Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
An Example of Good Practice Related to Child-Family Friendly Hospital in Türkiye: A Cross-Sectional Study
Çocuk-Aile Dostu Hastaneye İlişkin Türkiye'de Bir İyi Uygulama Örneği: Kesitsel Bir Araştırma
Serpil İSABETLİa , Zehra KAN ÖNTÜRKb , Çağla MELETLİa , Sultan Merve OKUa , Nazmiye MABRUKa
aAcıbadem Maslak Hospital, İstanbul, Türkiye
bDepartment of Nursing, Acıbadem Mehmet Ali Aydınlar University Faculty of Health Sciences, İstanbul, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(4):941-50
doi: 10.5336/nurses.2022-91694
Article Language: EN
Full Text
ABSTRACT
 _Aim of this study to determine the level of implementation of the roles and functions of pediatric nurses in a hospital where a child-family friendly health approach is adopted and applied, and how this is reflected on parent satisfaction. Material and Methods_ This cross sectional descriptive study was conducted in a paediatric inpatient service (PIS) at a private hospital. The sample size including 82 paediatric patients and parents and all nurses (n=10) providing service to these parents and their paediatric patients. The childfamily friendly health care approach was used in the PIS. The data were obtained using a form questioning the personal characteristics of the nurses and paediatric patients and parents, Paediatric Nurses' Roles and Functions Scale to determine the level of implementation of the roles and functions of pediatric nurses, and the PedsQL Healthcare Parental Satisfaction Scale to determine satisfaction with health care service. Results_ The Paediatric Nurses' Roles and Functions Scale total mean score was 290.20±15.33. It was determined that there was a positive moderate statistically significant correlation between the nurses' duration of working in the profession and managing and coordinating role scores (r=0.678, p=0.031

Keywords: Child friendly; hospital; pediatric nursing; family
ÖZET
 Amaç: Bu çalışmanın amacı, çocuk-aile dostu sağlık anlayışının benimsendiği ve uygulandığı bir hastanede çocuk hemşirelerinin rol ve işlevlerinin uygulanma düzeyini ve bunun ebeveyn memnuniyetine nasıl yansıdığını belirlemektir. Gereç ve Yöntemler: Bu kesitsel çalışma, özel bir hastanenin çocuk yatan hasta servisinde (ÇYHS) yapılmıştır. Örneklem büyüklüğü, 82 çocuk hasta ve ebeveynleri ile bu çocuk hastalar ve ebeveynlerine hizmet veren tüm hemşireleri (n=10) kapsamaktadır. ÇYHS'de çocuk-aile dostu sağlık bakım yaklaşımı kullanılmıştır. Veriler, hemşirelerin; çocuk hasta ve ebeveynlerinin kişisel özelliklerini sorgulayan bir form, pediatri hemşirelerinin rol ve işlevlerini gerçekleştirme düzeylerini belirlemek amacıyla Çocuk Hemşirelerinin Rol ve İşlevleri Ölçeği ve sağlık bakım hizmetinden memnuniyeti belirlemek amacıyla da PedsQL Sağlık Bakımı Ebeveyn Memnuniyeti Ölçeği kullanılarak elde edildi. Bulgular: Çocuk Hemşirelerin Rolleri ve İşlevleri Ölçeği toplam ortalama puanı 290,20±15,33'tür. Hemşirelerin meslekte çalışma süresi ile yönetici ve koordine edici rolü puanı arasında pozitif yönlü istatistiksel olarak anlamlı orta düzeyde ilişki saptanmıştır (r=0,678, p=0,031; p<0,05). PedsQL Sağlık Bakımı Ebeveyn Memnuniyeti Ölçeği ortalama puanı 97,83±4,02 idi. Sonuç: Çocuk aile dostu bir sağlık bakım anlayışının benimsendiği ve uygulandığı hastanede yer alan pediatri hemşirelerinin rol ve işlevlerini uygulama düzeylerinin yüksek olduğu, ebeveynlerin de bu sağlık bakım hizmetinden memnuniyetlerinin yüksek olduğu sonucuna varılmıştır.

