Nedime Gül DOĞAN ÖZDEMİR, Cansu KARADENİZ BENLİ, Özen KULAKAÇ

BEBEKLİ AİLELERDE HEMŞİRE VE EBELERİN AİLE BÜTÜNLÜĞÜNÜ TEŞVİK ETMEYE YÖNELİK GİRİŞİMLERİ UYGULAMA DURUMLARI

Amaç: Bu çalışmanın amacı, Samsun ilinde yer alan devlet ve üniversite hastanesinin kadın doğum kliniklerinde çalışmakta olan ebe ve hemşirelerin, Hemşirelik Girişimleri Sınıflaması (Nursing Intervention Classification-NIC)’na göre tanımlanan bebekli ailelerde aile bütünlüğünü teşvik etmeye yönelik girişimleri uygulama sıklığını belirlemektir. Yöntem: Araştırmanın yöntemi, tanımlayıcıdır. Evrenini, Karadeniz bölgesinde yer alan bir ilin devlet ve üniversite hastanesinin kadın doğum kliniklerinde çalışmakta olan hemşire ve ebeler oluşturmuştur. Çalışmanın örneklemini farklı kliniklerde çalışan 73 hemşire ve ebe oluşmuştur. Araştırma verilerinin toplanmasında, Kişisel Bilgi Formu ve NIC’in “Aile Bütünlüğünü Teşvik: Bebekli Aile” Formu kullanılmıştır. Formda yer alan 35 tane emir kipi ile verilen cümleler ‘…bilgilendiririm…’ ve ‘…öğretirim…’ gibi geniş zaman ifadelerine dönüştürülmüştür. Üçlü likert tipi Ölçeği’ne dönüştürülen bu form, her bir girişimin ebe ve hemşireler tarafından uygulama durumunu belirlemede kullanılmıştır. Bulgular: NIC’in “Aile Bütünlüğünü Teşvik: Bebekli Aile” hemşirelik aktiviteleri formuna göre hemşire ve ebelerin aile bütünlüğünü teşvik edici girişimleri uygulama oranları %6,8-65,8 arasında değişmektedir. Birçok kez kullandım/kullanıyorum oranı en yüksek olan girişimler sırasıyla “Ailenin etkileşim özelliklerini tanımlarım.” (%65,8) ve “Doğum deneyimi/yaşantısı hakkındaki duygu, algı ve kaygılarını dile getirmeleri için ebeveynleri desteklerim.”(%57,5) girişimleridir. Hiç kullanmadım oranı en yüksek olan “Bireysel hobilerini ya da ev dışı aktivitelerini sürdürmeleri için ebeveyn(ler)i desteklerim.” girişimi %49,3 oranındadır. Araştırmaya katılan hemşire ve ebelerin birkaç kez kullandım ifadesine verdiği en yüksek olan “Güçlü ve zayıf yönlerini keşfetmelerinde aileye yardım ederim” girişimi %68,4’dir. Sonuç ve Öneriler: Girişimlerin hemşire ve ebelerin bireylere ve ailesine uygulama oranları tüm maddelerde uygulanma oranlarında değişiklikler görülmektedir. Aile bütünlüğünü teşvik etme konusundaki girişimler, hemşire ve ebelere ailenin yeni bir bebeğe sahip olduğu dönemdeki stresli aşamalarında yol gösterici olmaktadır. Bu girişimlerin kullanılması anne ve bebek sağlığını geliştirirken, kadının ve ailenin bebekli hayata geçişi sağlıklı tamamlayabilmesine yardımcı olacaktır. Bu girişimlerin NIC’e göre uygulanması, uluslararası ebe ve hemşirelik uygulama standartlarına ulaşılmasına ve bu alanda ortak bir dil birliği oluşturulmasına katkı sağlayacaktır.

Anahtar Kelimeler:

