Abstract
Background/purpose
Family-Centered care (FCC) is a model used in pediatric healthcare delivery wherein
planning care for children incorporates the family, but questions remain whether there
has been effective FCC implementation in practice. The purpose of this study was to
examine the importance of FCC to pediatric nurses and their view of their organizations'
support of FCC implementation.
Method
A survey with FCC descriptor statements was distributed electronically to the Society
of Pediatric Nurses. Direct care nurses (N = 132) responded to demographic questions including their education level and organization
size, and 26 items rating the importance of elements of FCC in their care (as it applies
to themselves) and in their organizations (as it applies to their hospital or organization)
using a 5-point Likert scale. Open ended questions supplemented the survey to yield
narrative comments to triangulate the findings.
Results
The nurses' personal responses and their rating of their organizations were analyzed
separately. The Cronbach alphas were 0.867 and 0.938, respectively. Factor analyses
revealed the same three factors in the two foci of questions for (a) the nurse's own
practice and (b) the organization's support of FCC: Philosophy of FCC, Implementation
of FCC and Environment Variations of FCC. A qualitative process of narrative analysis
added support to the factors with clarity in thematic triangulation. Additionally,
there was a significant difference in the mean scores between nurses' personal responses
and the mean scores for their organizations for all three factors (p = .000) and for self-reported FCC by nursing education to validate the utility of
the tool.
Conclusions
This instrument quantified the importance of FCC to pediatric nurses and their workplace
support of FCC and can be used in future studies to evaluate FCC.
Keywords
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Article info
Publication history
Published online: March 29, 2021
Accepted:
March 16,
2021
Received in revised form:
March 12,
2021
Received:
January 20,
2021
Identification
Copyright
© 2021 Elsevier Inc. All rights reserved.
