¶ … Family centered care is a noble belief deeming family members and health care staff as equal partners and working collectively to address the needs of the kid. Competency rises when a system synergizes as nurses and patient / family member's honors each other's commitment to heath care. Patient family centered care is a continuous process in order to address the needs and duties of families (St. Jude Children's Hospital, 2014).
Words and concepts that describe this phenomenon
Dignity, respect, information sharing, participation and teamwork
Identifying terms (concepts) that can summarize, label or name this phenomenon
Each family and child is different: Families have diverse backgrounds, life experiences, customs and traditions, education, cultural values and notions. Care should be facilitated equally to all patients whilst catering the choices and needs of each family (St. Jude Children's Hospital, 2014).
Open communication between family, patients and healthcare staff: It's productive to openly voice the positives and the negatives for enhancing and developing competent healthcare practices and policies. Hence open communication can certainly improve and augment patient / family's healthcare experience (St. Jude Children's Hospital, 2014).
Empowering family's role in healthcare: When parents and patients realize their relevance in healthcare, they can play a more pivotal role in child's healthcare (St. Jude Children's Hospital, 2014).
Families play an equal role in quality and safety in a healthcare system: Working collectively, the staff and families have diversified understanding about healthcare and share valuable knowledge (St. Jude Children's Hospital, 2014).
List of definitions that most closely relate to Family Centered Care
Dignity: a manner of showing self-respect and seriousness (Merriam-Webster, 2014).
Respect: a sense of admiration for a person or a thing (Merriam-Webster, 2014).
Involvement: being included (a person or a thing) in something (Merriam-Webster, 2014).
Collaboration: to work with more than one person for attaining an objective (Merriam-Webster, 2014).
Beliefs and thoughts of others in the discipline regarding Family Centered Care
Common characteristics and aspects of FCC:
According to IPFCC, FCC is defined as 'a method for planning, delivering and evaluating healthcare which is based on beneficial alliance between families, patients and healthcare providers' (http://www.i FCC.org / faq.html). It's a shift in paradigm for healthcare providers for empowering better healthcare decision making.
The evidence is lucid pertaining FCC concept and its attributes of patient alliance. The writer has explained the outcomes of the overall review by describing:
Outcomes of FCC
Repetitive theme has shown that FCC is based around the fundamental relationship of patient / family and healthcare providers. This key relationship grows from caring, trusting and balancing off power. The key aspects of this relationship are:
Dignity and mutual respect
Information and sharing of knowledge
Shared decision making
Realization of patient / family as essential contributors (Mastro, Flynn, and Preuster, 2014).
Precursors for FCC:
This mixed evidence sheds some light on the various phases by which FCC can be understood. Developing and fortifying a caring and trustworthy association along with balancing of power should take place for instituting FCC in an acute care setting. Trust must persevere and power differentials must be removed for patient / family to involve in care. Removing power differentials is essential for facilitating information exchange and knowledge sharing. By active involvement, patient / family becomes empowered. Lastly, an empowered patient / family environment results in better healthcare decision making (Mastro, Flynn, and Preuster, 2014).
Framework of FCC: FCC development phases and nurses' activities
Respect and Self-respect:
At the core of FCC and a basic principle of balancing of power, literature indicates that nurses should show a level of respect for patient / family and retain their respect during the course of hospitalization. It can entail many actions for instance, listening to family's opinion and choices (Mastro, Flynn, and Preuster, 2014).
Caring, trusting, and balancing of power:
The relevance of a caring, trustworthy and balancing of power is applicable to the entire healthcare staff.
A strong alliance is formed when nurse and patient / family collectively take decisions. Although the concept isn't new, yet it hasn't been implemented in acute care hospitals due to lack of awareness (Mastro, Flynn, and Preuster, 2014).
Engagement, Empowerment, and Partnership:
The prime concept of FCC is the alliance between patients / families during the course of patient care. According to the literature, there are three activities which the nurses can employ to augment family / patient care and engagement:
Patient / family-based communication
Bedside shift report
Patient / family-based multidisciplinary rounds
It's important for the nurse to deal with the patient / families in a patient centered manner. A researcher has defined patient centered communication (PCC) consisting of:
Listening (Mastro, Flynn, and Preuster, 2014).
Immediacy pertains to behavior where the nurse is mentally attentive and physically present to the patient at hand. Usage of humor can boost relationship with families and patients and cut down moments of immense anxiety (Mastro, Flynn, and Preuster, 2014).
The bedside shift report builds patient / family relationship where patient / family is instrumental in furnishing input on shift to shift hand off. Including patient / families in care can furnish concrete data for instance, one researcher concluded that taking input from parents while determining the pain level of a child showed plausible differences in family's and staff's perception level (Mastro, Flynn, and Preuster, 2014).
Results of FCC:
Nine quantitative researches showed the results of FCC. Out of nine, five employed a quasi-experimental design. One research was based in Pakistan, while other eight were based in U.S.. Indicators of FCC processes consist of:
Family centered rounds
Bedside nursing shift report
Staff's behavior regarding patient centered communication
Parent / patient involvement in care
In case of patient / family outcome, the relevant factors are:
Parent perceived stress
Emotional state of parents
Willingness to learn
Health system outcomes are based on hospital charges and duration for family-based rounds. The staff outcomes consist of:
Staff's notion about FCC
Comprehending patient care plan
Notions of teamwork
Contentment with bedside change of shift report
The research didn't include FCC processes and patient safety relationship (Mastro, Flynn, and Preuster, 2014).
Strategies and resources for FCC
In their research, Dokken and Ahmann (2012) focused on rising to the organizational and attitudinal challenges in order to put family centered care in effect. Strategies and resources for the nurses to make use of are given below. They consist of three categories:
Educating the team about patient and family centered care
Educating the colleagues in order to generate awareness and understanding
Developing proper infrastructure with the help of top management
For promoting these methods, many organizations which have implemented this are mentioned as well as their learning and reports from applying these practices are also mentioned (Dokken and Ahmann, 2012).
The 1st strategy: Personal and team education
Most physicians deem that they practice and implement, patient and family centered care, but in reality, they aren't aware about the core concepts. A supporter of patient and family centered care needs to be well informed about methods regarding patient and family centered care. Apart from this, he must be well aware of the patient and family centered care implemented in top organizations (Dokken and Ahmann, 2012).
During the course of organization change, its handy to create a core team for educating the team members and transmit the knowledge to colleagues as well (Dokken and Ahmann, 2012).
Taking an initiative
For initiating an action, the team can make an evaluation of the changes needed to make in an organization and note its strengths as well. IPFCC provides a free of cost evaluation manual, Strategies for Leadership - Patient- and Family- Centered Care: A Hospital Self-Assessment Inventory. The evaluation will take certain aspects in consideration as written below (Dokken and Ahmann, 2012):
Are families entertained round the clock; during when nurses shifts change, rounds and procedures and resuscitation?
Is the environment family friendly or it shuts them out for instance unwelcoming signs and absence of family space?
Is input taken from children and family members in various ways?
Fellows from the small multidisciplinary team can play their part in this form of evaluation. Apart from that, including the family members in the team can also take their input in consideration as they have relevant experiences pertaining patient and family centered care (Dokken and Ahmann, 2012).
Useful resources for familiarizing with concepts
The team or an individual can amass information and data relevant to patient and family centered care…
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