Factor Related to Motivation of Caregivers in Bringing Children with Acute Illness to a Hospital


  • Nipawan Janhorm Graduate Student, Faculty of Nursing, Chiang Mai University
  • Suthisa Lamchang Associate Professor, Faculty of Nursing, Chiang Mai University
  • Jutarat Mesukko Assistant Professor, Faculty of Nursing, Chiang Mai University


Motivation, caregiver, child, Acute illness


Acute illness is the major cause of hospitalization for children under 5 year of age.                      Caregivers play an important role in providing care and perceiving any abnormal symptoms which motivate bringing the child to a hospital. This descriptive correlational research aimed to study the motivations of caregivers and the relationship between experience in caring for a sick child, perception of the severity of illness among caregivers, and motivations in bringing a sick child to a hospital. The study participants, selected by purposive sampling, included 85 caregivers of children with acute illness, aged from newborn to 5 years who visited the after - hour pediatric clinic at Maharaj Nakorn Chiang Mai Hospital from August to September 2019.The research instruments included the Severity Illness Perception and the Motivation of Caregiver questionnaire. The reliability of the instrument was tested using Cronbach’s alpha coefficient and had a value of .91. Data were analyzed using descriptive statistics and Spearman’s rank correlation coefficient.

The study results revealed that:

  1. The total mean scores of motivation among caregivers in bringing a child with an acute illness to a hospital had a high level (= 470.67, SD = 77.73). The biggest motivation in bringing a child to a hospital was the desire to benefit from the best treatment and to get treatment for a child quickly; the average scores were 9.47 and 9.38, respectively. Mistakes made by family physicians and prescription errors were the least motivating reasons to bring a sick child to a hospital; the average scores were 2.28 and 3.02 respectively.
  2. Experience in caring for a sick child showed a statistically significant negative relationship with motivation of caregivers at a moderate level (rs =-.324, p<.01). Perception of severity of illness showed a statistically significant positive relationship with motivation of caregivers at a moderate level (rs =.443, p<.01),

The results of this study provided basic information about motivations of caregivers in bringing a child with an acute illness to a hospital and related factors. These can be used as a guide to plan for nursing interventions in order to provide further knowledge and suggestion for caring for an ill child.


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