Purpose The purpose of this study was to identify and describe health care providers’ perceptions of family-centered care in pediatrics.
Methods A qualitative descriptive study was designed. Data were collected from individual interviews using open-ended questions. Fifty-six pediatric health care providers participated in the study from January to April 2015. Data were analyzed using qualitative content analysis to identify the major perceptions of pediatric health care providers.
Results The providers perceived that the concept of family-centered care has been incompletely implemented. Five themes (respecting a child's family, taking care of a child with the child's family, sharing information about children, supporting a child's family, a child's family participating in child care) with 11 sub-themes were identified in the providers’ experiences with families. To achieve the goal of family-centered care in pediatrics, medical and nursing conditions must be improved, education about family-centered care must be provided, and improvements should be made in the mindset of health care providers regarding patients and in families’ willingness to participate in care.
Conclusion The findings from this study provide insight into pediatric health care providers’ perceptions of family-centered care. It will contribute to the establishment of a foundation for implementing family-centered care in pediatric nursing.
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Purpose The purpose of this study was to understand and explore the essences of Korean mothers‘ experiences of caring for visually impaired children.
Methods Data were collected through individual in-depth interviews using open-ended questions. Five mothers of children with visual impairments participated in the interviews. Verbatim transcripts were analyzed using phenomenological analysis.
Results Analysis with Colaizzi’s method showed two categories which included 14 themes in 4 theme clusters. The first category was ‘surviving in the dark reality’ included 2 theme clusters, of ‘outcrying in the darkness’ and ‘enduring the darkness while caring for my child alone’. The second category was ‘living as the light of maternal affection’ including 2 theme clusters of ‘preparing the light to shine in the darkness’ and ‘going through the darkness with the lights of love’.
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Purpose This paper is a report on the concept analysis of family-centered care for hospitalized children.
Methods The concept analysis approach of Walker and Avant was used. A search of multidisciplinary literature published between 1960 and 2016 was undertaken using the keyword ‘family centered care’ or ‘family centered nursing’ combined with hospitalized children. Attributes, antecedents, and consequences were inductively derived from the citations analyzed (n=19).
Results The attributes of family-centered care included (1) family respect, (2) collaboration, (3) family support, and (4) information sharing. These attributes are influenced by the ‘willingness of family to participate’, ‘competency and willingness of staff,’ and ‘institution policy and system.’ Additionally, family-centered care does significantly impact ‘the health of the children’, ‘family empowerment’ and ‘work satisfaction and self-confidence of staff’.
Conclusion Family-centered care of hospitalized children as defined by the result of this study will contribute to the theoretical foundation for application in pediatric nursing practice.
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Purpose The purpose of this study was to investigate the influence of child-care efficacy, job efficacy, and health promoting lifestyle on the job satisfaction of in-home child care helpers who are called Idolbomi.
Methods Participants for this survey were 153 in-home child care helpers who worked in Seoul. Data were collected from May 23 to October 17, 2014 using self-report structured questionnaires. Data were analyzed using IBM/SPSS 18.0 program.
Results There were significantly positive correlations between child-care efficacy, job efficacy, health promoting lifestyle, and job satisfaction. Stepwise multiple regression analysis revealed that the predictors of job satisfaction were spiritual growth, education level, job efficacy, effect of income.
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Purpose Involvement of families in rounds is one strategy to implement patient- and family-centered care to help families get clear information about their child, and be actively involved in decision making. The purpose of this paper was to identify the major concepts of family-centered rounds for hospitalized children.
Methods We searched five electronic databases for relevant articles and used Whittemore and Knafl’s integrative review methods to synthesize the literature. Articles published between June 2003 and January 2016 were reviewed and through full text screening 24 peer-reviewed articles were found that met the selection criteria for this review.
Results Through in-depth discussion and investigation of the relevant literature, four overarching components emerged: (a) cognition of parents and medical staff, (b) effective communication, (c) collaboration of family and medical staff, and (d) coaching of medical staff.
Conclusion For successful family-centered rounds positive cognition is important. Appropriate communication skills and consideration of multi-cultural family can lead to effective communication. Offering consistent and transparent information is important for collaboration between family and medical staff. Prior education on family-centered rounds is also important. Four major components have been identified as basic standards for implementing family-centered rounds for hospitalized children.
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