Pomen starševskih dnevnikov za starše otrok v neonatalnih in pediatričnih intenzivnih enotah : diplomsko delo

Jug, Lana (author), Vettorazzi, Renata (mentor), Thaler, Darja (reviewer)

Uvod: Psihološka podpora za starše otrok v intenzivnih enotah je ključna za izboljšanje okrevanja po kritični bolezni, pri čemer starševski dnevniki predstavljajo eno izmed učinkovitih orodij za obvladovanje čustvenega pritiska in travmatične izkušnje. Namen: S pregledom literature raziskati pomen uporabe in vrste starševskih dnevnikov ter vlogo medicinskih sester pri uporabi dnevnikov za starše otrok v neonatalnih in pediatričnih intenzivnih enotah. Metode dela: Uporabili smo deskriptivno metodo dela s pregledom znanstvene in strokovne literature. S pomočjo digitalne knjižnice Univerze v Ljubljani smo dostopali do bibliografskih zbirk CINAHL Ultimate, PubMed in Dikul. Iskanje literature je potekalo med septembrom in novembrom 2024. Rezultati: S pregledom literature smo ugotovili, da uporaba starševskih dnevnikov v neonatalnih in pediatričnih intenzivnih enotah izboljša duševno zdravje staršev, krepi navezanost staršev z otrokom in izboljša odnos z medicinskimi sestrami. Starševski dnevniki so lahko različno zasnovani. Učinkovitost dnevnikov je odvisna od njihove zasnove in sodelovanja multidisciplinarnega zdravstvenega tima. Temeljno odgovornost za starševske dnevnike imajo lahko starši ali medicinske sestre. Zdravstveni delavci, predvsem medicinske sestre, imajo ključno vlogo pri vključevanju starševskih dnevnikov, saj z otroki in družino preživijo največ časa ter jim nudijo čustveno in praktično podporo. Razprava in zaključek: Starševski dnevniki v neonatalnih in pediatričnih intenzivnih enotah so koristno orodje za starše, saj pripomorejo k zmanjšanju stresa, izboljšanju duševnega zdravja in ohranjanju navezanosti z otrokom. Dnevniki staršem omogočajo učinkovitejšo komunikacijo z medicinskimi sestrami in drugimi zdravstvenimi delavci ter spremljanje otrokovega napredka. Kljub pozitivnim učinkom uporabe starševskih dnevnikov pa obstajajo ovire, kot so pomanjkanje časa in izčrpanost staršev ter zdravstvenih delavcev, kar omejuje uvedbo dnevnikov v klinično prakso. V Sloveniji trenutno na tem področju nimamo raziskav, kar kaže na potrebo po večjem razvoju in raziskovanju uporabe starševskih dnevnikov.

• Language: Slovenian
• Keywords: diplomska dela, zdravstvena nega, neonatalna intenzivna enota, pediatrična intenzivna enota, starševski dnevnik, medicinske sestre
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [L. Jug]
• Year: 2025
• Number of pages: 31 str.
• PID: 20.500.12556/RUL-169742
• UDC: 616-083
• COBISS.SI-ID: 238660099
• Publication date in RUL: 07.06.2025

Secondary language

• Language: English
• Title: The meaning of parental diaries for parents of children in neonatal and paediatric intensive care units : diploma work

Abstract

Introduction: Psychological support for parents of children in intensive care units is key to improve recovery from critical illness, and parent diaries are one of the most effective tools for coping with the emotional pressure and traumatic experience. Purpose: To explore, through a literature review, the importance of the use and types of parenting diaries and the role of nurses in the use of parenting diaries for parents of children in neonatal and paediatric intensive care units. Methods: In writing the thesis, we used a descriptive method of work with a review of scientific and professional literature. With the help of the University of Ljubljana Digital Library, we accessed the bibliographic databases CINAHL Ultimate, PubMed and Dikul. The literature search was conducted between September and November 2024. Results: Our literature review found that the use of parenting diaries in neonatal and paediatric intensive care units improves parents' mental health, strengthens parents' attachment to their child and improves their relationship with nurses. Parent diaries can be designed in different ways. The effectiveness of the diaries depends on their design and the involvement of the multidisciplinary health team. The primary responsibility for the parenting diaries may lie with the parents or with the nurses. Health professionals, especially nurses, play a key role in the integration of parenting diaries, as they spend the most time with children and families and provide emotional and practical support. Discussion and conclusion: Parenting diaries in neonatal and paediatric intensive care units are a useful tool for parents to help reduce stress, improve mental health and maintain attachment with their child. The diaries allow parents to communicate more effectively with nurses and other health professionals and to monitor their child's progress. Despite the positive effects of the use of parenting diaries, there are barriers, such as lack of time and exhaustion of parents and health professionals, which limit the implementation of diaries in clinical practice. There is currently no research in this area in Slovenia, which points to the need for more development and research on the use of parental diaries.

• Keywords: diploma theses, nursing care, neonatal intensive care unit, paediatric intensive care unit, parental diary, nurses