Family-centered care in a pediatric intensive care unit: professionals’ perceptions

Abstract

Objective: to identify the professionals' perception regarding family-centered care. Methods: this is a crosssectional descriptive study with 60 professionals from a pediatric intensive care unit. The Brazilian Family-Centered Care Perception instrument was applied. Data were analyzed using descriptive and analytical statistics, Student's t-test and Mann-Whitney test were used to compare variables. Results: the mean of the familycentered perception of care was 2.93 (±0.27), the median of 2.90, a maximum score of 3.50 and minimum of 2.30. Most professionals (60.0%) considered that family-centered care is sometimes practiced. The mean scores did not have statistically significant differences between the characterization variables of the team. Conclusion: perception of care distant from the recommendations of an extended care that aggregate the child and his family. Descriptors: Pediatric Nursing; Child; Family; Critical Care. Objetivo: identificar a percepção dos profissionais com relação ao cuidado centrado na família. Métodos: estudo descritivo transversal com 60 profissionais de uma unidade de terapia intensiva pediátrica e aplicou-se o instrumento Percepção do Cuidado Centrado na Família-Equipe versão brasileira. Os dados foram analisados a partir da estatística descritiva e analítica, utilizou-se o teste t-Student e o teste de Mann-Whitney para comparação entre as variáveis. Resultados: a média do escore de percepção do cuidado centrado na família foi 2,93 (±0,27), mediana de 2,90, escore máximo de 3,50 e mínimo de 2,30. A maioria dos profissionais (60,0%) considerou que o cuidado centrado na família às vezes é praticado. Os escores médios não apresentaram diferenças estatisticamente significantes entre as variáveis de caracterização da equipe. Conclusão: percepção de cuidado distante das recomendações de um cuidado ampliado que agrega a criança e sua família.

Mães de bebê mal formado: percepção sobre orientações de enfermeiro

“…It should be emphasized that effective communication with the family, especially the mother, favors the establishment of a bond, allowing the effective sharing of information necessary for the increase of maternal selfconfidence for home-based care. 12 It was found that the daily supply of medication to the child may generate in the mothers several doubts associated with this type of therapy, such as those affected by hydrocephalus, where the use of the anticonvulsant is essential to avoid the occurrence of seizures. One can minimize the feeling of insecurity present among family members of children in need of drug treatment at home through clarification, ranging from the effect of the drug in the child's body to the correct form of storage.…”

The care provided by the family to the premature newborn: analysis under Leininger’s Transcultural Theory

“…The positive effects of the practice of FCC in the neonatal environment are related to the decrease in the neonate's length of stay in the Neonatal Intensive Care Unit and readmissions, increased bond between NB and family, greater adherence to the kangaroo method and increased breastfeeding rates, beyond reducing parental stress and increasing self-confidence in the work performed by health professionals (10)(11) . In addition, when parents have unrestricted access to their child's hospitalization and can follow all the procedures, they are able to better accept their health condition (12) .…”

Family centered care and practice in the neonatal intensive care unit

“…The beneficial effects of family centered practice in the neonatal context, an area where the approach is gaining strength, are directly related to reduced parental stress and increased self-confidence at work, decreased length of hospital stay and rehospitalization, greater adhesion to the kangaroo method, strengthening the bond between newborn and family, and increased rates of breastfeeding (5)(6) .…”

“…The health team working in a neonatal intensive care unit shows greater attention to family centered care (1)(2)5) . In view of this, the following question arises: what is the real understanding of the members of the nursing team, who act directly with the patient and his family, on family centered care in a neonatal intensive care unit?…”