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Family Presence and Participation: Pediatrics Leading the Way ... And Still Evolving

Deborah Dokken, Kelly Parent, Elizabeth Ahmann

    Pediatric Nursing
    |October 17, 2015
    PubMed

    Insights

    Patient- and family-centered care, pioneered in pediatrics, emphasizes family involvement. Adult hospitals should adopt 24/7 family presence policies to foster true partnerships, enhancing patient care and decision-making.

    Area of Science:

    • Healthcare policy
    • Patient and family engagement
    • Pediatric healthcare innovation

    Background:

    • Patient- and family-centered care (PFCC) originated in pediatrics over 20 years ago.
    • Pediatric settings have historically led in supporting family presence and participation in care.
    • Many adult hospitals maintain restrictive visiting policies, hindering family-provider partnerships.

    Purpose of the Study:

    • To advocate for the universal adoption of 24/7 family presence in all hospitals, including adult settings.
    • To highlight the need for evolving policies and practices to strengthen family partnerships in healthcare.
    • To showcase successful models of family-centered care, such as that at C.S. Mott Children's Hospital.

    Main Methods:

    • Review of historical development and current state of PFCC in pediatric and adult care.
    • Analysis of the impact of hospital visiting policies on family engagement.
    • Promotion of the "Better Together: Partnering with Families" national campaign by the Institute for Patient- and Families-Centered Care (IPFCC).

    Main Results:

    • Pediatrics has consistently led in implementing PFCC principles.
    • Restrictive visiting policies in adult hospitals limit true family-provider partnerships.
    • The "Better Together" campaign encourages universal 24/7 family presence.

    Conclusions:

    • Continued evolution of policy and practice is necessary, even in pediatric settings, to strengthen family partnerships.
    • Adopting 24/7 family presence is crucial for fostering collaborative healthcare environments.
    • Implementing PFCC principles hospital-wide can enhance the patient and family experience.

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