What does family-centred care mean to nurses and how do they think it could be enhanced in practice
Article first published online: 20 JUL 2011
© 2011 Blackwell Publishing Ltd
Journal of Advanced Nursing
Volume 67, Issue 12, pages 2561–2573, December 2011
How to Cite
Coyne, I., O’Neill, C., Murphy, M., Costello, T. and O’Shea, R. (2011), What does family-centred care mean to nurses and how do they think it could be enhanced in practice. Journal of Advanced Nursing, 67: 2561–2573. doi: 10.1111/j.1365-2648.2011.05768.x
- Issue published online: 20 NOV 2011
- Article first published online: 20 JUL 2011
- Accepted for publication 7 May 2011
- children’s hospital;
- children’s nurses;
- family-centred care;
- paediatric nursing
coyne i., o’neill c., murphy m., costello t. & o’shea r. (2011) What does family-centred care mean to nurses and how do they think it could be enhanced in practice. Journal of Advanced Nursing67(12), 2561–2573.
Aim. This paper is a report of the qualitative findings of a multisite survey in seven children’s units in Ireland. In this survey, nurses caring for children identified their practice and perception of family-centred care.
Background. International research has identified inconsistencies with the provision and application of family-centred care in practice. Existing research studies illustrate barriers to family-centred care including nurses’ attitudes to families and a lack of support and resources for the philosophy.
Method. A descriptive survey design was employed to collect data in 2008–2009. Questionnaires were distributed to nurses (n = 750) which yielded a response rate of 33% (n = 250). The nurses completed a 47-item questionnaire which examined nurses’ perceptions and practices of family-centred care, the quantitative findings of this study will be reported in another publication. The questionnaire contained two open-ended questions and the data from these questions are reported here.
Findings. While nurses accept family-centred care as an ideal philosophy for the care of children and their families, the implementation of family-centred care in practice would seem to present challenges for nurses. The majority in this study indicated that they required further organizational and managerial support to fully implement family-centred care practices. Two interrelated themes were identified ‘the components of family-centred care’ and ‘enhancing family-centred care’.
Conclusion. To provide good quality family-centred care nurses need adequate resources, appropriate education, support for managers and support from other healthcare disciplines.