Vključevanje staršev v zdravstveno oskrbo hospitaliziranega otroka z rakom
model v družino usmerjena zdravstvena oskrba
DOI:
https://doi.org/10.14528/snr.2025.59.4.3192Ključne besede:
starši, hospitaliziran otrok, zdravstvena nega, hospitalizacija, otrok, rakPovzetek
Uvod: Uspešna implementacija koncepta družini usmerjene zdravstvene oskrbe v klinično okolje je velik izziv za multidisciplinarni tim pri zdravljenju otrok z rakom in njihovih družin. Namen raziskave je bil preučiti percepcijo in prakso tima v slovenskem okolju.
Metode: Raziskava je bila izvedena z anketnim vprašalnikom o oskrbi, osredotočeni na družino v pediatrični onkologiji (angl. Family-Centered Care Questionnaire-Revised). Vzorec je vključeval 80 članov multidisciplinarnega tima, od katerih je 63 vrnilo izpolnjene anketne vprašalnike. Podatki so bili analizirani s programom SPSS, uporabljeni so bili deskriptivni in interferenčni statistični postopki, vključno z Mann-Whitneyjevim U-testom in Kruskal-Wallisovim testom.
Rezultati: Raziskava je pokazala, da se multidisciplinarni tim, ki obravnava otroke z rakom, v veliki meri zaveda pomena oskrbe, osredinjene na otroka in družino (x = 2,28, s = 0,550). Obstajajo odstopanja v zavedanju pomena skrbi za celotno družino (x = 2,60, s = 0,670). Razlike so bile ugotovljene glede vključevanja staršev v oskrbo, predvsem med strokovnjaki z različnimi delovnimi izkušnjami (p = 0,024) ter med negovalnimi timi intenzivne terapije in onkologije (p < 0,001).
Diskusija in zaključek: Moramo si prizadevati za kakovostno sodobno zdravstveno oskrbo, ki zadostuje potrebam otroka in staršem ter vodi do boljših rezultatov zdravljenja, krajših hospitalizacij, večjega zadovoljstva in nižjih stroškov. To razumevanje mora biti vključeno v organizacijo, oblikovanje smernic, postopke ter v vsak stik strokovnjakov z družino.
Prenosi
Literatura
Aarthun, A., Oymar, K. A., & Akerjordet, K. (2018). Parental involvement in decision making about their child's health care at the hospital. Nursing Open, 6(1), 50–58. https://onlinelibrary.wiley.com/doi/10.1002/nop2.180 PMid:30534394; PMCid:PMC6279730
Alex's Lemonade Stand Foundation. (2022). About SuperSibs. https://www.alexslemonade.org/childhood-cancer/forfamilies/supersibs
Al-Motlaq, M., & Shields, L. (2017). Family-centered care as a western-centric model in developing countries: Luxury versus necessity. Holistic Nursing Practice, 31(5), 343–347. https://doi.org/10.1097/HNP.0000000000000228 PMid:28786891
American Association of Critical-Care Nurses. (2016). Family visitation in the adult intensive care unit. Critical Care Nurse, 36(1), e15–e18. https://doi.org/10.4037/ccn2016677
Arabiat, D., Whitehead, L., Foster, M., Shields, L., & Harris, L. (2018). Parents' experiences of family centred care practices. Journal of Pediatric Nursing, 42, 39–44. https://doi.org/10.1016/j.pedn.2018.06.012 PMid:30219298
Bruce, B., Ritchie, J., Letourneau, N. L., Larocque, S., Dennis, C. H., & Elliott, M. R. (2002). A multisite study of health professionals' perceptions and practices of family-centered care. Journal of Family Nursing, 8(4), 408–429. https://doi.org/10.1177/107484002237515
Chaturvedi, R., & Ojha, S. (2014). Understanding parental stress of physically challenged: An overview. Indian Journal of Health and Wellbeing, 5(6), 770–773. http://www.iahrw.com/index.php/home/journal_detail/19#list
Coyne, I., Amory, A., Kierman, G., & Gibson, F. (2014). Children's participation in shared decision-making: Children, adolescents, parents and healthcare professionals' perspectives and experiences. European Journal of Oncology Nursing, 18(3), 273–280. https://doi.org/10.1016/j.ejon.2014.01.006 PMid:24629505
Davis, J., & Burrows, J. F. (2017). Predictors of patient satisfaction in pediatric oncology. Journal of Pediatric Oncology Nursing, 34(6), 435–438. https://doi.org/10.1177/1043454217717239 PMid:28670954
Doane, G. H., & Varcoe, C. (2015). How to nurse: Relational inquiry with individuals and families in changing health and health care contexts (1st ed.). Wolters Kluwer Health; Lippincott Williams & Wilkins.
