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Models of partnership within family-centred care in the acute paediatric setting: a discussion paper
Christine Dennis1, Pamela Baxter1, Jenny Ploeg1
1School of Nursing, McMaster University, Hamilton, Ontario, Canada.
Insights
Exploring partnership models in family-centred care is crucial for acute pediatric settings. Further research should examine strategies, barriers, and facilitators to improve parent engagement and culturally diverse approaches.
Area of Science:
- Pediatric Healthcare
- Family-Centered Care
- Partnership Models
Background:
- Healthcare practitioners recognize family-centered care but face challenges in practical application and terminology.
- Strategies for engaging and supporting parents in partnership relationships within family-centered care require further investigation.
- A deeper understanding of partnership concepts is essential for implementing family-centered care effectively in clinical practice.
Purpose of the Study:
- To critically analyze partnership models within the context of family-centered care in acute pediatric settings.
- To explore the concept of partnership in pediatric healthcare to improve implementation and support exemplary care.
- To identify suitable partnership models that align with family-centered care principles.
Main Methods:
- A discussion paper synthesizing existing literature.
- An extensive electronic literature search from January 2000 to December 2014 across multiple databases (CINAHL, Medline, EMBASE, Sociological Abstracts, PsychINFO).
- Inclusion of eight partnership models relevant to the acute pediatric setting based on defined criteria.
Main Results:
- One partnership model demonstrated high maturity and strong alignment with family-centered care principles.
- Current partnership models predominantly originate from Western, developed countries.
- A significant need exists for more geographically, culturally, and economically diverse partnership models.
Conclusions:
- Nurses should investigate partnership further in pediatric contexts due to varied definitions and a need for clearer operational indicators and relational statements.
- Further examination of strategies, barriers, and facilitators is recommended to enhance partnership in pediatric care.
- Future partnership models must incorporate greater diversity to be relevant globally.
Aims:
A discussion of partnership in the context of family-centred care in the acute paediatric setting, through a critical analysis of partnership models.
Background:
Paediatric healthcare practitioners understand the importance of family-centred care, but struggle with how to translate the core tenets into action and are confused by several rival terms. Partnering relationships are included in definitions of family-centred care, yet less is known about strategies to fully engage or support parents in these partnerships. A rigorous examination of concepts embedded in family-centred care such as partnership may provide a better understanding of how to implement the broader concept and support exemplary care in today's clinical practice environment.
Design:
Discussion paper.
Data Sources:
Electronic search (January 2000 - December 2014) performed on CINAHL, Medline, EMBASE, Sociological Abstracts and PsychINFO using keywords partnership, family-centred care and conceptual framework. Eligible references were drawn from the databases, reference lists and expert sources. Eight models met inclusion criteria and had currency and relevance to the acute paediatric setting.
Implications For Nursing:
Nurses should continue exploring partnership in various paediatric contexts given the wide-ranging definitions, lack of operational indicators and need for stronger relational statements in current models. An examination of key strategies, barriers and facilitators of partnership is recommended.
Conclusion:
One partnership model had both high overall maturity and best fit with family-centred care principles. All models originate from Western and developed countries, indicating that future partnership models should be more geographically, culturally and economically diverse.
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