Feeding problems in infancy and early childhood: evolutionary concept analysis

Aim The aim of this study was to report an analysis of the concept of pediatric feeding problems. Background Reviews of the literature on pediatric feeding problems and disorders repeatedly reference the lack of a shared conceptualization of feeding problems. It is difficult to track aetiology, prev...

Full description

Saved in:
Bibliographic Details
Published in:Journal of advanced nursing 2017-01, Vol.73 (1), p.56-70
Main Authors: Estrem, Hayley H., Pados, Britt F., Park, Jinhee, Knafl, Kathleen A., Thoyre, Suzanne M.
Format: Article
Language:English
Subjects:
Anorexia
Attributes
Authorship
Blame
Breastfeeding & lactation
Child development
Child, Preschool
Childhood
concept analysis
Concept formation
Conceptual analysis
Culpability
Dysphagia
English language
enteral feeding
Etiology
Failure to thrive
Feeding and Eating Disorders of Childhood - classification
Feeding and Eating Disorders of Childhood - epidemiology
Feeding Behavior - psychology
feeding behaviour
Feeding Methods - psychology
Female
Generalizability
Humans
Incidence
Infancy
Infant
Infant, Newborn
Literature reviews
Male
Malnutrition
Maternal child nursing
midwives
Mother-Child Relations
Mothers - psychology
nurses
Nursing
Nutrition
Occupational therapy
Pathology
Pediatrics
Prevalence
Psychology
Speech therapy
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Aim The aim of this study was to report an analysis of the concept of pediatric feeding problems. Background Reviews of the literature on pediatric feeding problems and disorders repeatedly reference the lack of a shared conceptualization of feeding problems. It is difficult to track aetiology, prevalence and incidence of a phenomenon when available definitions and diagnoses lack practical utility. Design An evolutionary concept analysis. Data sources A search was conducted in October 2014 of Google Scholar, CINAHL, PubMed and Web of Science databases, with MeSH terms and key words including: failure to thrive, feeding disorder/difficulty/problems, infantile anorexia, oral aversion, mealtime behaviour and dysphagia. Inclusion criteria were: subject of feeding problems, index children 0‐10 years of age, English language and full text. Methods The articles (n = 266) were sorted into disciplines of authorship, including Psychology, Medicine, Nursing, Nutrition, Occupational Therapy, Speech Language Pathology or Other. The sample was divided into a historical sample (n = 42) for pre‐2000 articles and current for those published post‐2000. The current sample was later reduced to 100 and coded for surrogate terms, related concepts, attributes, antecedents and consequences. Results The historical view of pediatric feeding problems shows a tradition of mother blame or parental culpability, both direct and indirect. Currently, there exist many different definitions and typologies, but none have sound validity or generalizability. Areas of attribute consensus across disciplines are problematic feeding behaviours and selective or restrictive intake. Conclusion A spectrum conceptualization of feeding problems is suggested for further development, with attributes that would be critical to have a feeding problem.
ISSN:0309-2402
1365-2648
DOI:10.1111/jan.13140