Børn med psykosomatiske symptomer og deres perspektiv i sygeplejerskens dokumentation
Sammanfattning
Inadequate patient perspectives in nursing documentation may have negative consequences for the care of the patient. In particular, when caring for children with psychosomatic symptoms, the children’s own perspectives should be heard. This retrospective, observational study investigated the 11-15 year old, psychosomatic children’s perspectives in the nursing documentation on socio-demographic factors and four psychosocial categories: emotional, relational, school, and sleep. Data was collected from 30 nursing journals from a paediatric unit at a Danish university hospital. The study showed that the children’s perspectives appeared in less than half of the psychosocial documentations. The documentation of the sleep, school, and relational aspects varied greatly. The children’s perspectives on sleep aspects counted for 70.4 % of the documentation whereas the parents’ perspectives predominantly concerned school aspects. The documentation of relational aspects counted for less than 10 %. Children with psychosomatic symptoms are vulnerable and need special attention by nurses and other professionals. Guidelines for psychosocial documentation are needed to strengthen the quality of nursing documentation and care.