Anahtar Kelimeler: Çocuk dostu; hastane; pediatri hemşireliği; aile
REFERENCES:
  1. Latour JM, Hazelzet JA, van der Heijden AJ. Parent satisfaction in pediatric intensive care: a criticalappraisal of the literature. Pediatr Crit Care Med. 2005;6(5):578-84. [Crossref]  [PubMed] 
  2. Ames KE, Rennick JE, Baillargeon S. A qualitative interpretive study exploring parents' perception of theparental role in the paediatric intensive care unit. Intensive Crit Care Nurs. 2011;27(3):143-50. [Crossref]  [PubMed] 
  3. Chesney M, Lindeke L, Johnson L, Jukkala A, Lynch S. Comparison of child and parent satisfaction ratings ofambulatory pediatric subspecialty care. J Pediatr Health Care. 2005;19(4):221-9. [Crossref]  [PubMed] 
  4. Just AC. Parent participation in care: bridging the gap in the pediatric ICU. Newborn Infant Nurs Rev.2005;5(4):179-87. [Crossref] 
  5. Özkan S, Arslan FT. Hastanede yatan çocukta aile merkezli bakım [Family centered care for hospitalizedchildren]. Uluslararası Hakemli Hemşirelik Araştırmaları Dergisi. 2018;12:161-79. [Link] 
  6. Arıkan D, Saban F, Gürarslan Baş N. Çocuğu hastanede yatan ebeveynlerin hastaneye ve sağlık bakımına yönelikmemnuniyet düzeyleri [Hospital and health care satisfaction levels of the parents with inpatient children].İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi. 2014;4(2):109-16. [Crossref] 
  7. Ekra EM, Blaaka G, Korsvold T, Gjengedal E. Children in an adult world: a phenomenological study of adultsand their childhood experiences of being hospitalised with newly diagnosed type 1 diabetes. J Child Health Care.2012;16(4):395-405. [Crossref]  [PubMed] 
  8. Festini F, Occhipinti V, Cocco M, Biermann K, Neri S, Giannini C, et al. Use of non-conventional nurses'attire in a paediatric hospital: a quasi-experimental study. J Clin Nurs. 2009;18(7):1018-26. [Crossref]  [PubMed] 
  9. Norton-Westwood D. The health-care environment through the eyes of a child--does it soothe or provokeanxiety? Int J Nurs Pract. 2012;18(1):7-11. [Crossref]  [PubMed] 
  10. Tonkin A. Exploring the impact environments have on children and young people's experience of healthcare: areview of the literature. Cited: December 26, 2021. Avialable from: [Link] 
  11. NHS Estates. HBN 23 Hospital Accommodation for Children and Young People. 1st ed. NHS Estates; 2004. [Link] 
  12. Lambert V, Coad J, Hicks P, Glacken M. Young children's perspectives of ideal physical design features forhospital-built environments. J Child Health Care. 2014;18(1):57-71. [Crossref]  [PubMed] 
  13. Kreitzer M. What Impact Does the Environment Have on us? Online. Cited: November 09, 2023 Available from: [Link] 
  14. Council of Europe, Guidelines on Child-Friendly Healthcare. Council of Europe guidelines on child-friendlyhealth care. 2011. Cited: December 22, 2021. Available from: [Link] 
  15. Kilkelly U, Savage E. Child-Friendly Healthcare. Ombudsman for Children Office (OCO); 2013. [Link] 
  16. Leyenaar JK, Ralston SL, Shieh MS, Pekow PS, Mangione-Smith R, Lindenauer PK. Epidemiology of pediatrichospitalizations at general hospitals and freestanding children's hospitals in the United States. J Hosp Med.2016;11(11):743-9. [Crossref]  [PubMed]  [PMC] 
