Journal Review: Assessment of family-centered care policies and practices for pediatric patients

Journal Review

Eckle N, MacLean SL. Assessment of family- centered care policies and practices for pediatric patients in nine U.S. emergency departments. J Emerg Nurs 2001; 27:238-245.

Although all EDs assessed in this survey demonstrated some integration of family-centered care principles, staff knowledge about family-centered care varied, says this study from the Emergency Nurses Association in Des Plaines, IL. Researchers conducted site visits and interviewed staff at nine EDs to evaluate their family-centered care practices. Here were key findings:

• Visitation policies and variable staff interpretation had an impact on how consistently family members were included in patient care in two EDs.
• Space limitation in the resuscitation area was a problem identified by two EDs.
• Preprinted written instructions were provided in languages other than English in six EDs.
• Four EDs provided families with access to the medical library or family resource center, but access was limited to specific operating hours.
• None of the EDs were involved in discharge planning for children with special needs, other than what was needed following an ED visit.
• Two EDs had developed maps to help families find the cafeteria and other common areas.
• Free phones were available to families in six EDs.

The researchers found that staff support of family-centered care was most consistent in the EDs with specific competencies, educational programs, and practices that included family members. They recommend:

• assessing your ED policies and procedures to determine if they include family-centered care principles;
• developing a family-centered mission and philosophy of care in your ED;
• inviting family members to participate in the staff education program;
• evaluating specific needs of families in your ED through conversations, focus groups, and family advisory committees.