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Nurses' Reflections on Benefits and Challenges of Implementing Family-Centered Care in Pediatric Intensive Care Units.
Am J Crit Care
January 2018
Heather Coats is an assistant professor of research, University of Colorado College of Nursing, Denver, Colorado. Erica Bourget is a research assistant at the Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, Washington. Helene Starks is an associate professor, Department of Bioethics and Humanities, University of Washington School of Medicine, Seattle, Washington. Taryn Lindhorst is a professor, University of Washington School of Social Work, Seattle, Washington. Shigeko Saiki-Craighill is a professor, Faculty of Nursing and Medical Care, Keio University, Tokyo, Japan. J. Randall Curtis is a professor, Department of Medicine, Division of Pulmonary and Critical Care Medicine, University of Washington School of Medicine. Ross Hays is a professor in the Center for Child Health, Behavior and Development, Seattle Children's Research Institute, and in the Department of Rehabilitative Medicine, University of Washington School of Medicine. Ardith Doorenbos is a professor in the Department of Biobehavioral Nursing and Health Systems, University of Washington School of Nursing; the Department of Bioethics and Humanities, University of Washington School of Medicine; and the Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine.
Article Synopsis
- Family-centered care aims to involve families in a child's critical care, reducing stress and improving communication, with nurses playing a key role in its implementation.
- Nurses conducted interviews to explore their views on the benefits and challenges of this approach in pediatric intensive care units, focusing on environmental factors, stressors, communication issues, and family involvement.
- Findings revealed that nurses perceive family-centered care as beneficial but also highlighted the complexities of adapting to new policies and physical changes in ICUs, which introduced challenges in mentorship and patient safety.