Effectiveness of a tool to improve role negotiation and communication between parents and nurses

McCann, Damhnat; Young, Jeanine; Watson, Karen; Ware, Robert S.; Pitcher, Anne; Bundy, Rebecca; Greathead, D.

doi:10.7748/paed2008.06.20.5.14.c8255

Cited by 10 publications

(11 citation statements)

References 19 publications

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“…Although parental participation in care delivery is well recognised as a means of parental engagement, there remain problems with the current approaches to care delivery for critically ill children and their families. The lack of understanding of the family's needs when their child is hospitalised (Gill et al, 2014), the nature of the hospital admission, for example, non-accidental injury, and a high work nursing load can be barriers for nurses to commit to FCC (Keatinge & Gilmore, 1996;McCann et al, 2008). It is also true that models of care implemented in one hospital setting may not be automatically transferable to another hospital due to contextual differences in setting, processes and management.…”

Section: Introductionmentioning

confidence: 99%

Models of Care Delivery for Families of Critically Ill Children: An Integrative Review of International Literature

Curtis

Foster

Mitchell

et al. 2016

Journal of Pediatric Nursing

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Section: Introductionmentioning

confidence: 99%

Models of Care Delivery for Families of Critically Ill Children: An Integrative Review of International Literature

Curtis

Foster

Mitchell

et al. 2016

Journal of Pediatric Nursing

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“…Such atti tudes are manifested through restricti ng the presence of families during the performance of nursing acti viti es and also restricti ng their presence in services such as Intensive Care Units (ICU) (13) , based on the belief that the family is unable to care for its sick member (14) and on the convicti on that the family negati vely infl uences their work. There are various instruments and questi onnaires that enable the identi fi cati on of the atti tudes of nurses toward families when evaluati ng their needs, percepti ons and experiences (15) and also in relati on to the family parti cipati ng in care delivery (16)(17) . These instruments are directed to the atti tudes of nurses in specifi c contexts (especially in intensive care and pediatric units) and basically seek to evaluate the needs and parti cipati on of families in care provided to their members.…”

Section: Introductionmentioning

confidence: 99%

Atitudes dos enfermeiros face à família: validação da escala Families' Importance in Nursing Care - Nurses Attitudes

Oliveira

Fernandes

Vilar

et al. 2011

Rev. esc. enferm. USP

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RESUMOAs ati tudes que os enfermeiros adotam em relação à família condicionam o processo de cuidar. Nosso propósito com este estudo foi nesse senti do: dispor de um instrumento que nos permiti sse conhecer esta variável. Assim, nossa proposta foi efetuar a adaptação transcultural e avaliar as propriedades psicométri-cas da versão portuguesa do instrumento Families' Importance in Nursing Care -Nurses Atti tudes (FINC-NA), que visa avaliar as ati tudes dos enfermeiros acerca da importância de envolver a família nos cuidados de enfermagem. Foi seguido o método preconizado pela literatura. A amostra foi consti tuída por 136 enfermeiros dos Cuidados de Saúde Primários. Os resultados obti dos nos testes de confi abilidade revelam uma boa consistência interna para o total dos itens (Alpha de Cronbach = 0,87). O estudo psicométrico permite--nos afi rmar que a versão em português da FINC-NA, que denominamos A importância das famílias nos cuidados de enfermagemati tudes dos enfermeiros (IFCE-AE), é um instrumento fi dedigno e válido. DESCRITORES ABSTRACTThe atti tudes of nurses towards families determine the care process. With this study, we aimed to obtain an instrument that would allow us to learn about this variable. Hence, our purpose was to perform the cross-cultural adaptati on and evaluate the psychometric features of the Portuguese version of the instrument Families' Importance in Nursing Care -Nurses Atti tudes (FINC-NA), which aims to evaluate the atti tudes of nurses towards the importance of involving the pati ent's family in the nursing care. The method recommended by the literature was followed. The sample consisted of 136 nurses working in primary health care. The results obtained in the reliability tests showed good internal consistency (Cronbach's Alpha=0.87). The psychometric study permits us to state that the Portuguese version of the FINC-NA, which in Portuguese is referred to as A importância das famílias nos cuidados de enfermagem -ati tudes dos enfermeiros (IFCE-AE), is a reliable and valid tool. DESCRIPTORSFamily nursing Atti tude of health personnel Cross-cultural comparison Psychometrics Validati on studies RESUMENLas acti tudes adoptadas por enfermeros en relación a la familia condicionan el proceso de cuidar. En tal senti do, nos propusimos con este estudio, disponer de un instrumento que nos permita conocer esta variable. Así, nos propusimos efectuar la adaptación transcultural y evaluar las propiedades psicométri-cas de la versión portuguesa del instrumento Families Importance in Nursing Care -Nurses Atti tudes (FINC-NA), que apunta a evaluar acti tudes de enfermeros acerca de involucrar a la familia en los cuidados de enfermería. Se siguió el método sugerido por la literatura. Muestra consti tuida por 136 Enfermeros de Atención Primaria de Salud. Los resultados obtenidos en pruebas de fi abilidad revelan buena consistencia interna para el total de ítems (Alpha de Cronbach=0,87). El estudio psicométrico nos permite afi rmar que la versión en Portugués del FINC-NA, que denominamos La importan...

