Care of the child with medical complexity through the eyes of their caregiver: A photovoice project

This qualitative descriptive study explored the daily experiences of caregivers of children with medical complexity with a tracheostomy as they cared for their child in their home. This study used photovoice, a participatory action research methodology. Adult English-speaking caregivers of children with a tracheostomy living in Texas with access to a smartphone were recruited. Photographs taken by participants and an interview guide were used to guide semi-structured interviews with caregivers. Eight participants were recruited. After analyzing photographs and caregiver interviews, four main themes emerged: role transition, daily challenges, finding support, and thriving in the new normal. Caregivers take on multiple roles, including providing medical care, advocating for their children, and educating others. While facing emotional challenges such as guilt, fear, and exhaustion, caregivers rely on external support systems, emphasizing the need for nurses and healthcare providers to provide comprehensive support and improve the accessibility of home nursing services. The findings of this study can inform nurse-led interventions and advocacy efforts aimed at supporting marginalized children with medical complexity with a tracheostomy and their families. These efforts may include enhancing communication and collaboration between families, healthcare workers, and the public, providing comprehensive, proactive support for caregivers, and improving access to home nursing services.