Presentation on theme: "Family Centred Care Carol Hilliard NPDC 2007. Carol Hilliard 2007 Overview of lecture Definition of ‘Family’ Role of the family Identify the members of."— Presentation transcript:
Carol Hilliard 2007 What is a family? Several interpretations of a ‘family’ Our interpretation often depends on our own experience of family In today’s world we must be open to the many types of families we meet. Ultimately the family is defined by itself Therefore as nurses, we need to establish who is in the child’s family
Carol Hilliard 2007 The Child in Hospital Hospital can be new and frightening for children Often, their families are the only familiar aspect Hospital should not diminish the family’s role in children’s care. FCC recognises that nursing care is most effective if done in conjunction with the parents
Carol Hilliard 2007 Family-centred care (FCC) Broadly defined as promoting a partnership between the parents and healthcare professionals in the care of the child (Smith et al. 2002)
Carol Hilliard 2007 The family Assess the family relationships: Are both parents involved? How many siblings in the family? Are the grandparents etc. involved in the child’s care? Any other important people? Will someone stay with the child in hospital?
The role of the nurse Introduce yourself to the child & parents Show the child & parents around the ward:- tell them about the hospital facilities Ask parents if they:- slept well, had breakfast, etc. Explain the care the child will receive that day / night Explain what you are going to do, for example, measure blood pressure, dressing change Ask parents what they would like to do Ask them if they have any questions
Carol Hilliard 2007 Parents have a right to make decisions about their child Therefore: Parents need to have information about their child’s condition, treatment and nursing care
Carol Hilliard 2007 Answering questions Do not be afraid to say “I do not know” when a child / parent asks a question Tell child / parents “I do not know but I will get that information for you”
Carol Hilliard 2007 Negotiation Helping parents to be involved in their children’s care is an important part of FCC Nurses and parents need to decide who will perform the care the child will need, for example: - Showering the child - Changing a wound dressing - Feeding the child How does the nurses’ routine suit the parents’ routine?
Carol Hilliard 2007 Family-Centered Care (FCC) Remember: Parents do not know that they can be involved in their child’s care Therefore, nurses must explain to them But nurses should not expect parents to be involved Therefore, negotiate with the parents what they can do and what they want to do
Carol Hilliard 2007 A common myth is that family centred care involves the parents staying with their child in hospital. This is not true Family centred care means that we support the parents to be involved as much as possible in the child’s care
Carol Hilliard 2007 Reasons parents may not stay with their child in hospital Other children Expense Their job Personal reasons Others ……… Remember: it is not our job to judge parents
Carol Hilliard 2007 The cost of staying with a child in hospital Food Parents’ accommodation Transport Possibly loss of earnings Child-minders for other siblings Telephone bills Toys & treats for the sick child
Carol Hilliard 2007 Important Points Parents are not extra or unpaid nurses and should never be expected to replace nursing shortages Parents should not be expected to be involved in their children’s care - Parents can decide if they want to be involved or not Never assume that a parent will do something Never judge parents because of your own personal opinions
Carol Hilliard 2007 References Battrick C. and Glasper E.A. (2002) The views of children and their families on being in hospital, British Journal of Nursing 13(6), 328-336. Callery P. (1997) Paying to participate: financial, social and personal costs to parents of involvement in their children’s care in hospital, Journal of Advanced Nursing 25(4), 746-752. Casey A. (1995) Partnership nursing: influences on involvement of informal carers, Journal of Advanced Nursing 22(6), 1058-1062. Children in Hospital Ireland (2002) The EACH Charter for children in hospital & annotations, Children in Hospital Ireland, Dublin. Coyne I.T. (1995) Partnership in care: parents' views of participation in their hospitalised child's care, Journal of Clinical Nursing 4(2), 71-79. Dudley S.K. and Carr J.M. (2004) Vigilance: the experience of parents staying at the bedside of hospitalised children, Journal of Pediatric Nursing 19(4), 267-275. Espezel H.J.E. and Canam C.J. (2003) Parent–nurse interactions: care of hospitalized children, Journal of Advanced Nursing 44(1), 34-41.
Carol Hilliard 2007 References Friedman M (1998) Family nursing: theory and practice, 4 th edition. Appleton- Century-Crofts, Norwalk, CT, USA. Lindsay B. (2001) Visitors and children’s hospitals, 1852-1948: a re-appraisal, Paediatric Nursing 13(4), 20-24. Lupton D. and Fenwick J. (2001) ‘They’ve forgotten that I’m the mum’: constructing and practising motherhood in special care nurseries, Social Science & Medicine 53, 1011–1021. Shields L. and Tanner A. (2004) Costs of meals and parking for parents of hospitalised children in Australia, Paediatric Nursing 16(6), 14-18. Smith L., Coleman V. and Bradshaw M. (eds) (2002) Family-centred care: concept, theory and practice, Palgrave, Basingstoke, Hampshire. Valentine F. (1998) Empowerment: family-centred care, Paediatric Nursing 10(1), 24- 7. Wang K.W.K. and Barnard A. (2004) Technology-dependent children and their families: a review, Journal of Advanced Nursing 45(1), 36-46.