Purpose
The purpose of this study is to describe parents’ experiences
in caring for 2–5-year-old children with juvenile idiopathic
arthritis (JIA).
Design and methods
A qualitative study using single-occasion in-depth interviews was
conducted. Nine parents (eight mothers and one father) were interviewed
in-person or via telephone. Data were analyzed using inductive content
analysis. Methods used to protect the trustworthiness of study results
included maintenance of an audit trail, peer debriefing, and member
checks.
Results
The core construct Struggling in the Dark to Help My Child explained
parents’ experience in six domains: not knowing, trying to reach out
in the dark, feeling my child’s pain, working out the kinks to stay
on top to manage, feeling drained by the whole process, and being hard on
the entire household. Parents struggled with the unknown, searched for
resources, witnessed their child’s suffering without knowing how to
help, and tried every possible way to stay on top of the child’s
illness and treatment, even when they felt drained physically and
emotionally. JIA not only consumed their lives, but also affected the entire
family, including the siblings and spouse, and the relationships among
family members.
Conclusion and implications
Findings highlight the day-to-day lived challenges parents face when
caring for a young child with JIA. Healthcare providers including nurses
need to assess the particular needs of an ill child and parents as well as
the impact of the illness on the physical and psychosocial health of the
entire family so that proper resources can be provided.