Öz
Objective: The role of social workers, who are beginning to be integrated into the entire health system, is now becoming more and more understood. In our study, we aimed to discuss the duties of social workers at PICU, the results of their work in harmony with the physicians, and their importance for the intensive care team.
Material and Methods: Sixtysix children aged between 1 month and 18 years old who were asked for social service consultation between January 2019 and December 2020 at our hospital’s PICU were included in the study. The age, diagnosis, sex, marital status (married-divorced), number of days of hospitalization, number of recurrent hospitalization, reason and result of consultation, necessity of psychiatric consultation and frequency of follow-up were retrospectively examined and recorded through the hospital information system. The collected data were analyzed by means of SPSS (version 22.0, SPSS Inc. Chicago, IL, USA).
Results: The median age (months) (min-max) was found to be 172, 50 (6-209), and the median (min-max) duration of hospitalization (days) was found to be 2 (1-76). Family neglect was found to be the most common cause of social work indications (77.3%; n: 51). The number of patients who were given social counseling and referred to a psychiatrist was 25 (37.9%). Family neglect and abuse were detected in 5 (7.6%) patients. Apart from these, it was observed that problems such as drug supply, financial support, ID application, home device supply assistance, care center approvals and child custody were solved in each 1 (1.5%) patient.
Conclusion: The inclusion of social workers in the children’s intensive care unit teams can also prevent many social problems that can be neglected otherwise. Physicians are more focused on patient treatment, so we believe that it will be beneficial to question the family and social status of patients together with a social service unit and specialists integrated into children’s intensive care units.
Anahtar Kelimeler
social workers pediatric intensive care unit Child psychiatry Child abuse
Kaynakça
- 1) Saxe Zerden L MSW, PhD, Lombardi BM MSW, PhD, Jones A MSW, PhD. Social workers in integrated health care: Improving care throughout the life course. Soc Work Health Care. 2019;58(1):142-149.
- 2) National Association of Social Workers. Code of Ethics of the National Association of Social Workers. Washington, DC: NASW Press; 2017
- 3) Republic of Turkey Ministry of Health. Regulation of inpatient treatment institutions, 5, Vol: 22, p. 2889, Art. 35. October 20, 2016.
- 4) Bureau of Labor Statistics. Occupational outlook handbook: social workers. 2015. Available at: http://www.bls.gov/ooh/community-and-social-service/social-workers.htm. Accessed April 22, 2017.
- 5) S. Bekiroglu. Social worker employment in the field of medical social work in Turkey. Social Work Symposium 2015; 50th Anniversary of Social Work Practice in Turkey: Glorifying Human Values and Dignity, Manisa. January 2016.
- 6) Sexton J, Thomas E, Helmreich R. Error, stress, and teamwork in medicine and aviation: cross sectional surveys. BMJ. 2000;320(7237):745–9.
- 7) Rafferty A, Ball J, Aiken L. Are teamwork and professional autonomy compatible, and do they result in improved hospital care? Qual Health Care. 2001;10(Suppl II):ii32–7.
- 8) Ostadhashemi L, Arshi M, Khalvati M et al. Social Workers in Pediatric Oncology: A Qualitative Study in Iranian Context. Asian Pac J Cancer Prev. 2019;20(6):1871-1877. Published 2019 Jun 1.
- 9) Thiel M, Mattison D, Goudie E, et al. Social Work Training in Palliative Care: Addressing the Gap [published online ahead of print, 2020 Sep 24]. Am J Hosp Palliat Care. 2020;1049909120960709.
- 10) Vorobtsova ES, Martynenko AV, Ovchinnikova SV. Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2020;28(2):270-274.
- 11) Keskin M, Sarı E, Şenel S. Evaluation of cases admitted to a tertiary center with intoxication. Turk J Clin Lab 2018; 9(2): 81-86.
- 12) Ceylan G, Keskin M, Sandal Ö, et al. Behcet Uz Pediatrics Journal. 2020; 10(3): 299-305
- 13) Ozdemir R, Bayrakci B, Tekşam O, et al. Thirty-three-year experience on childhood poisoning. Turk J Pediatr. 2012;54(3):251-259.
