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Understanding the Implementation of Family-Centered Care in COVID-19 Isolation Rooms Through Pediatric Nurses'
Siti Wahyuni1, Dessie Wanda2, Happy Hayati2
1Sardjito Hospital, Sinduadi, Mlati, Sleman, Di Yogyakarta, Indonesia.
Insights
Nurses found implementing family-centered care (FCC) challenging in pediatric COVID-19 isolation rooms. Effective communication strategies were crucial for improving psychological well-being and family involvement, highlighting FCC
Area of Science:
- Pediatric Nursing
- Infectious Disease Care
- Family-Centered Care
Background:
- COVID-19 pandemic regulations strained family-centered care (FCC) in pediatric isolation settings.
- Nurses faced challenges implementing FCC, an approach supporting family strengths and parental involvement for optimal child health outcomes.
- Implementing FCC in pediatric isolation rooms during the pandemic presented unique difficulties.
Purpose of the Study:
- To explore nurses' experiences with implementing family-centered care (FCC) in isolation rooms for children with COVID-19.
- To understand the challenges and facilitators of FCC in a high-stakes pediatric infectious disease environment.
Main Methods:
- Qualitative descriptive study utilizing semistructured interviews.
- 11 nurses from three isolation rooms in an Indonesian tertiary hospital participated.
- Thematic analysis was employed to analyze transcribed interview data.
Main Results:
- Three key themes emerged: enhancing psychological well-being, fostering family engagement, and establishing communication protocols.
- Nurses identified specific strategies that supported FCC implementation despite isolation constraints.
- Communication emerged as a critical factor in successful FCC.
Conclusions:
- Effective communication is paramount for implementing family-centered care (FCC) in pediatric isolation rooms.
- The positive outcomes of FCC, particularly through enhanced communication, suggest its continued importance post-pandemic.
- Sustaining FCC principles in pediatric isolation care is recommended for improved patient and family experiences.
Background:
Even though the COVID-19 pandemic has passed, the implementation of regulations in pediatric isolation rooms during the COVID-19 pandemic put enormous pressure on the practice of family-centered care (FCC). For nurses in isolation rooms for children with COVID-19, it was a challenge to implement FCC, which is an approach to child health care that supports the strengths of families and increases the involvement of parents to provide the best care outcomes.
Objective:
This study aimed to explore nurses' experiences in implementing FCC in isolation rooms caring for children with COVID-19.
Methods:
A qualitative descriptive design was used based on semistructured interviews with 11 nurses who met the inclusion criteria and worked in 1 of 3 isolation rooms caring for children with COVID-19 in a tertiary hospital in Indonesia. Interviews were recorded and transcribed, then analyzed using thematic analysis.
Results:
Three themes were generated, including improving psychological well-being, encouraging family involvement, and making arrangements for communication.
Conclusions:
Communication was key to the implementation of FCC in pediatric isolation rooms, and it provided positive results, so it should continue to be implemented even after the pandemic has passed.
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