Family-centered care• Provides a framework for health care providers to ensure that all aspects of care and the care environment are designed and focused toward family needs and concerns• The patient and family members are active members of the care team
• The family is recognized and cares for the hospitalized child with full information, support, and respect• GOAL: to maintain or strengthen the roles and ties of the family with the hospitalized child to promote normality of the family unit
1. Care and teaching are in keeping with specific family needs and strengths.2. Family roles and close family interactions during time of stress are enhanced.3. Minimizes separation anxiety.4. Decreases reactions of protest, denial, and despair.
5. Increases sense of security for the child.6. Family needs to care for their child physically and emotionally are fulfilled.7. Parents feel useful and important, rather than dependent and peripheral.8. Decreases parental guilt feelings.
9. Increases parents competence and confidence in caring for the sick child.10. Families of children with special needs share comfort and support from one another.11. Greater absorption of staff teaching by the family.12. Diminishes posthospitalization reactions.
• Implementation of family-centered care will depend on regulations of the particular health care setting as well as the capabilities of the individual family unit• Review the policies and regulations regularly with the input of children or adolescents and family members
1. Taking a family history and listening for specific family/cultural needs and preferences2. Allowing rooming-in for parents of young children3. Having parents participate in the childs physical care.
4. Acknowledging that parents are not “visitors”; having flexible visiting regulations for family members, including siblings5. Having pictures of family members available at the hospital6. Encouraging telephone contact
7. Encouraging the child and family members to participate in health care provider or team rounds when appropriate. • Having patient and parental input during the development of the daily medical plan can be beneficial.
8. Acknowledging that there are varying types of family units • Ensure that the childs usual caregiver (who may not always be a parent) or legal guardian is included in the decision-making process as appropriate.