Abstract
Children's participation in decision making in high risk treatment is strongly affected by parents, and we confirmed in our previous study that parents' approaches were “encouragement to accept treatment” and “confirmation”. Therefore, in this study, we aimed to clarify parental encouragement to accept treatment, we prospectively examined parents whose child would undergo hematopoiesis stem cell transplantation, and data were analyzed using Grounded Theory Approach.
The results demonstrated that parents' encouragement to “the child's acceptance of treatment” required to set “acceptance of change”, “acceptance of needs” and “subjective acceptance” as objectives of “the child's acceptance which meets parents' expectations”; “notification of transplantation”, “uplifting motivation”, “presentation of benefits”, “intervention in the child's information collection”, “handling of refusal” and “encouragement of subjective acceptance” as “how to encourage” child to achieve objectives;and considerations of “appropriate person” and “timing” as “measures to conduct the encouragement effectively”. This meant that “parental strategies for encouraging the child to accept treatment”.
