Journal of Qualitative Research in Health Sciences

Authors

Abstract

Introduction: Adolescents have unique developmental requirements and medical needs which make them different from adults and children. In addition, they have problems of different natures, but they receive health services from common service. The aim of this study was to describe the hospitalization experience in adolescents.
Method: Using qualitative method, in-depth semi-structured interviews were conducted with a purposeful sample of 9 adolescents between the ages of 10 and 19 years, who were hospitalized in Zabol hospital pediatric ward, Zabol City, Iran. The data were analyzed based on Colaizzi's method. Rigors of the study were achieved by paying attention to four criteria: real value, applicability, consistency, and factuality.
Results: Adolescents' experience of hospitalization was constructed by four main concepts concluding separation from family and friends, staying on an unfamiliar environment, fears of treatment, and limitation of individual autonomy.
Conclusion: Adolescents mostly are afraid of anonymous routines, procedures, and hospital personnel. Before the hospitalization of adolescents, there should be preparation plans for them; they often look for discipline and security in an unfamiliar environment. Therefore, hospital should be a safe place; so that, the adolescents` anxiety and worries can be reduced on the way from home to the hospital. It is suggested that professional staff view the design and routines of the ward from the perspective of adolescents; also it is better to perform adolescent-centered activities.

Keywords

1. Issues of care for hospitalized youth. Paediatrics & child health. 2008;13(1):61-8. 2. Hutton A. The private adolescent: privacy needs of adolescents in hospitals. Journal of pediatric nursing. 2002;17(1):67-72. 3. Sawyer SM, Drew S, Yeo MS, Britto MT. Adolescents with a chronic condition: challenges living, challenges treating. The Lancet. 2007;369(9571):1481-9. 4. Smith S. Adolescent units—an evidence-based approach to quality nursing in adolescent care. European Journal of Oncology Nursing. 2004;8(1):20-9. 5. Fraser J, Campbell M. Teenagers in intensive care: Adult or paediatric ICU? Current Paediatrics. 2005;15(4):308-15. 6. Steinbeck KS, Brodie L, Towns SJ. Transition in chronic illness: Who is going where? Journal of paediatrics and child health. 2008;44(9):478-82. 7. Gasquet I, Choquet M. Hospitalization in a pediatric ward of adolescent suicide attempters admitted to general hospitals. Journal of adolescent health. 1994;15(5):416-22. 8. sabzvari s, kohan n, nakhaie n, kohan m. The patients, attitude regarding to one’s privacy in medical surgical wards in Kerman medical university. Journal of qualitative Research in Health Sciences. 2010;9(1):41-6. 9. Lemonidou C, Merkouris A, Leino-Kilpi H, Välimäki M, Dassen T, Gasull M, et al. A comparison of surgical patients’ and nurses’ perceptions of patients’ autonomy, privacy and informed consent in nursing interventions. Clinical Effectiveness in Nursing. 2003;7(2):73-83. 10. Dean L. An exploration of the experiences of young people who have been nursed on adult wards. Archives of Disease in Childhood. 2012;97(Suppl 1):A76-A. 11. Han H-R. Measuring anxiety in children: A methodological review of the literature. Asian Nursing Research. 2009;3(2):49-62. 12. Heaton PA, Routley C, Paul SP. Caring for young adults on a paediatric ward. British Journal of Nursing. 2013;22(19):1129-34. 13. Sadeghi N, Abdeyazdan Z, Motaghi M, Rad MZ, Torkan B. Satisfaction levels about hospital wards’ environment among adolescents hospitalized in adult wards vs. pediatric ones. Iranian Journal of Nursing and Midwifery Research. 2012;17(6):430-3. 14. Caflisch M, Alvin P. [Management of adolescents in pediatric hospitals. A national survey]. Archives de pediatrie : organe officiel de la Societe francaise de pediatrie. 2000;7(7):732-7. 15. Aujoulat I, Simonelli F, Deccache A. Health promotion needs of children and adolescents in hospitals: a review. Patient education and counseling. 2006;61(1):23-32. 16. Moons P, Pinxten S, Dedroog D, Van Deyk K, Gewillig M, Hilderson D, et al. Expectations and experiences of adolescents with congenital heart disease on being transferred from pediatric cardiology to an adult congenital heart disease program. Journal of Adolescent Health. 2009;44(4):316-22.