Arvo building, Jarmo Visakorpi auditorium, address: Arvo Ylpön katu 34
Doctoral defence of M.Sc. (Health Care) Tarja Heino-Tolonen
From experiencing insecurity towards relief in daily life : A substantive theroy on how co-operation between the family and the nurse will help the daily coping of the family while caring for their acutely sick hospitalized child in the home hospital
The field of science of the dissertation is Nursing science.
The opponent is professor Sanna Salanterä (University of Turku). Professor Eija Paavilainen acts as the custos.
The language of the dissertation defence is Finnish.
How co-operation will help the daily coping of the family in the children`s home hospital
A family-oriented and communal approach to nursing is necessary in helping a family to cope with their child’s illness and hospitalization. Involvement of the family during the child’s hospitalization supports the well-being of the child and family, but successful family participation requires also contribution on the part of nurses. Smooth co-operation between the family and the staff will contribute to implementing good care and will increase the family’s satisfaction with care. In the home hospital it is possible to carry out child`s hospital-led care close to the family and to strengthen the family’s participation in caring for their child through successful co-operation. The national development program by the Ministry of Social Affairs and Health emphasizes customer-oriented organizing of services. Therefore, it is important to develop and explore different approaches also for paediatric patients who require specialized care. Children`s home hospital is one example of these approaches.
The aim of this study was to disclose how co-operation between the family and the nurses will help the daily coping of the family while caring for their acutely sick hospitalized child in the home hospital. The data produced in the study can be used to developing the care in the children’s home hospital, as well as co-operation between the family and the nurses which will promote the daily coping of the family in caring for their hospitalized child. The results of the study show that the paediatric home hospital care and the daily coping of the family will create a need for co-operation between the family and the nurse. The realization of co-operation is described in this study as a disappointment in the family’s and the nurse’s working together or smoothness of their working together. Co-operation is relevant to the everyday life of the family, either by disturbing it or facilitating it. The importance of implementing family care is emphasized in the children’s home hospital. Family-centred approaches in nursing play a key role in ensuring good care child and family care in the children’s home hospital.
The results of this study will help practicing nurses to understand the important role of the nurses in the co-operation between the family and the caregivers, as well as how the nurse’s role is different when caring for a child in the home hospital compared to traditional inpatient care. The study provides a new perspective into the home hospital care in the Finnish nursing culture with regard to paediatric patients, and it provides more research data about family nursing. The co-operation between the family and the nurses will ease the everyday life of the family and contribute to the family’s well-being, despite of the child’s sudden hospitalization. The co-operation should be such where both parties are active and observing actors.
The dissertation is published in the publication series of Acta Universitatis Tamperensis; 2304, Tampere University Press, Tampere 2017. The dissertation is also published in the e-series Acta Electronica Universitatis Tamperensis; 1808, Tampere University Press 2017.