Acessibilidade / Reportar erro

Cochlear Implant: the complexity involved in the decision making process by the family1 1 Paper extracted from master's thesis "Mobilizing to rescue the life through the cochlear implant: the experience of the cochlear implant user auditive deficient child's family" presented to Universidade Federal de São Carlos, São Carlos, SP, Brazil

OBJECTIVE:

to understand the meanings the family attributes to the phases of the decision-making process on a cochlear implant for their child.

METHOD:

qualitative research, using Symbolic Interactionism and Grounded Theory as the theoretical and methodological frameworks, respectively. Data collection instrument: semistructured interview. Nine families participated in the study (32 participants).

RESULTS:

knowledge deficit, difficulties to contextualize benefits and risks and fear are some factors that make this process difficult. Experiences deriving from interactions with health professionals, other cochlear implant users and their relatives strengthen decision making in favor of the implant.

CONCLUSION:

deciding on whether or not to have the implant involves a complex process, in which the family needs to weigh gains and losses, experience feelings of accountability and guilt, besides overcoming the risk aversion. Hence, this demands cautious preparation and knowledge from the professionals involved in this intervention.

Cochlear Implantation; Deafness; Decision Making; Family; Disabled Children; Family Nursing


Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br