Keywords
adaptation
patient care
How to Cite
Abstract
In press
Background. Martial law presents significant challenges for nurses working with children. Children's hospitals are becoming institutions that provide not only medical care but also comprehensive medical and social support for both children and their families.
Aim. To analyse the provision of psychological support in the professional activities of nurses in the paediatric unit.
Materials and Methods. A survey on the psychological aspects of nurses’ work was conducted in April 2024 among the parents of 20 children from the Orthopedics and Traumatology Department of the Municipal Non-Profit Enterprise "Chernihiv Regional Children's Hospital" of Chernihiv Regional Council. An anonymous questionnaire of our own design was used to evaluate the work of a nurse. Respondents signed an informed consent to participate in the study.
Results. Positive communication was noted by 90% of respondents, indicating the nurses’ professionalism, empathy, and willingness to create favorable conditions for children's treatment. In addition, the respondents reported a high level of nurses’ adaptation to the extreme conditions of martial law, as well as their ability to ensure effective interaction with patients and their families. Data analysis regarding nurses’ ability to create a friendly atmosphere for children during hospital interactions showed consistently positive feedback from parents. The individual needs of children were rated positively in 85% of responses. However, 5% of respondents answered negatively, indicating that some parents believed their child's needs and interests were not adequately considered by the nurses.
Conclusions. The need to work under crisis conditions may affect the effectiveness of nurses' performance. The development of specialized psychological support programs can assist nurses in adapting to the changing realities of wartime, foster their emotional resilience, contribute to the creation of an emotionally safe environment for patients, and support parents during the challenging period of their children’s treatment.
Keywords: nursing, adaptation, patient care.
References
Order of the Ministry of Health of Ukraine No.374 on 24 Feb 2022 "On approval of temporary measures in healthcare facilities to ensure their readiness to provide medical care to victims of the military aggression of the russian federation", in force. Verkhovna Rada of Ukraine. Legislation of Ukraine [Internet]. Available at: https://zakon.rada.gov.ua/rada/show/v0374282-22 [in Ukrainian].
Order of the Ministry of Health of Ukraine No.1770 on 29 Sep 2022 "Some issues of organisation of medical care in healthcare facilities to ensure their readiness to provide medical care to victims of the military aggression of the Russian Federation against Ukraine", in force. Verkhovna Rada of Ukraine. Legislation of Ukraine [Internet]. Available at: https://zakon.rada.gov.ua/laws/show/z1296-22 [in Ukrainian].
Zakusylova TO. Pedagogical conditions for the formation of nurses' professionalism. Young Scientist. 2016;7:407-10. Available at: http://molodyvcheny.in.ua/files/journal/2016/7/96.pdf [in Ukrainian].
Striukov V, Grynko T, Krupskyi O, Vazov R. Current state and strategic directions of development of state management of nursing education in Ukraine. Med. perspekt. 2022;27(1):174-83. DOI: 10.26641/2307-0404.2022.1.254469.
Pylypchuk LS. Personal factors of interaction of nurses with patients in the conditions of inpatient treatment. [PhD diss, spec. 19.00.04 – medical psychology]. Ukraine, Kyiv: H.S. Kostyuk Institute of Psychology of the NAES of Ukraine, 2019. 249 p. Available at: http://psychology-naes-ua.institute/files/pdf/disertaciya_pilipchuk_l.s._1572011035.pdf [In Ukrainian].
Drayton NA, Waddups S, Walker T. Exploring distraction and the impact of a child life specialist: Perceptions from nurses in a pediatric setting. J Spec Pediatr Nurs. 2019;24(2):e12242. DOI: 10.1111/jspn.12242. PMID: 30901151.
Aspesberro F, Mangione-Smith R, Zimmerman JJ. Health-related quality of life following pediatric critical illness. Intensive Care Med. 2015;41(7):1235-46. DOI: 10.1007/s00134-015-3780-7. PMID: 25851391.
Pall N, Gorove E, Baji I. The psychological burden experienced by paediatric nurses during children’s hospital care. Kontakt. 2021;23(4):217-24. DOI: 10.32725/kont.2021.025.
Fukada M. Nursing Competency: Definition, Structure and Development. Yonago Acta Med. 2018;61(1):1-7. DOI: 10.33160/yam.2018.03.001. PMID: 29599616.
Nabizadeh-Gharghozar Z, Alavi NM, Ajorpaz NM. Clinical competence in nursing: A hybrid concept analysis. Nurse Educ Today. 2021;97:104728. DOI: 10.1016/j.nedt.2020.104728. PMID: 33348301.
Chmielewski J, Los K, Luczynski W. Mindfulness in healthcare professionals and medical education. Int J Occup Med Environ Health. 2021;34(1):1-14. DOI: 10.13075/ijomeh.1896.01542. PMID: 33223537.
Avendano-Vasquez CJ, Reina-Gamba NC, Daza-Castillo LA, Quarantini L. Nursing Interventions in Children Living Under Armed Conflict Situations and Quality of Life: A Scoping Review. J Pediatr Nurs. 2021;58:44-52. DOI: 10.1016/j.pedn.2020.11.012. PMID: 33316614.
Rudnytska T, Chornobryva L. Organisational and pedagogical conditions for the formation of professional competence of future nurses in the process of professional training (methodological aspect). Nursing. 2020;4:20-2. DOI: 10.11603/2411-1597.2020.4.11867. [In Ukrainian].
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