Dokken, D., Parent, K., & Ahmann, E. (2015). Family presence and participation: Pediatrics leading the way…and still evolving. Pediatric Nursing, 41(4), 204–206. https://pubmed.ncbi.nlm.nih.gov/26470470/ PMid:26470470
Dolničar Benedik, M., Anžič, J., Bürger Lazar, M., Jazbec, J., Rožič, M., Širca Čampa, A., Poredoš, T., Benedik, E., & Benedejčič, T. (2018). Ko otrok zboli za rakom (4th ed.). Mohorjeva družba.
Feeg, V. D., Paraszczuk, A. M., Çavuşoğlu, H., Shields, L., Pars, H., & Al Mamun, A. (2016). How is family centered care perceived by healthcare providers from different countries: An international comparison study. Journal of Pediatric Nursing, 31(3), 267–276. https://doi.org/10.1016/j.pedn.2015.11.007 PMid:26712214
Foster, M., Whitehead, L., & Maybee, P. (2016). The parents', hospitalized child's, and health care providers' perceptions and experiences of family-centered care within a pediatric critical care setting: A synthesis of quantitative research. Journal of Family Nursing, 22(1), 6–73. https://doi.org/10.1177/1074840715618193 PMid:26706128
Gorenc, M., & Bürger Lazar, M. (2014). Psihološka priprava otroka in mladostnika na boleče zdravstvene posege. In A. Ljubič & M. Oštir (Eds.), Otrok, družina, bolezen in zdravstveni delavci – skrb za druge in skrb zase: zbornik predavanj (pp. 29–30). Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije.
Groleger Sršen, K., & Vidmar, G. (2015). Koncept v družino usmerjene obravnave in ocena postopkov oskrbe. Rehabilitacija, 14(1), 104–109. https://www.dlib.si/details/URN:NBN:SI:DOC-X0SB6ELV
Hriberšek, M., Eibensteiner, F., Bukowski, N., Yeung, A. W. K., Atanasov, A. G., & Schaden, E. (2024). Research areas and trends in family-centered care in the 21st century: A bibliometric review. Frontiers in Medicine, 11, Article 1401577. https://doi.org/10.3389/fmed.2024.1401577
Harris, J., Ramelet, A. S., van Dijk, M., Pokorna, P., Wielenga, J., Tume, L., Tibboel, D., & Ista, E. (2016). Clinical recommendations for pain, sedation, withdrawal and delirium assessment in critically ill infants and children. Intensive Care Medicine, 42(6), 972–986. https://doi.org/10.1007/s00134-016-4344-1 PMid:27084344; PMCid:PMC4846705
Institute for Patient- and Family-Centered Care. (2020). What are the core concepts of patient- and family-centered care. http://www.ipfcc.org/
Institute for Patient- and Family-Centered Care. (2020). Profiles of exemplar hospitals. https://www.ipfcc.org/bestpractices/profiles-of-institutional-change.html
Klašnja, S. (2020). Medicinska travma pri otrocih, obolelih za rakom, in njihovih starših [Magistrsko delo, Univerza v Ljubljani].
Kodeks etike v zdravstveni negi in oskrbi Slovenije in Kodeks etike za babice Slovenije. (2014). Zbornica zdravstvene in babiške nege Slovenije.
