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Published on: January 7, 2020
Family centered care within an infant-toddler unit
Annmarie Neal1, Michelle Frost, Janna Kuhn
1Arkansas Children's Hospital, Little Rock, USA.
Insights
Family-centered care (FCC) in pediatric nursing showed parents were more satisfied than staff. Key concerns for parents were education and pain assessment, while staff focused on the unit environment.
Area of Science:
- Pediatric Nursing
- Healthcare Quality Improvement
Background:
- Family-centered care (FCC) is a cornerstone of pediatric nursing practice.
- Evaluating parent and staff perceptions of FCC is crucial for quality improvement.
Purpose of the Study:
- To assess parent and staff perceptions of family-centered care on an inpatient infant-toddler unit.
- To identify areas of strength and opportunities for improvement in FCC delivery.
Main Methods:
- Adapted Institute of Family Centered Care survey tools.
- Collected data from 38 parents and 75 staff members on perceptions of FCC.
- Evaluated parent and staff views on environment, nursing care, education, communication, and respect.
Main Results:
- Parents reported significantly higher satisfaction with FCC compared to staff.
- Parents identified concerns regarding educational support and pain assessment.
- Staff expressed more negative perceptions, particularly concerning the unit environment.
Conclusions:
- While parents are generally satisfied, targeted improvements in education and pain management are needed.
- Addressing staff concerns about the unit environment is essential for enhancing FCC delivery.
- Findings informed staff education and implementation of environmental and care improvements.
Abstract:
Family centered care (FCC) is an essential component of pediatric nursing. A unit-based FCC Committee was charged with evaluating care on an inpatient infant-toddler unit. The committee adapted the Institute of Family Centered Care survey tools and used them to evaluate parent and staff perceptions of FCC care provided on the unit. The survey tools covered the following areas: environment, nursing care, education, communication, and respect and equality. A convenience sample of 38 parents and 75 staff completed surveys. Families provided significantly more positive responses than the staff did, indicating overall satisfaction with the care received. However, they did identify concerns about educational issues and pain assessment. In contrast, the staff reported more negative perceptions regarding the delivery of FCC, and their primary concern was the unit environment. The FCC Committee used the findings from the survey to first educate the staff and then implement changes to improve the environment and the care delivered.
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