Kontakt 2021, 23(2):62-68 | DOI: 10.32725/kont.2021.015
Psychological support of hospitalised children and their parents in HungaryNursing - Original article
- 1 Semmelweis University, Faculty of Health Science, Department of Nursing, Budapest, Hungary
- 2 Semmelweis University School of Ph.D. Studies, Budapest, Hungary
- 3 Péterfy Hospital-Polyclinic and Manninger Jenő National Institute of Traumatology, Budapest, Hungary
- 4 Semmelweis University, Faculty of Health Science, Department of Applied Psychology, Budapest, Hungary
Introduction: When children are undergoing hospital care, psychological support is important. This includes providing a child-friendly environment and care, information and preparation for the examinations appropriate to the child's age, stress reducing methods applied according to the child's intellectual level, and the presence of parents.
Objectives: In the course of the study, we examined the psychological preparation and support provided during hospital care in Hungary on the basis of parental opinions. Our goal was to get to know the activities of children's nurses in connection with the psychological preparation and support of children. In light of the results, another goal of the research was to prove the need to adapt a support system, already widespread internationally and with proven positive effects, in Hungary.
Methods: A descriptive and multivariate analysis of the results of the online, quantitative questionnaires filled in by the parents of children between the ages of 0 to 14 who spent at least three days in hospital.
Results: Based on the opinions of the 566 parents who filled in the questionnaires, the psychological preparation of children was carried out in a minimal number of cases in Hungarian hospital care. During the hospital treatment, parents evaluated their own anxiety level as higher than that of their children and stated that they would have liked psychological support themselves.
Conclusions: In Hungarian paediatric care, psychological support given to children and parents is inadequate. The work of Child Life Specialists is essential within the childcare system, and it is essential to work out how to introduce and involve such specialists in caring for children
Keywords: Child; Child life specialist; Childcare; Parents; Psychological support
Grants and funding:
EFOP-3.6.3-VEKOP-16-2017-00009, the development of scientific workshops of the Medical, Healthcare and Pharmaceutical Studies.
Received: January 27, 2021; Revised: March 1, 2021; Accepted: April 7, 2021; Prepublished online: April 12, 2021; Published: May 5, 2021 Show citation
References
- Bairda K, Kracen AC (2006). Vicarious traumatization and secondary traumatic stress: A research synthesis. Counsell Psychol Quart 19(2): 181-188. DOI: 10.1080/09515070600811899.
Go to original source...
- Basak RB, Momaya R, Guo J, Rathi P (2019). Role of Child Life Specialists in Pediatric Palliative Care. J Pain Symptom Manage 58(4): 735-737. DOI: 10.1016/j.jpainsymman.2019.05.022.
Go to original source...
Go to PubMed...
- Boles J, Fraser C, Bennett K, Jones M, Dunbar J, Woodburn A, et al. (2020). The Value of Certified Child Life Specialists: Direct and Downstream Optimization of Pediatric Patient and Family Outcomes. [online] [cit. 2020-10-06]. Available from: https://www.childlife.org/docs/default-source/the-child-life-profession/value-of-cclss-full-report.pdf?sfvrsn=5e238d4d_2
- Boztepe H, Kerimoğlu Yildiz G (2017). Nurses perceptions of barriers to implementing family-centered care in a pediatric setting: A qualitative study. J Spec Pediatr Nurs 22(2): e12175. DOI: 10.1111/jspn.12175.
Go to original source...
Go to PubMed...
- Brown RC, Nugent NR, Hawn SE, Koenen KC, Miller A, Amstadter AB, Saxe G (2016). Predicting the Transition from Acute Stress Disorder to Posttraumatic Stress Disorder in Children With Severe Injuries. J Pediatr Health Care 30(6): 558-568. DOI: 10.1016/j.pedhc.2015.11.015.
Go to original source...
Go to PubMed...
- da Silva RDM, Austregésilo SC, Ithamar L, de Lima LS (2017). Therapeutic play to prepare children for invasive procedures: a systematic review. J Pediatr (Rio J) 93(1): 6-16. DOI: 10.1016/j.jped.2016.06.005.
Go to original source...
Go to PubMed...
- Drayton NA, Waddups S, Walker T (2019). Exploring distraction and the impact of a child life specialist: Perceptions from nurses in a pediatric setting. J Spec Pediatr Nurs 24(3). DOI: 10.1111/jspn.12242.
Go to original source...
Go to PubMed...
- Durand DJ, Young M, Nagy P, Tekes A, Huisman TAGM (2015). Mandatory Child Life Consultation and Its Impact on Pediatric MRI Workflow in an Academic Medical Center. J Am Coll Radiol 12(6): 594-598. DOI: 10.1016/j.jacr.2014.12.015.
Go to original source...
Go to PubMed...
- Eichner JM, Johnson BH (2012). Patient- and Family-Centered Care and the Pediatrician's Role. Pediatrics 129(2): 394-404. DOI: 10.1542/peds.2011-3084.
Go to original source...