Loeffen, E. A. H., Mulder, R. L., Front-Gonzales, A., Leroy, P. L. J. M., Dick, B. D., Taddio, A., Ljungman, G., Jibb, L. A., Tutelman, P. R., Liossi, C., Twycross, A., Positano, K., Knops, R. R., Wijnen, M., van de Wetering, M. D., Kremer, L. C. M., Dupuis, L. L., Campbell, F., & Tissing, W. J. E. (2020). Reducing pain and distress related to needle procedures in children with cancer. European Journal of Cancer, 131, 53–67. https://doi.org/10.1016/j.ejca.2020.02.039 PMid:32302949
Lor, M., Crooks, N., & Tluczek, A. (2016). A proposed model of person-, family-, and culture-centered nursing care. Nursing Outlook, 64(4), 352–366. https://doi.org/10.1016/j.outlook.2016.02.006 PMid:27061841
Macias, M., Zornoza, C., Rodriguez, E., García, J. A., Fernández, J. A., Luque, R., & Collado, R. (2015). Impact of hospital admission care at a pediatric unit. Journal of Pediatric Nursing, 41(6), 291–293. https://pubmed.ncbi.nlm.nih.gov/26837098/ PMid:26837098
Matziou, V., Manesi, V., Vlachioti, E., Perdikaris, P., Matziou, T., Chliara, J. I., & Mpoutopoulou, B. (2018). Evaluating how paediatric nurses perceive the family-centred model of care. Holistic Nursing Practice, 31(5), 343–347. https://doi.org/10.12968/bjon.2018.27.14.810 PMid:30048181
Pevec, M. (2015). Informiranje in vključevanje staršev v zdravstveno oskrbo hospitaliziranih otrok [Magistrsko delo, Univerza v Mariboru].
Smith, J., Swallow, V., & Coyne, I. (2015). Involving parents in managing their child's long-term condition. Journal of Pediatric Nursing, 30(1), 143–159. https://doi.org/10.1016/j.pedn.2014.10.014 PMid:25458112
Smith, W. (2018). Concept analysis of family-centered care for hospitalized pediatric patients. Journal of Pediatric Nursing, 42, 57–64. https://doi.org/10.1016/j.pedn.2018.06.014 PMid:30219300
Vaismoradi, M., Jordan, S., & Kangasniemi, M. (2014). Patient participation in patient safety and nursing input. Journal of Clinical Nursing, 24(5–6), 627–639. https://doi.org/10.1111/jocn.12664
World Medical Association. (2013). Declaration of Helsinki. Journal of the American Medical Association, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053 PMid:24141714
Zdun-Ryzewska, A., Nadrowska, N., Blazek, M., Bialek, K., Zach, E., & Krywda-Rybska, D. (2021). Parent’s stress predictors during a child’s hospitalization. International Journal of Environmental Research and Public Health, 18(22), Article 12019. https://doi.org/10.3390/ijerph182212019 PMid:34831774; PMCid:PMC8619911
Prenosi
Objavljeno
Kako citirati
Številka
Rubrike
Licenca
Avtorske pravice (c) 2025 Obzornik zdravstvene nege

To delo je licencirano pod Creative Commons Priznanje avtorstva 4.0 mednarodno licenco.
Na Obzornik zdravstvene nege, Ob železnici 30A, 1000 Ljubljana, prenašam naslednje materialne avtorske pravice: pravico reproduciranja v neomejeni količini, in sicer v vseh poznanih oblikah reproduciranja, kar obsega tudi pravico shranitve in reproduciranja v kakršnikoli elektronski obliki (23. čl. Zakona o avtorski in sorodnih pravicah – v nadaljevanju ZASP); pravico distribuiranja (24. čl. ZASP); pravico dajanja na voljo javnosti vključno z dajanjem na voljo javnosti prek svetovnega spleta oz. računalniške mreže (32.a čl. ZASP); pravico predelave, zlasti za namen prevoda (33. čl. ZASP). Prenos pravic velja za članek v celoti (vključno s slikami, razpredelnicami in morebitnimi prilogami). Prenos je izključen ter prostorsko in časovno neomejen.













