Volume 28, Issue 93 And 94 (April- June 2015)                   IJN 2015, 28(93 And 94): 140-150 | Back to browse issues page

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Mirlashari J, Sadeghi T, Sagheb S, Khanmohammadzadeh T. Nurses’ and physicians’ Perspective about Barriers to Implement Family Centered Care in Neonatal Intensive Care Units. IJN 2015; 28 (93 and 94) :140-150
URL: http://ijn.iums.ac.ir/article-1-2161-en.html
1- Assistant professor, Dept. Pediatric & NICU nursing, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
2- Assistant professor, School of Nursing & Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
3- Neonatal specialist, assistant professor, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
4- Master degree in neonatal intensive care, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran (٭Corresponding author). Tel: +98 9124156674 Email:b_mz1349@yahoo.com
Abstract:   (7703 Views)


Background & Aim: Despite widespread implementation of family-centered care (FCC) in children’s hospitals, there is insufficient information about the degree of and barriers to its implementation. This study aims to determine the perspectives of nurses and physicians about barriers to FCC in neonatal intensive care units (NICU) in hospitals affiliated to Tehran University of Medical Sciences.

Material & Methods: It was a descriptive cross-sectional study. The sample was all of the nurses and physicians working in the NICUs of the educational hospitals. Data was collected by a researcher-made valid questionnaire and analyzed by descriptive and inferential statistics using SPSS-PC (v.16).    

Results: “Units which are not equipped enough for family centered care implementation” (76.6%), “family problems (74%) and “Parents unwilling to stay in the units for a long time” (73.3%) were respectively the three most important barriers from nurses’ perspective. From physicians’ perspective, “Units which are not equipped enough for family-centered care implementation” (69%), “Parents unwilling to stay in the wards for a long time” (65%), and “absence of clear rules and guidelines for the level of involvement of parents in neonatal care” (64%) were respectively the three most important barriers to the implementation of family centered care.

Conclusion: Although nurses and physicians agreed upon two barriers but they were not so agree about other factors. To facilitate family centered care, it seems that consideration of the two groups’ perspective to provide an appropriate environment and needed changes in intensive care units is necessary.

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Type of Study: Research | Subject: nursing
Received: 2015/03/15 | Accepted: 2015/06/13 | Published: 2015/06/13

