Journal of pediatric nursing · 2026
Living through medical traumatic stress: children's voices in a qualitative study.
СтатьяНазвание и аннотация: Перевод в очереди
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Durmuş Sarıkahya Selma, Akdeniz Kudubeş Aslı, Semerci Şahin Remziye, Boztepe Handan, Çınar Özbay Sevil
Аннотация
AIM: This study aimed to explore the lived experiences of children who have undergone traumatic medical interventions, focusing on their emotional, behavioral, and psychosocial responses.
METHODS: A descriptive thematic qualitative design was employed. Semi-structured interviews were conducted with 15 children aged 7-18 who were recently hospitalized at a state hospital in Türkiye. Data were analyzed thematically using Deterding and Waters' flexible coding approach within a biopsychosocial trauma framework.
RESULTS: Five core themes emerged: (1) Trauma Induced by Medical Interventions, (2) Re-experiencing, (3) Avoidant Attitudes, (4) Emotional and Bodily Responses, and (5) Psychosocial Adaptation Process. Children's trauma narratives revealed a complex interplay of procedural pain, fear, avoidance, emotional withdrawal, somatic distress, and the critical influence of age, sex, and relational support.
CONCLUSION: Pediatric medical trauma extends beyond physical procedures, encompassing emotional, relational, and developmental dimensions. A trauma-informed, developmentally sensitive care approach that fosters emotional safety and empowers children is essential to promoting adaptive coping and preventing long-term distress.
PRACTICAL IMPLICATIONS: Integrating trauma-informed, developmentally sensitive care practices into pediatric settings can help nurses recognize behavioral and somatic indicators of distress, provide emotional safety, and foster resilience in hospitalized children.
METHODS: A descriptive thematic qualitative design was employed. Semi-structured interviews were conducted with 15 children aged 7-18 who were recently hospitalized at a state hospital in Türkiye. Data were analyzed thematically using Deterding and Waters' flexible coding approach within a biopsychosocial trauma framework.
RESULTS: Five core themes emerged: (1) Trauma Induced by Medical Interventions, (2) Re-experiencing, (3) Avoidant Attitudes, (4) Emotional and Bodily Responses, and (5) Psychosocial Adaptation Process. Children's trauma narratives revealed a complex interplay of procedural pain, fear, avoidance, emotional withdrawal, somatic distress, and the critical influence of age, sex, and relational support.
CONCLUSION: Pediatric medical trauma extends beyond physical procedures, encompassing emotional, relational, and developmental dimensions. A trauma-informed, developmentally sensitive care approach that fosters emotional safety and empowers children is essential to promoting adaptive coping and preventing long-term distress.
PRACTICAL IMPLICATIONS: Integrating trauma-informed, developmentally sensitive care practices into pediatric settings can help nurses recognize behavioral and somatic indicators of distress, provide emotional safety, and foster resilience in hospitalized children.