Parent and staff perceptions of family-centered care in two Australian children's hospitals

Gill, Fenella J., Pascoe, Elaine, Monterosso, Leanne, Young, Jeanine, Burr, Charlotte, Tanner, Ann, and Shields, Linda (2013) Parent and staff perceptions of family-centered care in two Australian children's hospitals. European Journal for Person Centered Healthcare, 1 (2). pp. 317-325.

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DOI: 10.5750%2Fejpch.v1i2.665
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Aim: This paper is a report of the comparison of perceptions of family-centred care by hospital staff (nurses, doctors and allied health staff) and parents of hospitalised children in two Australian tertiary paediatric hospitals.

Background: Family-centred care is an accepted approach to caring for children and their families in hospital. Previous publications have been inconsistent, ranging from promoting its benefits and integration into practice, reporting operational difficulties and proposing that family-centred care may not be working at all. An evaluation of the model of care is long overdue.

Method: A quantitative comparative cross-sectional survey was used to collect data in 2010 from a convenience sample of 309 parents of hospitalised children and 519 staff. Participants rated 20 items grouped into three subscales of respect, collaboration and support.

Findings: Both parents and staff responses were positive and parents had significantly higher subscale scores for respect, collaboration and support (all p<0.0001). Parents' responses for 19 of the 20 items were significantly higher than for staff. The item on which parents and staff did not differ was concerned with being able to question recommendations about the child's treatment.

Conclusion: Both parents and staff had positive perceptions of their family-centred care experiences. Parents' perception of their experience was more positive than staff perceptions of their delivery of family-centred care in hospital. Whilst the positive experience by both consumers and healthcare providers is an important finding, reasons for differences, in particular in supporting parents, require further examination.

Item ID: 27754
Item Type: Article (Research - C1)
ISSN: 2052-5656
Keywords: allied health staff, doctors, family-centred care, hospital, nurses, parents, perceptions, person-centeredness
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Funders: Princess Margaret Hospital Foundation 2010 Research Grant, Royal Children's Hospital Department of Nursing Research
Date Deposited: 05 Feb 2014 05:47
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111003 Clinical Nursing: Secondary (Acute Care) @ 50%
11 MEDICAL AND HEALTH SCIENCES > 1114 Paediatrics and Reproductive Medicine > 111403 Paediatrics @ 50%
SEO Codes: 92 HEALTH > 9202 Health and Support Services > 920210 Nursing @ 50%
92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920501 Child Health @ 50%
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