- 14) Aktepe E, Kocaman O, Işık A, et al. Evaluation of Child and Adolescent Psychiatry Consultation Services in a University Hospital. TAF Preventive Medicine Bulletin. 2013;12(5).
- 15) Ersoy Şimşek EG, Eyüboğlu D, Eyüboğlu M. Evaluation of Child and Adolescent Psychiatry Consultation Services in a University Hospital., Osmangazi Medical Journal, 2019;41(3): 248-256
- 16) Gökçen C, Çelik YÝ. The Evaluation Of Child And Adolescent Psychiatry Consultations from other Inpatient Clinics in a Training Hospital. Sakarya Med J. 2011;1(4):140-4
- 17) Emiroglu N, Aras S, Yalin S, Dogan Ö, Akay A. Evaluation of Child and Adolescent Psychiatry Consultation Services in a University Hospital for inpatients. Anadolu Psychiatrics Journal. 2009;10(3):217.
- 18) Göker Z, Güney E, Dinç G, et al. Evaluation of Child and Adolescent Psychiatry Consultation Services in a University Hospital. Turkish Journal of Pediatric Disease. 2014;8(1).
Öz
Amaç: Tüm sağlık sistemine entegre olmaya başlayan sosyal hizmet uzmanlarının rolü giderek daha iyi anlaşılmaktadır. Çalışmamızda, çocuk yoğun bakım ünitesinde (ÇYBÜ), sosyal hizmet uzmanlarının ÇYBÜ’deki görevlerini, hekim ile uyumlu çalışmasının sonuçlarını ve yoğun bakım ekibi için önemini tartışmayı amaçladık.
Gereç ve Yöntemler: Hastanemiz ÇYBÜ’de 2019 Ocak-2020 Aralık tarihleri arasında 1ay-18 yaş arası çocuk hastalardan, sosyal hizmet konsültasyonu istenmiş 66 hasta çalışmaya dahil edildi. Hastaların yaş, tanı, cinsiyet, aile durumu (evli-boşanmış), yatış gün sayısı, tekrarlayan yatış sayısı, konsültasyon nedeni ve sonucu, psikiyatri konsültasyonu gerekliliği ve takip sıklığı retrospektif olarak hastane bilgi sistemi üzerinden incelenerek kaydedildi. Toplanan veriler SPSS (version 22.0, SPSS Inc. Chicago, IL, USA) ile analiz edildi.
Bulgular: Hastaların yaşları (ay) median (min-max); 172.50 (6-209) ve median (min-max) yatış süreleri (gün); 2 (1-76) olarak bulundu. Sosyal hizmet endikasyonları arasında en sık nedenin aile ihmali ihtimalinin değerlendirmesi, suicid girişimleri ile psikiyatrik sorun tespiti açısından değerlendirilmesi (%77.3; n:51) olduğu tespit edildi. Sosyal danışmanlık verilen ve psikiyatri uzmanına yönlendirilen hasta sayısı 25 (%37.9)’du. 5 (%7.6) hastada aile ihmali ve istismar tespit edildi. Bunlar dışında 1 (%1.5)’er hastada, ilaç temini, maddi destek, kimlik başvurusu, ev tipi cihaz temini yardımı, bakım merkezi onamları alınması ve çocuğun vasi sorunu çözümü gibi sorunların çözüldüğü görüldü.
Sonuç: Sosyal hizmet uzmanlarının çocuk yoğun bakım ünitesi ekibine dahil edilmesi, gözden kaçabilecek birçok sosyal problemin de önüne geçmeyi sağlayabilir. Hekimlerin hasta tedavilerine daha çok odaklanması nedeniyle, çocuk yoğun bakım ünitelerine entegre olmuş bir sosyal hizmet birimi ve uzmanları ile beraber hastaların aile ve sosyal durumlarının sorgulanmasının fayda sağlayacağını düşünmekteyiz
Anahtar Kelimeler
sosyal hizmet uzmanı çocuk yoğun bakım ünitesi çocuk psikiyatrisi Çocuk İstismarı
Kaynakça
- 1) Saxe Zerden L MSW, PhD, Lombardi BM MSW, PhD, Jones A MSW, PhD. Social workers in integrated health care: Improving care throughout the life course. Soc Work Health Care. 2019;58(1):142-149.