Go to PubMed...
- Franck LS, Wray J, Gay C, Dearmun AK, Lee K, Cooper BA (2015). Predictors of parent post-traumatic stress symptoms after child hospitalization on general pediatric wards: A prospective cohort study. Int J Nurs Stud 52(1): 10-21. DOI: 10.1016/j.ijnurstu.2014.06.011.
Go to original source...
Go to PubMed...
- Grissom S, Boles J, Bailey K, Cantrell K, Kennedy A, Sykes A, Mandrell BN (2015). Play-based procedural preparation and support intervention for cranial radiation. Support Care Cancer 24(6): 2421-2427. DOI: 10.1007/s00520-015-3040-y.
Go to original source...
Go to PubMed...
- Hárdi I (1995). A gyermek, a betegség és a kórház. In: Pszichológia a betegágynál: orvos, nővér és a beteg (6. átd., bőv. kiad.) (pp. 247-259). Budapest: Medicina.
- Horowitz M, Wilner N, Alvarez W (1979). Impact of Event Scale: a measure of subjective stress. Psychosom Med 41(3): 209-218. DOI: 10.1097/00006842-197905000-00004.
Go to original source...
Go to PubMed...
- LeBlanc CK, Naugler K, Morrison K, Parker JA, Chambers CT (2014). Parent Perceptions and Satisfaction with Inpatient Child Life Specialist Interventions and the Role of ChildTemperament. Children's Health Care 43(3): 253-272. DOI: 10.1080/02739615.2013.845732.
Go to original source...
- Lerwick JL (2013). Psychosocial implications of pediatric surgical hospitalization. Semin Pediatr Surg 22(3): 129-133. DOI: 10.1053/j.sempedsurg.2013.04.003.
Go to original source...
Go to PubMed...
- Meletti DP, Meletti JFA, Camargo RPS, Silva LM, Módolo NSP (2018). Psychological preparation reduces preoperative anxiety in children. Randomized and double-blind trial. J Pediatr (Rio J) 95(5): 545-551. DOI: 10.1016/j.jped.2018.05.009.
Go to original source...
Go to PubMed...
- Mendess MG (2016). The Inpatient Children: Partnership Care and Family-centered Care. J Womens Health Care 5: 3. DOI: 10.4172/2167-0420.1000e123.
Go to original source...
- Mérei F, Binét VÁ (2016). Gyermeklélektan (16th improved edition). Budapest: Libri.
- Novick KK, Novick J (2014). Munka szülőkkel gyermekterápiában (pp. 28-29). Budapest: Animula.
- Olsson C, Björk M, Ringnér A (2018). The Pediatric Inventory for Parents - Swedish Translation and Psychometric Testing. J Pediatr Nurs 42: e97-e102. DOI: 10.1016/j.pedn.2018.02.013.
Go to original source...
Go to PubMed...
- Panella JJ (2016). Preoperative Care of Children: Strategies From a Child Life Perspective. AORN J 104(1): 11-22. DOI: 10.1016/j.aorn.2016.05.004.
Go to original source...
Go to PubMed...
- Perczel-Forintos D, Ajtay G, Barna C, Kiss Z, Komlósi Z (2018). Kérdőívek, becslőskálák a klinikai pszichológiában. Budapest: Semmelweis Kiadó.
- Scott MT, Todd KE, Oakley H, Bradley JA, Rotondo RL, Morris CG, Klein S, et al. (2016). Reducing Anesthesia and Health Care Cost Through Utilization of Child Life Specialists in Pediatric Radiation Oncology. Int J Radiat Oncol Biol Phys 96(2): 401-405. DOI: 10.1016/j.ijrobp.2016.06.001.
Go to original source...
Go to PubMed...
- Slifer KJ (2014). A clinician's guide to helping children cope and cooperate with medical care: an applied behavioral approach. Baltimore: The John Hopkins University.
Go to original source...
- Smith JG, Desai PP, Sira N, Engelke SC (2014). Family-Centered Developmentally Supportive Care in the Neonatal Intensive Care Unit: Exploring the Role and Training of Child Life Specialists. Children's Health Care 43(4): 345-368. DOI: 10.1080/02739615.2014.880917.
Go to original source...
- Tucker JA, McCann LH (2013). Collaborating for Family-Centered Care: Integrating Child Life Specialists in the Prenatal Setting. J Obstet Gynecol Neonatal Nurs 42(Suppl. 1): S49. DOI: 10.1111/1552-6909.12121.
Go to original source...
- White HL (2017). The working life of a play specialist. Paediatr Child Health 27(10): 476-480. DOI: 10.1016/j.paed.2017.07.002.
Go to original source...
- Zhang J, Zhu S, Du C, Zhang Y (2015). Posttraumatic stress disorder and somatic symptoms among child and adolescent survivors following the Lushan earthquake in China: A six-month longitudinal study. J Psychosom Res 79(2): 100-106. DOI: 10.1016/j.jpsychores.2015.06.001.
Go to original source...
Go to PubMed...
This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.