TEA for Qualitative Inquiry
Online ISSN : 2758-8335
Conflicts and Mutual Understanding among Family and Healthcare Providers Regarding Self-Determination of Treatment Refusal in Pediatric Care
Insights from Trajectory Equifinality Modeling (TEM) and Three Layers Model of Genesis (TLMG)
Tomomi SHIRASAKI
Author information
JOURNAL FREE ACCESS

2024 Volume 2 Issue 1 Pages 39-56

Details
Abstract

This study examines a case where a child needing medical care chose not to undergo dialysis. The TEM diagram and TLMG were used to identify factors influencing conflicts and mutual understanding between parents and medical practitioners. The analysis revealed parental conflict between protecting the child’s life and respecting the child’s decisions. Medical practitioners face ethical and legal uncertainties that create conflict. Mutual understanding was facilitated by the child’s firm resolution and active participation, which eased tensions, strengthened trust, and aided in forming suitable treatment plans. The parents’ approach of respecting the child’s growth and decisionmaking ability nurtured the child’s autonomy. Trust in and respect for their child’s efforts allowed parents to balance their protective instincts with the child’s wishes. The primary physicians’ extensive experience and empathy further supported the child’s perspective. They focused on how the child and family wanted to spend their limited time resolving familial conflicts. This included the family’s supportive stance.

Content from these authors
© 2024 Japanese Association of TEA for Qualitative Inquiry
Previous article Next article
feedback
Top