Parents’ experiences of receiving an antenatal versus postnatal diagnosis of complex congenital heart disease
evidence and practice    

Parents’ experiences of receiving an antenatal versus postnatal diagnosis of complex congenital heart disease

Annette Reid Paediatric staff nurse, children’s ward, Gloucestershire Hospitals NHS Foundation Trust, Gloucestershire, England – at the time of completing the vacation research assistant scheme, second-year nursing student (BSc nursing – children), University of Worcester, Worcester, England.
Kerry Gaskin Principal lecturer in advanced clinical practice, Department of Nursing and Midwifery, Institute of Health and Society, University of Worcester, Worcester, England

Background The time point at which parents receive a diagnosis of congenital heart disease (CHD) has changed over the years due in part to advances in fetal ultrasound. However, CHD remains undiscovered until after birth in some cases. The psychological effect of time of diagnosis on parents’ experiences has not been well researched.

Aim To explore parents’ experiences at the time of diagnosis of complex CHD and to compare if experiences differ when receiving an antenatal versus postnatal diagnosis.

Method Descriptive and thematic analysis of primary mixed qualitative and quantitative data, collected in 2012-2013, from an online survey of parents (n=22) whose infants had undergone stage one surgery for a functionally univentricular heart.

Findings Four themes emerged: parents’ understanding of the condition at the time of diagnosis; parents’ emotions at the time of diagnosis; sources of support at the time of diagnosis; and additional sources of information after the diagnosis.

Conclusion There are implications for practice in terms of who provides the diagnosis and, more importantly, how well it is explained. Professionals need to assess parents’ emotional status, information needs and level of understanding irrespective of time of diagnosis, so that support is individualised, sensitive and time appropriate.

Nursing Children and Young People. doi: 10.7748/ncyp.2018.e1078

Citation

Reid A, Gaskin K (2018) Parents’ experiences of receiving an antenatal versus postnatal diagnosis of complex congenital heart disease. Nursing Children and Young People. doi: 10.7748/ncyp.2018.e1078

Peer review

This article has been subject to open peer review and has been checked for plagiarism using automated software

Correspondence

k.gaskin@worc.ac.uk

Conflict of interest

The vacation research assistantship was funded by the University of Worcester and was conducted between July and September 2015

Published online: 25 October 2018

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