A Survey of Nurses’ Practices and Perceptions of Family-Centered Care in Ireland

Abstract

Family-centered care (FCC) is a philosophy of care that recognizes the family's central role in the child's life and in the delivery of care. We used a survey design to investigate the practices and perceptions of nurses toward FCC in Ireland. Data were obtained from 250 nurses in seven hospitals using the Family-Centered Care Questionnaire-Revised (FCCQ-R). Findings indicated that nurses' practices were significantly different from their perceptions of FCC. Nurses with dual registration (children and adult) had significantly lower mean scores on the total current (practice) scale than the other registration subgroups. Nurses with a baccalaureate or a higher academic qualification had higher mean scores than nurses who held a certificate-level qualification on the total necessary (perception) scale, which assessed the activities perceived to be necessary for FCC. Findings showed that nurses support FCC but perceive the design of the health care system and parent-professional collaboration as barriers to FCC practice.

Involving Parents in Managing Their Child's Long-Term Condition—A Concept Synthesis of Family-Centered Care and Partnership-in-Care

“…Valuing parents' knowledge and experiences  Know the family and developing effective parent-professional relationship (Davies, 2012;Murphy & Fealy, 2007)  Collaborate and share decisions about child's care (Coyne, 2011;MacLean et al 2007)  Effective communication skills (MacKean et al 2005)  Build trust, listen to parent concerns, value parents knowledge of their child (Fereday, et al 2010;Ford, 2011)  Respecting and being sensitive to individual family's context (Raghavendra, et al 2007) Supporting parents in their role as care giver  Provide opportunities for information sharing (Bruce, et al 2002;Coyne, 2011;Coyne, 2013b;Holm, et al 2003;Koller, 2006;)  Facilitate parents to involved in the child care; clarify and negotiate roles (Coyne, 2011;Holm, et al 2003;Hughes, 2007)  Professionals have and share specialised knowledge to support family (Davies, 2012)  Design services round the child and family needs (Bruce, et al 2002)  Maintain contact and going support (Coyne & Cowley, 2007;Ford, 2011)  Mutual exchange of information about the child's specific health issues (Ford, 2011;Lam, et al 2006;Lee, 2007) Incorporating parents' expertise into clinical and psychosocial care…”

“…Figure 3 illustrates that the key antecedents of family-centred care and partnership-in-care identified through in our concept synthesis are: a theory-practice gap, unclear roles and boundaries, entrenched professional practices and attitudes towards working with families, and lack of organisational or managerial guidelines or policies specifically aimed at supporting the implementation of patient-centred care.  Gap exist between theory and practice (Coyne, 2011;Coyne et al 2013b;Hughes, 2007;Murphy & Fealy, 2007)  Operationalising family-centred care is hindered by individual health professions attitudes towards, values and perception of and family-centred care (Ladak et al 2013;Maccdonald et al 2012)  Unclear roles and boundaries between parents and health professionals, entrenched professional practices with health professionals retaining role of decision maker, care prescriber and care giver (Bridgeman, 1999;Bruce et al 2002;Coyne, 2013a;Hughes, 2007;Murphy & Fealy, 2007;Paliadelis, et al 2005)  Inadequate nursing assessment and documentation relating to role negotiate; lack of knowledge and skills in relation to implementing family-centred care; operates without effective sharing of information, and collaboration or negotiation with families (Bruce et al 2002;Coyne 2013a;Holm, et al 2003;MacKay & Gregory, 2011)  Lack of organisational, managerial support, guidelines or policies hinders the implementation and consistency of embedding family centred care in practice of familycentred care (Coyne, 2011;Davies 2013, Coyne 2013bMacKay & Gregory, 2011MacKean et al 2005)  The design and organisation of the care environment can be facilitator or a barriers to embedding family to care into practice (Beck, 2009;Coyne et al 2013b;Coyne, 2011;Koller et al 2006;Bruce et al 2002)  Model outdated and does not reflect current practice' partnership professional rather tha...…”

Family centered care in emergency departments: perception of brazilian nurses and doctors

“…8,[10][11][12] In the Brazilian context, FCC is still incipient, has not been implemented in the health services nor discussed in vocational training. This brings up the following question: What is the perception that Brazilian doctors and nurses working in emergency units have about the FCC?…”

Systematic review of measurement properties of instruments assessing nurses’ attitudes towards the importance of involving families in their clinical practice

“…A total of 19 studies were included in this systematic review reporting on the following five instruments used to assess nurses’ attitudes towards the importance of involving families in their clinical practice: Families’ Importance in Nursing Care: Nurses’ Attitudes (FINC‐NA) (Benzein, Johansson, Arestedt, Berg, Johansson, Arestedt, Berg, & Saveman, ; Blöndal et al, ; Hsiao & Tsai, ; Luttik et al, ; Pascual Fernández et al, ) and three further versions of the scale: a revised version (FINC‐NA‐R) (Gusdal, Josefsson, Thors Adolfsson, & Martin, ; Linnarsson, Benzein, & Årestedt, ; Saveman, Benzein, Engström, & Årestedt, ), a short version (FINC‐NA‐S) (Mackie, Marshall, Mitchell, & Ireland, ) and a modified Portuguese version (IFCE‐AE) (Oliveira et al., ). Family Nurse Practice Scale (FNPS) (Hsiao & Tsai, ; Simpson & Tarrant, ). Family Nurse Caring Belief Scale (FNCBS) (Meiers, Tomlinson, & Peden‐McAlpin, ). Family‐Centered Care Questionnaire (FCCQ) (Bruce & Ritchie, ) and a revised version (FCCQ‐R) (Alabdulaziz, Moss, & Copnell, ; Bruce et al, ; Caty, Larocque, & Koren, ; Coyne, Murphy, Costello, O'Neill, & Donnellan, ). Measure of Beliefs about Participation in Family‐Centered Service (MBP‐FCS) (Asai, ; King et al, ). …”