Pediatric Nurses' Perspectives on Family-Centered Care in Sri Lanka: A Mixed-Methods Study
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Purpose: This study was conducted to investigate nurses’ perceptions and performance of family-centered care (FCC) at a children’s hospital in Sri Lanka and to explore the feasibility of implementing FCC in the context of the Sri Lankan healthcare system. Methods: A convergent, parallel, mixed-methods design was applied to understand Sri Lankan nurses’ perspectives on FCC. In total, 157 nurses working at a large teritagy children’s hospital responded to a self-report survey and 18 nurses participated in focus group interviews. Results: Of the factors of FCC, family participation in caring for children received the highest score (4.09±0.51) for perceptions, and information-sharing received the highest score (3.54±0.55) for performance. The qualitative data revealed the following five themes: (a) importance of the family in caring for children; (b) helping families during children’s hospitalization; (c) taking steps to implement FCC, even with imperfect knowledge; (d) barriers in the current situation; and (e) suggested strategies to promote FCC. Conclusion: Participants endorsed the concept of FCC and demonstrated some aspects of it in their day-to-day practice. The results indicate a clear knowledge deficit and several challenges, which need to be addressed to effectively implement FCC.
Abstract
Purpose: This study was conducted to investigate nurses’ perceptions and performance of family-centered care (FCC) at a children’s hospital in Sri Lanka and to explore the feasibility of implementing FCC in the context of the Sri Lankan healthcare system. Methods: A convergent, parallel, mixed-methods design was applied to understand Sri Lankan nurses’ perspectives on FCC. In total, 157 nurses working at a large teritagy children’s hospital responded to a self-report survey and 18 nurses participated in focus group interviews. Results: Of the factors of FCC, family participation in caring for children received the highest score (4.09±0.51) for perceptions, and information-sharing received the highest score (3.54±0.55) for performance. The qualitative data revealed the following five themes: (a) importance of the family in caring for children; (b) helping families during children’s hospitalization; (c) taking steps to implement FCC, even with imperfect knowledge; (d) barriers in the current situation; and (e) suggested strategies to promote FCC. Conclusion: Participants endorsed the concept of FCC and demonstrated some aspects of it in their day-to-day practice. The results indicate a clear knowledge deficit and several challenges, which need to be addressed to effectively implement FCC.
참고문헌 (26)
- Linda Shields, "WHAT IS “FAMILY-CENTRED CARE”?", European Journal for Person Centered Healthcare, 3(2), pp.139~144 (2015), University of Buckingham Press[DOI]
- Committee on Hospital Care, "Patient- and Family-Centered Care and the Pediatrician's Role", PEDIATRICS, 129(2), pp.394~404 (2012), American Academy of Pediatrics (AAP)[DOI]
- Rostami F, "Effects of family-centered care on the satisfaction of parents of children hospitalized in pediatric wards in a pediatric ward in Chaloos in 2012", Electronic Physician, 7(2), pp.1078~1084 (2015)[DOI]
- 임미해, "입원아동 돌봄을 위한 가족중심 순회의 통합적 고찰", Child Health Nursing Research, 22(2), pp.107~116 (2016), 한국아동간호학회[DOI]
- 최미영, "아동간호사와 환아 부모의 파트너십 측정도구 개발", Journal of Korean Academy of Nursing, 43(2), pp.194~202 (2013), 한국간호과학회
- Hawa Alabdulaziz, "Paediatric nurses’ perceptions and practices of family-centred care in Saudi hospitals: A mixed methods study", International Journal of Nursing Studies, 69, pp.66~77 (2017), Elsevier BV[DOI]
- A N W Karunarathna, "Paediatric workload in a multidisciplinary tertiary care intensive care unit in Sri Lanka", Sri Lanka Journal of Child Health, 38(3), pp.92~ (2009), Sri Lanka Journals Online (JOL)[DOI]
- RasnayakaMudiyanselage Mudiyanse, "Translation and validation of patient-practitioner orientation scale in Sri Lanka", Education for Health, 28(1), pp.35~40 (2015), Medknow[DOI]
- Margo MC van Mol, "Patient- and family-centred care in the intensive care unit: a challenge in the daily practice of healthcare professionals", Journal of Clinical Nursing, 26(19-20), pp.3212~3223 (2017), Wiley[DOI]
- Sarath Rathnayake, "Self-reported eHealth literacy skills among nursing students in Sri Lanka: A cross-sectional study", Nurse Education Today, 78, pp.50~56 (2019), Elsevier BV[DOI]
- De Silva BSS, "Health-care system and nursing in Sri Lanka : An ethnography study", Nursing and Health Sciences, 12(1), pp.33~38 (2010)[DOI]
- Damayanthi HDWT, "Perceived stressors among undergraduate nursing students, University of Peradeniya, Sri Lanka", International Journal of Scientific and Research Publications, 4(6), pp.1~4 (2014)
- Creswell JW, "Designing and conducting mixed methods research", pp.4~5 (2012), Sage Publication
- "Patient-and family-centered care defined"[URL]
- "Process of translation and adaptation of instruments" (2017)[URL]
- Elo S, "The qualitative content analysis process", Journal of Advance Nursing, 62(1), pp.107~115 (2008)[DOI]
- Coyne I, "A survey of nurses' practices and perceptions of family-centered care in Ireland", Journal of Family Nursing, 19(4), pp.469~488 (2013)[DOI]
- Dokken D, "The many roles of family members in "familycentered care"- Part I", Pediatric Nursing, 32(6), pp.562~565 (2006)
- Vasil P, "Parents' participation in taking care of hospitalized children: A concept analysis with hybrid model", Iranian Journal of Nursing and Midwifery Research, 19(2), pp.139~144 (2014)
- Hartnick C, "A quality study of family-centered care coordination to improve care for children undergoing tracheostomy and the quality of life for their caregivers", International Journal of Pediatric Otorhinolaryngology, 99, pp.107~110 (2017)[DOI]
- Linda Shields, "Hospital care of children in four countries", Journal of Advanced Nursing, 45(5), pp.475~486 (2004), Wiley[DOI]
- Carrie Hill, "Family-Centered Care From the Perspective of Parents of Children Cared for in a Pediatric Intensive Care Unit: An Integrative Review", Journal of Pediatric Nursing, 41, pp.22~33 (2018), Elsevier BV[DOI]
- Handan Boztepe, "Nurses perceptions of barriers to implementing family-centered care in a pediatric setting: A qualitative study", Journal for Specialists in Pediatric Nursing, 22(2), pp.e12175~ (2017), Wiley[DOI]
- P. Rosen, "Family-centered Multidisciplinary Rounds Enhance the Team Approach in Pediatrics", PEDIATRICS, 123(4), pp.e603~e608 (2009), American Academy of Pediatrics (AAP)[DOI]
- Alemdar DK, "Opinions of nurses working in NICU about family centered care", Medicine Science International Medical Journal, 7(1), pp.93~96 (2018)[DOI]
- Terri L. Byczkowski, "Family-Centered Pediatric Emergency Care: A Framework for Measuring What Parents Want and Value", Academic Pediatrics, 16(4), pp.327~335 (2016), Elsevier BV[DOI]