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Family-centred services within Accident and Emergency Departments
1City University, Philpot Street, Whitechapel, London, United Kingdom. p.lee@city.ac.uk
Insights
Family-centered care, crucial for unwell children, needs broader application across all child health services. This review clarifies its nuances and essential nursing skills for enhanced family support.
Area of Science:
- Pediatric healthcare
- Nursing education
- Family support services
Background:
- Family-centered care (FCC) is well-established in pediatric nursing curricula.
- Recent policies advocate for FCC implementation across all child health services.
- Distinguishing FCC from 'family-friendly' care is essential.
Purpose of the Study:
- To examine the concept of family-centered care in pediatric settings.
- To explore the necessary skills for emergency department (ED) nurses working with children and families.
- To encourage a re-evaluation of existing child and family services.
Main Methods:
- Literature review and conceptual analysis.
- Examination of policy documents advocating for FCC.
- Skills assessment for ED nurses in family-centered practice.
Main Results:
- FCC principles require broader integration beyond nursing.
- Clear differentiation between family-centered and family-friendly care is identified.
- Specific nursing skills are crucial for effective family-centered care delivery.
Conclusions:
- Rethinking service delivery is vital for optimal child and family experiences.
- Enhanced understanding of FCC can improve healthcare quality.
- All ED nurses require specific skills to support children and their families effectively.
Abstract:
The concept of children and their families receiving family-centred care when the child is unwell is not new. Family-centred care has been examined extensively within children's nursing curricula. However, recent policy documents have suggested that all child health services, not just children's nursing, should be family-centred. The subtle differences between family-centred care and family-friendly care are identified. The skills for working with children are also examined in turn for all ED nurses. Whilst many ideas may not initially appear to be new or therefore innovative, a careful evaluation encourages individuals to rethink the services that they currently offer to children and their families.
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