- 2) National Association of Social Workers. Code of Ethics of the National Association of Social Workers. Washington, DC: NASW Press; 2017
- 3) Republic of Turkey Ministry of Health. Regulation of inpatient treatment institutions, 5, Vol: 22, p. 2889, Art. 35. October 20, 2016.
- 4) Bureau of Labor Statistics. Occupational outlook handbook: social workers. 2015. Available at: http://www.bls.gov/ooh/community-and-social-service/social-workers.htm. Accessed April 22, 2017.
- 5) S. Bekiroglu. Social worker employment in the field of medical social work in Turkey. Social Work Symposium 2015; 50th Anniversary of Social Work Practice in Turkey: Glorifying Human Values and Dignity, Manisa. January 2016.
- 6) Sexton J, Thomas E, Helmreich R. Error, stress, and teamwork in medicine and aviation: cross sectional surveys. BMJ. 2000;320(7237):745–9.
- 7) Rafferty A, Ball J, Aiken L. Are teamwork and professional autonomy compatible, and do they result in improved hospital care? Qual Health Care. 2001;10(Suppl II):ii32–7.
- 8) Ostadhashemi L, Arshi M, Khalvati M et al. Social Workers in Pediatric Oncology: A Qualitative Study in Iranian Context. Asian Pac J Cancer Prev. 2019;20(6):1871-1877. Published 2019 Jun 1.
- 9) Thiel M, Mattison D, Goudie E, et al. Social Work Training in Palliative Care: Addressing the Gap [published online ahead of print, 2020 Sep 24]. Am J Hosp Palliat Care. 2020;1049909120960709.
- 10) Vorobtsova ES, Martynenko AV, Ovchinnikova SV. Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2020;28(2):270-274.
- 11) Keskin M, Sarı E, Şenel S. Evaluation of cases admitted to a tertiary center with intoxication. Turk J Clin Lab 2018; 9(2): 81-86.
- 12) Ceylan G, Keskin M, Sandal Ö, et al. Behcet Uz Pediatrics Journal. 2020; 10(3): 299-305
- 13) Ozdemir R, Bayrakci B, Tekşam O, et al. Thirty-three-year experience on childhood poisoning. Turk J Pediatr. 2012;54(3):251-259.
- 14) Aktepe E, Kocaman O, Işık A, et al. Evaluation of Child and Adolescent Psychiatry Consultation Services in a University Hospital. TAF Preventive Medicine Bulletin. 2013;12(5).
- 15) Ersoy Şimşek EG, Eyüboğlu D, Eyüboğlu M. Evaluation of Child and Adolescent Psychiatry Consultation Services in a University Hospital., Osmangazi Medical Journal, 2019;41(3): 248-256
- 16) Gökçen C, Çelik YÝ. The Evaluation Of Child And Adolescent Psychiatry Consultations from other Inpatient Clinics in a Training Hospital. Sakarya Med J. 2011;1(4):140-4
- 17) Emiroglu N, Aras S, Yalin S, Dogan Ö, Akay A. Evaluation of Child and Adolescent Psychiatry Consultation Services in a University Hospital for inpatients. Anadolu Psychiatrics Journal. 2009;10(3):217.
- 18) Göker Z, Güney E, Dinç G, et al. Evaluation of Child and Adolescent Psychiatry Consultation Services in a University Hospital. Turkish Journal of Pediatric Disease. 2014;8(1).
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | ORIGINAL ARTICLES |
| Yazarlar | |
| Yayımlanma Tarihi | 7 Temmuz 2022 |
| Gönderilme Tarihi | 8 Mayıs 2021 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 16 Sayı: 4 |