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How should we understand family-centred care?

Suzanne Uniacke1, Tamara Kayali Browne1,2, Linda Shields3,4

  • 11 School of Humanities and Social Sciences, Faculty of Arts and Education, Charles Sturt University, Canberra, Australia.

Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community
|January 20, 2018
PubMed
Summary

Family-centered care for hospitalized children requires clear understanding to differentiate it from other models. Some interpretations, particularly viewing the family as the sole unit of care, can conflict with a child

Keywords:
Children’s rightscritical thinkingethicsfamily-centred careparents

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Area of Science:

  • Pediatric Healthcare
  • Family-Centered Care Models
  • Child Hospitalization

Background:

  • Family-centered care is a widely preferred model for hospitalized children.
  • A clear understanding is needed to differentiate it from other healthcare ideals and evaluate its appropriateness.
  • Existing interpretations can lead healthcare professionals in conflicting directions.

Purpose of the Study:

  • To critically analyze the concept of family-centered care for hospitalized children.
  • To identify and distinguish various interpretations of family-centered care.
  • To evaluate the implications of different interpretations on clinical practice and child welfare.

Main Methods:

  • Conceptual analysis of family-centered care literature.
  • Identification of distinguishable interpretations of the model.
  • Critical evaluation of these interpretations in the context of hospitalized children's care.

Main Results:

  • Several distinguishable interpretations of family-centered care exist.
  • Some interpretations are not significantly different from earlier models like parental participation.
  • A prominent interpretation viewing the family as the 'unit of care' is ambiguous and problematic.
  • This interpretation can lead to clinical actions not prioritizing the child's best welfare.

Conclusions:

  • A critical understanding of family-centered care is essential for its proper evaluation.
  • The interpretation of the family as the sole 'unit of care' presents significant challenges.
  • This approach raises complex questions regarding healthcare professionals' responsibilities and authority.
  • Ensuring the hospitalized child's welfare must remain paramount in all care models.