Aile bütünlüğü, Bebek, Ebelik, Ebeveynlik, Hemşirelik

IMPLEMENTATION OF NURSES AND MIDWIVES’ ATTEMPTS TO PROMOTE FAMILY INTEGRITY IN FAMILIES WITH INFANTS

Aim: The aim of this study is to determine the practices to promote family unity in families with babies defined according to the Nursing Intervention Classification (NIC) of the health personnel working in the gynecology clinics of a state and university hospital in a province in Samsun. Method: The method of the research is descriptive. Its population consisted of nurses and midwives working in the obstetrics clinics of a state and university hospital in a province in the Black Sea region. The sample selection of the study consisted of 73 nurses and midwives working in different clinics. The Personal Information Form and NIC's "Promoting Family Integrity: Family with Baby" Form were used to collect research data. 35 imperative expressions in the form were transformed into simple tense expressions such as '...I will inform...' and '...I will teach...'. This form, which was converted into a 3-point Likert-type Scale, was used by health professionals to determine the implementation status of each intervention. Results: According to NIC's Nursing Activities Form to Promote Family Integrity, the rates of nurses and midwives applying interventions promoting family integrity to individuals vary between 6.8-65.8%. The initiatives with the highest ratio of "I have used / I use many times" are respectively "I describe the interaction characteristics of the family." (65.8%) and “I support parents in expressing their feelings, perceptions, and concerns about the birth experience/life experience” (57.5%). “I support the parent(s) to continue their hobbies or activities outside the home.” initiative is 49.3%. The highest rate given by the nurses and midwives participating in the research to the statement "I used it several times for the initiative "I help the family discover their strengths and weaknesses" is 68.4%. Conclusion and Suggestions: The rate of application of interventions by nurses and midwives to individuals and their families is below 30% in all items. Initiatives to promote family cohesion guide nurses and midwives through the stressful phases of a family having a new baby. The use of these initiatives will help the woman and the family to complete the transition to a healthy life with a baby, while improving the health of the mother and baby. The implementation of these initiatives according to NIC will contribute to the achievement of international midwifery and nursing practice standards and to the creation of a common language in this field.

Keywords:

