ÇOCUK  KLİNİKLERİNDE  AİLE  MERKEZLİ  BAKIM  UYGULAMALARININ   İNCELENMESİ

Ayfer TOSUN, Fatma GÜDÜCÜ TÜFEKCİ
4.499 893

Öz


ÖZET

 

Amaç: Çocuk  kliniklerinde  aile  merkezli  bakım  uygulamalarını  incelemektir.
Yöntem:   Araştırma,   Erzurum’da,   bir   üniversite   ve   bölge   eğitim   ve   araştırma   hastanesinin   çocuk  

kliniklerinde, Ocak-Eylül  2013  tarihleri  arasında  tanımlayıcı  olarak  gerçekleştirilmiştir.  Araştırmada  belirtilen   hastanelerin  çocuk  kliniklerinde,  Haziran-Temmuz  2013  tarihleri  arasında  en  az  üç  gün  çocuğuna  refakat  eden   186  anne  ile  çalışılmıştır.  Örnekleme  yöntemine  gidilmemiştir.  Veriler  benzer  bir  çalışmanın  anne  ve  çocukların   özelliklerini  belirleyen,  aile  merkezli  bakımı  inceleyen  sorularına  dayanılarak  hazırlanan  bir  soru  formu  ile  elde   edilmiştir.   Veriler,   bilgisayar   ortamında   yüzdelik   ve   ortalama   ile   analiz   edilmiştir.   Araştırmada,   etik   ilkelere   uyulmuştur.

Bulgular: Araştırmada,   annelerin   çoğunluğunun   çocukları   ile   ilgili   kararlara   dahil   edildiği ve yapılacak   tıbbi   işlemler   için   yazılı   izin   alındığı   belirlenmiş,   ancak;;   yaklaşık   %15’inin   bu   durumlardan   yoksun   bırakıldığı   saptanmıştır.   Ayrıca,   annelerin   yaklaşık   %10’unun   tıbbi   işlemler   sırasında   çocuğunun   yanında   kalmasına  izin  verilmediği,  tedavi  edici  ve  temel  bakım  uygulamalarına  katıldıkları,  çoğunluğunun  çocuklarının   bakımına   katılmaları   için   desteklendiği   ve   çocukları   ile   ilgili   endişelerini   hemşireler   ile   paylaşabildikleri   tespit   edilmiştir.  Annelerin  bir  kısmı  endişelerini  paylaşamadıklarını ve  kendi  gereksinimlerini  karşılayamadıklarını,   çoğunluğu  aynı  hemşirenin  bakım  vermediğini  ifade  etmişlerdir.  

Sonuç: Araştırmada,   hastanede   çocuklarına   refakat   eden   anneler   için   aile   merkezli   bakım   uygulamaları  istendik  düzeyde  değildir.    Kurum  politikası  olarak  aile  merkezli  bakımın  benimsenmesi  ve  buna   yönelik   düzenlemelerin   yapılması   önemlidir.     Türkiye   genelinde   çocuk   kliniklerinin   aile   merkezli   bakım   yönünden  incelenmesi  ve  yeni  politikalar  geliştirilmesi  önerilebilir.  

Anahtar Kelimeler: Aile merkezli  bakım;;,  çocuk;;  hemşire.

ABSTRACT
The Examination of Family Centered Care Practices in Pediatric Clinics
Aim: To examine the family centered care practices in pediatrics clinics.
Method: The study has been carried out as a complementary project in the pediatric clinics of a

university and a regional training and research hospital in Erzurum between January-September 2013. In the study, 186 mothers, who sat up with their children in the pediatric clinics of the aforementioned hospitals at least for three days, have been worked with between June-July 2013. Sampling method has not been used. The data have been obtained from a question form including questions that are exactly the same in the literature and that determine the characteristics of mothers and children and examining the family-centered care. The data have been analyzed within percentage and average values. Ethical issues have been prioritized in the study.

Results: In the study, it has been ascertained that mothers were involved in the decisions related to their children and written permissions were taken from them, however it has also been determined that approximately %15 of the mothers have been left short of those situations. Besides, it has been found out that approximately %10 of mothers were not allowed to be with their children during medical treatments, that they attended  medical  and  primary  care  applications,  most  of  them  were  supported  to  participate  in  their  children’s   care and that they were able to share their concerns about their children with the nurses. Some of the mothers mentioned that they could not share their concerns and meet their needs, and most of them said that the care has not been carried out by the same nurse.

Conclusion: It has been found out in the study that family-centered care applications for the attendant mothers are not satisfactory. It is important to adopt the family-centered care as an institutional policy and regulations for that situations should be carried out.It can also be suggested that pediatric clinics all over Turkey could be investigated in terms of family-centered care and new policies could be developed.

Key Words: Family centered care; child; nurse. 



Anahtar kelimeler


Aile merkezli  bakım;;,  çocuk;;  hemşire

Tam metin:

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DOI: http://dx.doi.org/10.17049/ahsbd.29902

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