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Dimensions, challenges, and improvement strategies of family-centered care in emergency pediatric settings: A
Arezoo Ghavi1, Zohreh Nabizadeh-Gharghozar2, Leila Valizadeh2
1Department of Nursing, Fe.C., Islamic Azad University, Ferdows, Iran.
Insights
Family-centered care (FCC) in pediatric emergency departments (PEDs) involves dimensions like emotional support and informed participation. Addressing challenges such as communication barriers and family dissatisfaction can improve care strategies.
Area of Science:
- Pediatric Emergency Medicine
- Healthcare Quality Improvement
- Family-Centered Care
Background:
- Family-centered care (FCC) is foundational in pediatric healthcare, emphasizing collaboration among providers, patients, and families.
- This study focuses on understanding FCC within the unique context of the pediatric emergency department (PED).
Purpose of the Study:
- To systematically explore the key dimensions of FCC in PED settings.
- To identify prevalent challenges encountered in implementing FCC in PEDs.
- To delineate effective strategies for enhancing FCC in pediatric emergency care.
Main Methods:
- A mixed-methods systematic review adhering to PRISMA guidelines.
- Comprehensive literature search across five major databases (Scopus, Web of Science, Proquest, PubMed, Science Direct) for studies published between 2010 and 2024.
- Quality assessment using Joanna Briggs Institute instruments and thematic analysis for data synthesis.
Main Results:
- Twenty-four studies were included, revealing FCC dimensions such as emotional support, coordination, informed participation, timely care, pain management, continuity, and a safe environment.
- Identified challenges include family dissatisfaction, managing family presence during procedures, limited psychosocial support, communication barriers, and research participation issues.
- Improvement strategies encompass enhanced communication, meeting emotional/social needs, system efficiency, innovative/virtual care, organizational changes, and creating supportive environments.
Conclusions:
- This review syntheses FCC dimensions, challenges, and improvement strategies within PEDs.
- Findings provide valuable insights for healthcare providers to enhance FCC decision-making and strategic planning in pediatric emergency settings.
Introduction:
Family-centered care (FCC) is a vital approach to pediatric care provision based on the useful collaboration of healthcare providers, patients, and patient families. This study aimed to explore the dimensions, challenges, and improvement strategies of FCC in the pediatric emergency department (PED).
Methods:
This mixed-methods systematic review was conducted using the Preferred Reporting Items for Systematic reviews (PRISMA). Literature search was performed in five online databases, namely Scopus, Web of Science, Proquest, PubMed, and Science Direct to find studies published in 2010-2024. Eligible quantitative, qualitative, and mixed-methods studies were included and reviewed. The quality of the selected articles was assessed using the instruments developed by the Joanna Briggs Institute. The data were analyzed and combined using thematic analysis.
Findings:
Four hundred and thirteen articles were identified, 24 of which were eligible for inclusion in the study. FCC dimensions were emotional support, coordination, informed patient and family participation in decision-making, timely and accurate care, pain management, continuity of care and transition, and a safe and child-centered environment. FCC challenges were family dissatisfaction, family attendance during invasive procedures, limited psychosocial support for families, communication barriers, and participation in pediatric research. FCC improvement strategies were communication improvement strategies, fulfillment of emotional and social needs, improving of system efficiency, innovative solutions and virtual care, organizational modifications, and creation of a safe, comfortable, and supportive environment.
Conclusion:
This study assessed FCC dimensions, challenges, and improvement strategies. Its findings can be used to improve healthcare providers' knowledge about FCC decision-making and planning in PED.
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