Family integrity, Baby, Midwife, Parenthood, Nursing,

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Beyers-Carlson, E. E., & Volling, B. L. (2017). Efficacy of sibling preparation classes. Journal of Obstetric, Gynecologic & Neonatal Nursing, 46(4), 521-531. https://doi.org/10.1016/j.jogn.2017.03.005
Bienvenu, O. J., Hopkins, R. O. (Eds.). (2017). Psychological and cognitive impact of critical illness. Oxford University Press.191-193.
Bryanton, J., Gagnon, A. J., Hatem, M., & Johnston, C. (2008). Predictors of early parenting self-efficacy: results of a prospective cohort study. Nursing research, 57(4), 252-259. 10.1097/01.NNR.0000313490.56788.cd
Buist, K. L., Dekovic, M., & Prinzie, P. (2013). Sibling relationship quality and psychopathology of children and adolescents: A meta-analysis. Clinical Psychology Review, 33(1), 97–106. https://doi.org/10.1016/j.cpr.2012.10.007
Butcher, H. K., Bulechek, G. M., Dochterman, J. M. M., & Wagner, C. (2013). Nursing interventions classification (NIC). Elsevier Health Sciences
Cowan, C. P., & Cowan, P. A. (1995). Interventions to ease the transition to parenthood: Why they are needed and what they can do. Family relations, 412-423. https://doi.org/10.2307/584997
De Montigny, F., & Lacharité, C. (2004). Fathers’ perceptions of the immediate postpartal period. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 33(3), 328-339. https://doi.org/10.1177/0884217504266012
Entsieh, A. A., & Hallström, I. K. (2016). First-time parents’ prenatal needs for early parenthood preparation-A systematic review and meta-synthesis of qualitative literature. Midwifery, 39, 1-11. https://doi.org/10.1016/j.midw.2016.04.006
Harvey, J. H., Wenzel, A., & Sprecher, S. (Eds.). (2004). The handbook of sexuality in close relationships. Psychology Press. 47-67.
Hildingsson, I., & Thomas, J. (2014). Parental stress in mothers and fathers one year after birth. Journal of reproductive and infant psychology, 32(1), 41-56. https://psycnet.apa.org/doi/10.1080/02646838.2013.840882
Kaakinen, J. R., Coehlo, D. P., Steele, R., Robinson, M. (2018). Family health care nursing: Theory, practice, and research. FA Davis.
Kilic, D., Gencdogan, B., Bag, B., & Arıcan, D. (2013). Psychosocial problems and marital adjustments of families caring for a child with intellectual disability. Sexuality and Disability, 31, 287-296. http://doi.org/10.1007/s11195-013-9308-6
Kutlubay, R., Arıöz, A. (2021). Postpartum Depresyonda Evlilik Uyumu ve Eş Desteğinin Önemi. Türkiye Sağlık Bilimleri ve Araştırmaları Dergisi, 4(3), 1-10. https://doi.org/10.51536/tusbad.952511
Lawrence, E., Rothman, A. D., Cobb, R. J., Rothman, M. T., & Bradbury, T. N. (2008). Marital satisfaction across the transition to parenthood. Journal of family psychology, 22(1), 41. https://psycnet.apa.org/doi/10.1037/0893-3200.22.1.41
Leahy-Warren, P., & McCarthy, G. (2011). Maternal parental self-efficacy in the postpartum period. Midwifery, 27(6), 802-810. https://doi.org/10.1016/j.midw.2010.07.008
Lipscomb, S. T., Chandler, K. D., Abshire, C., Jaramillo, J., & Kothari, B. (2021). Early childhood teachers’ self-efficacy and professional support predict work engagement. Early childhood education journal, 1-11. https://doi.org/10.1007/s10643-021-01182-5
Lowdermilk DL, Perry SE, Cashion MC, Alden KR. Maternity and Women's Health Care. 11 th Ed., St. Louis, MO: Elsevier. 2016.
Marques, F. D., Sousa, L. (2012). Family integrity: pathways of elderly poor persons. Paidéia (Ribeirão Preto), 22(52), 207-216. https://doi.org/10.1590/S0103-863X2012000200007
Mbekenga, C. K., Pembe, A. B., Christensson, K., Darj, E., & Olsson, P. (2011). Informal support to first-parents after childbirth: a qualitative study in low-income suburbs of Dar es Salaam, Tanzania. BMC pregnancy and childbirth, 11(1), 98. https://doi.org/10.1186/1471-2393-11-98
McKinney ES, James SR, Murray SS, Nelson K, Ashwill J. Maternal-child nursing. 5 th. Ed., St. Louis, Mosby. 2018.
Naber, N. L., Miller, S., & Baddock, S. A. (2018). What do we know about sibling attended birth? An integrative literature review. Midwifery, 63, 24-32. https://doi.org/10.1016/j.midw.2018.04.025
Nezhad, M. Z., & Goodarzi, A. M. (2011). Sexuality, intimacy, and marital satisfaction in Iranian first-time parents. Journal of Sex & Marital Therapy, 37(2), 77-88. https://doi.org/10.1080/0092623x.2011.547336
Ngai, F. W., Chan, S. W. C., & Holroyd, E. (2007). Translation and validation of a Chinese version of the Parenting Sense of Competence Scale in Chinese mothers. Nursing research, 56(5), 348-354. https://doi.org/10.1097/01.nnr.0000289499.99542.94
Nonterah, C. W., Garthe, R. C., Reid, C. A., Worthington, Jr., E. L., Davis, D. E., Hook, J. N., Van Tongeren, D. R., & Griffin, B. J. (2016). The impact of stress on fluctuations in relational humility as couples transition to parenthood. Personality and Individual Differences, 101, 276–281. http://dx.doi.org/10.1016/j.paid.2016.06.016
Passias, E. J., Sayer, L., & Pepin, J. R. (2017). Who experiences leisure deficits? Mothers' marital status and leisure time. Journal of Marriage and Family, 79(4), 1001-1022. https://psycnet.apa.org/doi/10.1111/jomf.12365
Perry S.E, Hockenberry M.J., Lowdermilk D.L., Wilson D., Keenan-Lindsay L., Sams C.A. (2017). Maternal Child Nursing Care in Canada. Mosby. 179.
Pillitteri, A. (2010). Maternal & child health nursing: Care of the childbearing & childrearing family. Lippincott Williams & Wilkins.
Salonen, A. H., Kaunonen, M., Åstedt‐Kurki, P., Järvenpää, A. L., Isoaho, H., & Tarkka, M. T. (2010). Parenting satisfaction during the immediate postpartum period: factors contributing to mothers’ and fathers’ perceptions. Journal of clinical nursing, 19(11-12), 1716-1728. https://doi.org/10.1111/j.1365-2702.2009.02971.x
TDK,2023.(https://sozluk.gov.tr/), Erişim tarihi: 21.02.2023.
Top, E. D., Cetisli, N. E., Guclu, S., Zengin, E. B. (2016). Paternal depression rates in prenatal and postpartum periods and affecting factors. Archives of psychiatric nursing, 30(6), 747-752. https://psycnet.apa.org/doi/10.1016/j.apnu.2016.07.005
Van Horn, E. R., Kautz, D. (2007). Promotion of family integrity in the acute care setting: a review of the literature. Dimensions of Critical Care Nursing, 26(3), 101-107. https://doi.org/10.1097/01.dcc.0000267803.64734.c1
Wright, L. M., & Leahey, M. (2013). Nurses and Families: A Guide to Family Assessment and Intervention (6th ed.). Philadelphia, PA: FA Davis Company.