes may be negatively affected. The purpose of the study was to describe and better understand how one adolescent with cerebral palsy and her parents experienced mealtimes before and after a nasogastric and gastrostomy tube insertion and how the use of these feeding tubes was experienced in daily life. Methods : Individual interviews were performed with one adolescent and each of her parents. In total, six interviews were conducted on two separate occasions. The qualitative approach known as Interpretive Description was used during the analysis. Results : Four thematic patterns were identified within the data: (i) struggling with nutritional intake, (ii) the paradox of using an aid, (iii) being different, and (iv) challenges of public mealtimes. Conclusions : The results showed that four themes influenced daily mealtimes in adolescents with cerebral palsy and a gastrostomy tube. Nutritional intake and mealtimes may be difficult, which is why using a gastrostomy tube can be a relief. However, the gastrostomy tube can also pose a challenge and a paradox. Time of change and acceptance seems necessary in order to meet these challenges.
Background: Children with cancer usually undergo an intensive and demanding course of treatment, which can consist of chemotherapy, radiation, surgery or stem cell transplantation, separately or in different combinations. The cancer treatment may induce side effects, which negatively affect the child’s appetite and ability to eat and drink, thus causing eating problems. Because of this, a gastrostomy tube may be required in order to maintain and optimise the child’s nutritional needs. There is limited knowledge and experience of the environment and the mealtime situation for children who have undergone a stem cell transplantation and require a gastrostomy tube. Methods: Interviews were developed from semi-structured questions and were performed with the aim of investigating the experience of living with a gastrostomy tube, focusing on the mealtime situation. The Six Aspect Meal Model (SAMM) was used as a base in the interview guide. The transcripts were analysed using the qualitative directed content analysis approach outlined by Hsieh and Shannon. Results: It emerged that all the different aspects were represented in the interviews, but there were also many experiences related to the gastrostomy tube that did not fit under any of the six predetermined categories. Experiences that were associated with psychosocial dimensions emerged as an important factor with regard to the gastrostomy tube and the mealtime situation. As a result, the Six Aspect Meal Model (SAMM) needs to be supplemented with one more aspect. Conclusions: The psychosocial aspect seems to affect the mealtime situation, and it is important to include this in nursing practice. According to the result, the Six Aspect Meal Model (SAMM) have to be added with one more aspect in order to meet the children´s needs in an optimal way. It seems to be a model which can be transferred and used in clinical nursing practice in order to chart and improve the mealtime situation for those children with cancer who are required to use a gastrostomy tube.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.