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Journal of Child Health Care
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*Coping with Chronic Illness
*Family Issues
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Within the web: the family–practitioner relationship in the context of chronic childhood illness

Annette R. Dickinson, PhD, RN

Elizabeth Smythe, PhD, RN, RM

Deb Spence, PhD, RN, RM

Auckland University of Technology, Auckland, New Zealand

This hermeneutic phenomenological study explores the relationship between health professionals and families who have a child with a chronic illness. Study participants included 10 family groups who had a child with a chronic illness and 12 practitioners from the disciplines of nursing, medicine, dietetics, physiotherapy and speech therapy. Data were collected by narrative audiotaped interviewing. The results of this study revealed that chronic childhood illness ‘throws' families and practitioners together into a web of relationships, which must work for the sake of the child. However, children are usually excluded from the relationship. To understand and manage the child's illness, practitioners and families ‘go around’ and act ‘in-between’ relationships. While the quality of the relationship from the family perspective is not essential, relationships are more successful when practitioners recognize the uniqueness of each family web. The nature of the relationship is often simple, yet it coexists with complexity.

Key Words: children • chronic illness • families • family-practitioner relationship

Journal of Child Health Care, Vol. 10, No. 4, 309-325 (2006)
DOI: 10.1177/1367493506067883
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