Aim Despite remarkable theoretical evidence of positive outcomes of patient and family‐centred care, it is rarely performed in the intensive care setting. The aim of this review was to assess the barriers to patient and family‐centred care among healthcare providers, patients and family members in adult intensive care units. Design A systematic review of both qualitative and quantitative studies. Methods The search strategy sought for published peer‐reviewed research papers limited to English language from conception to 2018. The review protocol was registered in the CRD Prospero database (CRD42018086838). Literature search was carried out in four databases: EMBASE, Cochrane Library, PubMed and Scopus where keywords “barriers,” “patient and family centered care,” “patient‐centered care” and “intensive care unit” appeared in any part of the reference. Hand search of reference lists of identified papers was also done to capture all pertinent materials. Each study was assessed by three independent reviewers against the inclusion criteria. Evidence was graded according to sampling quality, quantity and measurement of intended outcomes. Screening of studies and citations resulted in seven studies that were included in the analysis. Results Barriers to patient and family‐centred care broadly fall under four categories; lack of understanding of what is needed to achieve patient and family‐centred care, organizational barriers, individual barriers and interdisciplinary barriers.

The benefits of adherence to optimal infant and young child Background: feeding (IYCF) to both the mothers and their infants below two years are well documented. However, compliance to optimal IYCF practices has been noted to vary in different settings. This study sought to establish factors influencing mothers' adherence to optimal infant and young child feeding practices for babies below two years in Mpigi town council-Mpigi District.The study was a cross-sectional study carried out among 264 Methods: mothers of babies between six months to two years of age attending postnatal care units of health facilities in Mpigi town council, Uganda: Mpigi Health Center (HC) IV and Kyaali HC III. Purposive sampling method was used to select the health centers while simple random sampling was then used to select the sample from the selected centers. A self-administered questionnaire was used to collect data. Data entry and analysis was performed using SPSS version 16. 264 participants were invited to participate in the study, 100% of these Results: fully completed the survey. The majority of the mothers were aged 20 to 34 years (80.3%). After scoring each participant using the four characteristics which included: initiation of breastfeeding within the first hour following birth, exclusive breastfeeding up to 6 months followed by continued breastfeeding with appropriate complementary foods upto 2 years and beyond, the majority of the participants were adherent (79.6%) to IYCF practices while 20.4% were non adherent to IYCF practices.A good estimate of adherence to optimal IYCF practices was Conclusion: revealed in this study. Sustaining well-established policies to support IYCF programmes is recommended to maintain optimal IYCF practices.