  17. Southall DP, Burr S, Smith RD, Bull DN, Radford A, Williams A, et al. The Child-Friendly HealthcareInitiative (CFHI): Healthcare provision in accordance with the UN Convention on the Rights of the Child. ChildAdvocacy International. Department of Child and Adolescent Health and Development of the World HealthOrganization (WHO). Royal College of Nursing (UK). Royal College of Paediatrics and Child Health (UK). UnitedNations Children's Fund (UNICEF). Pediatrics. 2000;106(5):1054-64. [Crossref]  [PubMed] 
  18. Clarke A, Nicholson S. How 'child friendly' are you? Paediatr Nurs. 2001;13(5):12-5. [Crossref]  [PubMed] 
  19. Sfandyarifard E, Sutrisna M, Tzortzopoulos P. Meeting User's Needs: Children and Young People in HospitalEnvironment. W084-Special Track 18th CIB World Building Congress. Salford, United Kingdom; 2010. p.93-104. [Link] 
  20. Pelander T, Leino-Kilpi H. Quality in pediatric nursing care: children's expectations. Issues Compr PediatrNurs. 2004;27(3):139-51. [Crossref]  [PubMed] 
  21. Yüzer S, Alıcı D, Yiğit R. Pediatri Hemşirelerinin Rolleri ve Fonksiyonları Ölçeğinin uygulanmasınıngeliştirilmesi: güvenirliği ve geçerliliği [Development of "Implementation of Pediatric Nurses' Roles andFunctions Inventory": reliability and validity]. Journal of Anatolia Nursing and Health Sciences.2008;11(4):19-29. [Link] 
  22. Yüzer S. The implemented roles and functions of nurses working on pediatric clinics. Journal of AnatoliaNursing and Health Sciences. 2010;13(1):66-76. [Link] 
  23. Varni JW, Quiggens DLJ, Ayala GX. Development of the pediatric hematology/oncology parent satisfactionsurvey. Child Health Care. 2000;29(4):243-55. [Crossref] 
  24. Ulus B, Kublay G. PedsQL Sağlık Bakımı Ebeveyn Memnuniyet Ölçeğinin Türkçe'ye uyarlanması [TurkishAdaptation of the PEDSQL Health Care Parent Satisfaction Scale]. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi.2012;3(1):44-50. [Link] 
  25. Christian BJ. The essence of pediatric nursing--translating evidence to improve pediatric nursing care forchildren, their parents and families. J Pediatr Nurs. 2013;28(2):193-5. [Crossref]  [PubMed] 
  26. Çetinkaya B, Turan T, Ceylan SS, Bayar Şaşkın N. Pediatri hemşirelerinin rol ve fonksiyonlarını uygulamadurumlarının belirlenmesi [Determining implementation status of pediatric nurses' roles and functions].Pamukkale Tıp Dergisi. 2017;2:152-6. [Crossref] 
  27. Bu?ac V, Mujkić A, Vuletić G. Parents' attitudes to a child friendly department. Paediatrics Today.2015;11(2):30-9. [Crossref] 
  28. Kilkelly U. Child-friendly health care: the views and experiences of children and young people in Council ofEurope member States, Council of Europe; 2011. Cited: December, 20 2021. Available from: [Link] 
  29. Ahmed S, Miller J, Burrows JF, Bertha BK, Rosen P. Evaluation of patient satisfaction in pediatricdermatology. Pediatr Dermatol. 2017;34(6):668-72. [Crossref]  [PubMed] 
  30. Abuqamar M, Arabiat DH, Holmes S. Parents' perceived satisfaction of care, communication and environment ofthe pediatric intensive care units at a tertiary children's hospital. J Pediatr Nurs. 2016;31(3):e177-84. [Crossref]  [PubMed] 
  31. Hamdan AB, AlShammary S, Tamani JC, Peethambaran S, Hussein M, AlHarbi M. The impact of creating achild-friendly hospital environment in pediatric cancer patients and their families in comprehensive cancercenter at King Fahad Medical City. Curr Pediatr Res. 2016;20(1&2):47-54. [Link] 
  32. Salvioli GP. A "child-friendly" hospital: a difficult definition. Ital J Pediatr. 2015;41(Suppl 1):A39. [Crossref]  [PMC] 

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