Thai nurses’ perceptions and practices of family-centered care: The implementation gap

Translation and cultural adaptation of the Family Centered Care Assessment Scale (FCCAS) for Finnish pediatric nursing

“…FCC can be difficult to implement in pediatric nursing (Harrison, 2010;Kuo et al, 2012;O'Connor et al, 2019;Smith, 2018), with the most common barriers including ambiguities in parental and professional roles (Butler et al, 2014;Mikkelsen & Frederiksen, 2011;Prasopkittikun et al, 2020), an unsupportive organizational culture (Prasopkittikun et al, 2020), and differences between various definitions of FCC (O'Connor et al, 2019). A clear understanding of FCC, along with the education of professionals, promote FCC implementation (Akkus et al, 2020;O'Connor et al, 2019).…”

Family‐centred care change during COVID‐19

“…In Thailand, nurses' perceive FCC as a Western concept, with nurses' attitudes towards their roles, and a nursing shortage being obstacles to implementing FCC 18 . Moreover, family needs, individuality and the Thai health care system further impact successful implementation of FCC 18,22 . Neonatal nurses have questioned whether the implementation of FCC in the NICU can contribute to changes in practice and organizations 23 …”

“…Differences in values and beliefs surrounding family, parenting, health and health‐care are culturally sensitive and impact how FCC is enacted, especially in neonatal critical care 14–16 . In Thailand, the FCC concept has emerged into overarching models of care policy in neonatal care units 17 ; however, paediatric nurses have indicated that they have difficulty incorporating FCC into daily practice 18 . The role and responsibilities of Thai NICU nurses include administration of supportive and interventional therapies, such as medications and nutrition, and baby care routines focussed on growth and developmental processes 19 .…”

“…In Thailand, nurses' perceive FCC as a Western concept, with nurses' attitudes towards their roles, and a nursing shortage being obstacles to implementing FCC 18 . Moreover, family needs, individuality and the Thai health care system further impact successful implementation of FCC 18,22 .…”

Family Centered Care Intervention Effectively Reduces Parental Anxiety in Perinatologyy Ward

“…It is not easy to implement FCC, especially in busy areas of practice. Knowing FCC concept through lectures and workshops, nurses cannot automatically apply theories (6) (7). Not all health teams are willing to make behavioral changes in Family Centered-Care approach, with justification that they follow hospital rules that have not made changes to support FCC, such as limiting family attendance, limiting family participation in bedside rounds or during procedures for giving treatment (8).…”