1. Cooley WC, AccAllister JW. Putting family centered care into practice – a model respomce to the adaptive practice model. J Dev Behav Pediatr.1999;22(2):120-2. [DOI:10.1097/00004703-199904000-00009]
2. Cooper L, Gooding J, Gallagher J, Sternesky L, Ledsky R, Berns S. Impact of a family-centered care initiative on NICU care, staff and families. J Perinatol. 2007;27:S32-S7. [DOI:10.1038/sj.jp.7211840] [PMID]
3. Hack M. Care of preterm infants in the neonatal intensive care unit. Pediatrics. 2009;123(4):1246-7. [DOI:10.1542/peds.2009-0122] [PMID]
4. Commodari E. Research Children staying in hospital: a research on psychological stress of caregivers. Ital J pediatr. 2010; 25:36-40. [DOI:10.1186/1824-7288-36-40]
5. Gooding JS, Cooper LG, Blaine AI, Franck LS, Howse JL, Berns SD, editors. Family support and family-centered care in the neonatal intensive care unit: origins, advances, impact. Semin perinatol. 2011; 35(1):20-8. [DOI:10.1053/j.semperi.2010.10.004] [PMID]
6. Arango P. Family-centered care. Acad Pediatr. 2011;11(2):97-9. [DOI:10.1016/j.acap.2010.12.004] [PMID]
7. Mikkelsen G, Frederiksen K. Family‐centred care of children in hospital–a concept analysis. J Adv Nurs. 2011;67(5):1152-62. [DOI:10.1111/j.1365-2648.2010.05574.x] [PMID]
8. Dunst CJ, Trivette CM. Empowerment, effective helpgiving practices and family-centered care. Pediatr Nurs. 1996;22(4):334-8. [PMID]
9. Coughlin M, Gibbins S, Hoath S. Core measures for developmentally supportive care in neonatal intensive care units: theory, precedence and practice. J Adv Nurs. 2009;65(10):2239-48. [DOI:10.1111/j.1365-2648.2009.05052.x] [PMID] [PMCID]
10. Dunst CJ, Trivette CM, Hamby DW. Meta‐analysis of family‐centered helpgiving practices research. Ment Retard Dev Disabil Res Rev. 2007;13(4):370-8. [DOI:10.1002/mrdd.20176] [PMID]
11. Bamm EL, Rosenbaum P. Family-centered theory: origins, development, barriers, and supports to implementation in rehabilitation medicine. Arch Phys Med Rehabil. 2008;89(8):1618-24. [DOI:10.1016/j.apmr.2007.12.034] [PMID]
12. Valizadeh F, Ghasemi S. [Medical Staff Attitude toward Parents' Participation in the Care of their Hospitalized Children]. Hayat. 2008;14(1):69-76.
13. Laudert S, Liu W, Blackington S, Perkins B, Martin S, MacMillan-York E, et al. Implementing potentially better practices to support the neurodevelopment of infants in the NICU. J Perinatol. 2007;27:S75-S93. [DOI:10.1038/sj.jp.7211843] [PMID]
14. Akbarbegloo M, Valizadeh L, Asadollahi M. [Mothers and nurses viewpoint about importance and perceived nursing supports for parents with hospitalized premature newborn in natal intensive care unit]. Journal of Critical Care Nursing. 2009;2(2):71-4.
15. Aliabadi T, Bastani F, Haghani H. [Effect of Mothers' Participation in Preterm Infants' Care in NICU on Readmission Rates]. Hayat. 2011;17(2): 72-85.
16. Wong OL. Contextual Barriers to the Successful Implementation of Family-Centered Practice in Mental Health Care: A Hong Kong Study. Arch Psychiatr Nurs. 2014; 28(3): 212-9. [DOI:10.1016/j.apnu.2014.02.001] [PMID]
17. Bruce B, Ritchie J. Nurses' practices and perceptions of family-centered care. J Pediatr Nurs. 1997;12(4):214-22. [DOI:10.1016/S0882-5963(97)80004-8]
18. Coyne I, Murphy M, Costello T, O'Neill C, Donnellan C. A Survey of Nurses' Practices and Perceptions of Family-Centered Care in Ireland. J Fam Nurs. 2013;19(4):469-88. [DOI:10.1177/1074840713508224] [PMID]
19. KHalilzadeh H, KHorsandi F, Feizi A, KHalkhali H. The Effect Of Family-Centered Care On Anxiety Of Hospitalized Child's Parents With Urinery Tract Infection In Pediatric Ward Of Shahid Motahary Medical Training Center In Urmia In 2012. Journal of Urmia Nursing & Midwifery Faculty. 2013;11(1): 34-41.
20. Bruce B, Letourneau N, Ritchie J, Larocque S, Dennis C, Elliott MR. A multisite study of health professionals' perceptions and practices of family-centered care. J Fam Nurs. 2002;8(4):408-29. [DOI:10.1177/107484002237515]
21. Shannon P. Barriers to family-centered services for infants and toddlers with developmental delays. Soc Work. 2004;49(2):301-8. [DOI:10.1093/sw/49.2.301] [PMID]
22. Foster M, Whitehead L, Maybee P. Parents' and health professionals' perceptions of family centred care for children in hospital, in developed and developing countries: a review of the literature. Int J Nurs Stud. 2010;47(9):1184-93. [DOI:10.1016/j.ijnurstu.2010.05.005] [PMID]
23. Vasli P, Salsali M, Tatarpoor P. [Perspectives of nurses on barriers of parental participation in pediatric care: A qualitative study]. Hayat. 2012;18(3):22-32.
24. Shields L, Pratt J, Hunter J. Family centred care: a review of qualitative studies. J Clin Nurs. 2006;15(10):1317-23 [DOI:10.1111/j.1365-2702.2006.01433.x] [PMID]

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