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Rethinking family‐centred care for the child and family in hospital

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  • Mary M Tallon
  • Garth E Kendall
  • Paul D Snider

Abstract

Aims and objectives This paper presents and discusses an alternative model of family‐centred care (FCC) that focuses on optimising the health and developmental outcomes of children through the provision of appropriate support to the child's family. Background The relevance, meaning and effectiveness of FCC have been challenged recently. Studies show that parents in hospital often feel unsupported, judged by hospital staff and uncertain about what care they should give to their child. With no convincing evidence relating FCC to improved child health outcomes, it has been suggested that FCC should be replaced with a new improved model to guide the care of children in hospital. Design This integrative review discusses theory and evidence‐based literature that supports the practice of an alternative model of FCC that is focused on the health and developmental outcomes of children who are seriously ill, rather than the organisational requirements of children's hospitals. Methods Theories and research findings in a wide range of disciplines including epidemiology, psychology, sociology, anthropology and neuroscience were accessed for this discussion. Nursing literature regarding partnership building, communication and FCC was also accessed. Discussion This paper discusses the benefits of applying a bioecological model of human development, the family and community resource framework, the concepts of allostatic load and biological embedding, empowerment theory, and the nurse–family partnership model to FCC. Conclusion While there is no direct evidence showing that the implementation of this alternative model of FCC in the hospital setting improves the health and developmental outcomes of children who are seriously ill, there is a great deal of evidence from community nursing practice that suggests it is very likely to do so. Relevance to clinical practice Application of these theoretical concepts to practice has the potential to underpin a theory of nursing that is relevant for all nurses irrespective of the age of those they care for and the settings within which they work.

Suggested Citation

  • Mary M Tallon & Garth E Kendall & Paul D Snider, 2015. "Rethinking family‐centred care for the child and family in hospital," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(9-10), pages 1426-1435, May.
    • Handle: RePEc:wly:jocnur:v:24:y:2015:i:9-10:p:1426-1435
    DOI: 10.1111/jocn.12799
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    References listed on IDEAS

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    1. Gary S. Becker & Nigel Tomes, 1994. "Human Capital and the Rise and Fall of Families," NBER Chapters, in: Human Capital: A Theoretical and Empirical Analysis with Special Reference to Education, Third Edition, pages 257-298, National Bureau of Economic Research, Inc.
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    Cited by:

    1. Jackie Vasey & Joanna Smith & Marilynne N. Kirshbaum & Kathleen Chirema, 2019. "Tokenism or true partnership: Parental involvement in a child’s acute pain care," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(9-10), pages 1491-1505, May.
    2. Siobhán O'Connor & Maria Brenner & Imelda Coyne, 2019. "Family‐centred care of children and young people in the acute hospital setting: A concept analysis," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(17-18), pages 3353-3367, September.
    3. Fiona J Moola & Lauren AV Henry & Elizabeth Huynh & Jenna A Stacey & Guy EJ Faulkner, 2017. "They know it's safe – they know what to expect from that face: perceptions towards a cognitive‐behavioural counselling programme among caregivers of children with cystic fibrosis," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(19-20), pages 2932-2943, October.
    4. So Yeon Yoo & Haeryun Cho, 2020. "Exploring the Influences of Nurses’ Partnership with Parents, Attitude to Families’ Importance in Nursing Care, and Professional Self-Efficacy on Quality of Pediatric Nursing Care: A Path Model," IJERPH, MDPI, vol. 17(15), pages 1-13, July.

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