Effects of family-centered care on the satisfaction of parents of children hospitalized in pediatric wards in a pediatric ward in Chaloos in 2012
Keywords:
Iran, Parents, Family-centered care, Nursing, PediatricAbstract
Background: Family-centered care (FCC) involves holistic care and requires cooperation with the family in planning, intervention, and the evolution of the care that is being provided. Many previous studies have provided results that indicate the importance of the family’s involvement in pediatric care, but there is still resistance in doing so within the organizational culture of the hospitals in Iran. The aim of this study was to determine the effects of FCC on the satisfaction of parents of children hospitalized in 2012 in the pediatric ward at Razi Hospital in Chaloos, Iran.
Methods: This Quasi-experimental study was conducted in 2012 in the pediatric ward at Razi Hospital in Chaloos, Iran. Seventy hospitalized children between the ages of 1 and 3 who suffered from diarrhea, vomiting, or pneumonia were selected through convenience sampling. They were divided randomly into two equal groups, a control group (routine care) and an experimental group (family-centered care). SPSS Statistics 14 software was used to analyze the data, and p<0.05 was considered to be significant.
Results: In the FCC group, the mean score of satisfaction among the parents of the children was 20 out of 90 before the intervention, but, after the FCC method was used, it increased to 83.2 out of 90. In addition, a significant difference was found between the scores of satisfaction for the control and experimental groups (p<0.001), and all parents of children in the experimental group expressed high satisfaction.
Conclusion: Our findings showed that the practice of FCC in caring for the sick children can increase the satisfaction of their parents significantly. The role of the family’s involvement is critical in every component of the intervention efforts, as shown by the constructs of participatory support, educational support, and psychological support. Thus, a notable implication here is that FCC may lead to increased quality of care and should be included in the educational programs of the nursing staff in pediatric ward
References
Australian Commission on Safety and Quality in Health Care (ACSQHC). Patient –Centered Care:
Improving Quality and Safety by Focusing Care on Patient and Consumer. 2010. Available from:
http://www.safety and quality.gov.au.
UNICEF. Levels and Trends in Child Mortality. World Health Organization Avenue Appia 20, 1211
Geneva 27, Switzerland. 2012.
Lemanske RF, Nayak A, Mcalary M, Everhard F, Flower- Taylor A, & Gupta N. Omalizumab improves
Asthma- releated Quality of life in children with Allergic Asthma. Pediatrics. Report 2002 Nov;110
(5):e55. PMID: 12415061.
Qidwaie W, Ashfaq T, Khoja AM., RWAF S, Karashi N, & Alnasir F. Access to person-centered care: A
perspective on status, Barriers, Opportunities and Challenges from the Eastern Mediterranean Region.
World Family Medicine J. 2012; 10(6): 4.
Shields L, Zhou H, Pratt J, Taylor M, Hunter J, & Pascoe E. Family-Centered Care for hospitalised children
aged 0-12 years. 2012. (Review) The Cochrane library. Issue 12. Published by JohnWiley & Sons, Ltd.
Cochrane Database Syst Rev. 2012 Oct 17;10:CD004811. doi: 10.1002/14651858.CD004811.pub3. PMID:
Saunders RP, Abraham MR, Crosby MJ, Thomas K, Edwards WH. Evaluation and development of
potentially better practices for improving family-centered care in neonatal intensive care unit. Pediatrics. 2003; 111(4): 437-49. PMID: 12671164.
Ronald L, Hickman J R., & Douglas SL. Impact of Chronic Critical Illness on the Psychological Outcome
of Family Members. AACN Adv Crit Care. 2010; 21(1): 80-91. doi: 10.1097/NCI.0b013e3181c930a3.
PMID: 20118707. PMCID: PMC3037826.
Roy Grant Ma. Chronic illness and school performance. A literature review Focusing on Asthma and
Mental Health Conditions, Children Health Fund. New York, NY. 2010.
Coyne L., O’Neill C, Murphy M., Costello T & O’Shea R What does family-centered care mean to nurses
and how do they think it could be enhanced in practice. J Adv Nurs. 2011; 67(12): 2561-73.
doi:10.1111/j.1365-2648.2011.05768.x. PMID: 21771044.
Kuo DZ, Houtrow AJ, Arango P, Kuhlthau KA, Simmons JM, Neff JM. Family – centered care: Current
Applications and Future Directions in Pediatric Health Care. Matern Child Health J. 2012; 16(2): 297-305.
doi: 10.1007/s10995-011-0751-7. PMID: 21318293. PMCID: PMC3262132.
Institute for Patient & Family Centered Care (IPFCC). 2010. Available from:
http://www.ipfcc.org/faq.html.
Green SB. Significance of the philosophy of family-centered care in the school of Nursing scholarly works,
paper 49. 2008; Available from: http:// digital commons. Uconn. edu/ son_ articles//49.
Bowden V & Greenberg CS. Pediatric nursing procedures .3th ed.). Philadelphia: Lippincott, Williams &
Wilkins; 2012.
Wong D L, Hockenberry MJ. Wong’s Nursing Care of Infants and Children, 8th ed. St. Louis, Mosby Co;
Lemeshow, S. Adequacy of sample size in health studies. New York, NY: Wiley on behalf of the World
Health Organization; 1990.
Johnson BH. Family-centered care: Facing the new millennium. Interview by Elizabeth Ahmann. Pediatr
Nurs. 2000; 26(1): 87-90. PMID: 12026323.
Galvin E, Boyers L, Schwartz PK, Jones MW, Mooney P, Warwick J, Davis J. Challenging the percept of
family-centered care: testing a philosophy, Pediatr Nurs. 2000; 26(6): 625-32. PMID: 12026366.
Marino BL, & Marino EK. Parents report of children hospital care: what it means for your practice. Pediatr
Nurs. 2000; 26(2): 195-8. PMID: 12026276.
Rappaport D, Cellucci MF, Leffler M G. Implementing Family-Centered Rounds: Pediatric Residents’
Perceptions. Clin Pediatr (Phila). 2010; 40(3): 228-34. doi: 10.1177/0009922809346568. PMID:
Mitchel M, Chaboyer W, Burmeister E, & Foster M. Positive Effects of a Nursing Intervention on Family- Centered Care in Adult Critical Care. Am J Crit Care. 2009; 18(6): 543-53. doi: 10.4037/ajcc2009226.
PMID: 19880956.
American Academy of Pediatrics Committee on Hospital Care. Family-centered care and the pediatrician’s
role. Pediatrics. 2013; 129(2): 394.
Aronson PL, Yau J, Helfaer M.A, & Morrison W. Impact of family presence during pediatric intensive care
unit rounds on the family and medical team. Pediatrics. 2009; 124(4): 1119-25. doi: 10.1542/peds.2009- 0369. PMID: 19736262
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