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“…The tool also aims to raise the awareness of hospital staff about the importance of effective communication and negotiation of care with parents. 49 …”

Section: Future Directionsmentioning

confidence: 97%

“…17,18 The Negotiated Care Tool, designed to formalize parent preferences for involvement in the care of their hospitalized child, shows promise in this regard. 49 This tool has been successful in increasing parental inclusion in decision-making, encouraging parents to ask questions during their child's hospital stay, and expanding the participation of extended family members (with parental permission). The tool also aims to raise the awareness of hospital staff about the importance of effective communication and negotiation of care with parents.…”

Section: Future Directionsmentioning

confidence: 99%

Adolescent Cancer and Health-Related Decision-Making: An Australian Multi-Perspective Family Analysis of Appointment Attendance and Involvement in Medical and Lifestyle Choices

Wakefield

McLoone

Fleming

et al. 2011

Journal of Adolescent and Young Adult Oncology

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Purpose: The aim of this study was to explore the decision-making experiences of adolescent cancer patients and their parents and siblings for medical and social decisions and appointment participation, both during and after cancer treatment. Patients and methods: Seventy semi-structured interviews were conducted with 19 adolescent cancer survivors (mean age at diagnosis = 13.3 years; average time since diagnosis = 48.6 months; mean age at interview = 16.1 years), 21 mothers, 15 fathers, and 15 siblings from 22 families. Interviews were analyzed inductively using qualitative research methodology. Emergent themes were cross-tabulated by participants' characteristics. Results: Mothers were most likely to accompany adolescents to medical appointments, especially during the post-treatment period, although fathers were eager to attend when possible. In accordance with adolescent and parent preferences, oncologists typically made major medical decisions, while families took responsibility for social and less critical medical decisions. These less critical decisions were a potential source of family conflict, particularly in relation to risk-taking behavior post-treatment. Siblings reported adopting additional decisional responsibilities, especially during their brother's or sister's treatment. Conclusion: Healthrelated decision-making within families can be difficult during adolescence, as young people assert their increasing independence. These challenges are exacerbated by a cancer diagnosis, which creates a unique paradox of legal entitlement versus parental responsibility. While adolescents and parents believe young people are entitled to be informed, they may be reluctant to assume responsibility for decisions that might affect prognosis, and report that maturity does not map well to chronological age. Attention to sibling needs is necessary to minimize the burden they carry during the family's cancer journey.

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Effectiveness of a tool to improve role negotiation and communication between parents and nurses

Abstract: The Negotiated Care Tool raised staff awareness of the importance of effective communication and negotiation of care with parents in busy clinical practice areas. Transparent communication and negotiation of roles between nurses and parents are integral to family-centred care provision.

Cited by 10 publications

References 19 publications

Models of Care Delivery for Families of Critically Ill Children: An Integrative Review of International Literature

Models of Care Delivery for Families of Critically Ill Children: An Integrative Review of International Literature

Atitudes dos enfermeiros face à família: validação da escala Families' Importance in Nursing Care - Nurses Attitudes

Adolescent Cancer and Health-Related Decision-Making: An Australian Multi-Perspective Family Analysis of Appointment Attendance and Involvement in Medical and Lifestyle Choices

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