Family-Centered Care: An Evolutionary Concept Analysis

Abstract

Introduction: The inappropriate development of nursing concepts is one of the most important obstacles to the progress of nursing knowledge. Family-centered care is one concept that is not well-defined, even though it is widely used in many areas of nursing and caregiving. This study aimed to analyze the concept of family-centered care using Rodgers' evolutionary model. Methods: The 8 steps of Rodgers' evolutionary model were followed. After concept selection, the Pubmed, Medline, Scopus, Science Direct, OVID, and SID databases were seached for the terms "family-centered care", "parental involvement", "family participation", and "care by families". Results: The results of this study, including the dimensions, antecedents, barriers, and consequences, are reported based on Rodgers' model. Family-centered care is described as a holistic point of view, a philosophy that helps families in their caring role, the basic principles of child care, care given by parents, parents and professionals working together, and the chance for parents to protect their children under the supervision of professionals. In this study the antecedents of family-centered care were categorized as being politicalconceptual, economical, and motivational. Some results of family-centered care are improved patient and family satisfaction, increased efficacy and improved quality of life, improved flow of information, and better interaction between the family and the professional team. Conclusions: Data from the present study showed that even though family-centered care is an appropriate framework for the provision of health services, more study is needed for better implementation.

An educational intervention based on family-centered empowerment model to modify high-risk behaviors of brucellosis via mother education

“…Similarly, the intervention had significant effects on increasing self-efficacy and self-esteem in the intervention group when compared with the control groups, which was consistent with the results of other surveys using the family-centered empowerment model 20 , 21 . They highlighted the effect of self‑efficacy on modifying risky behaviors of brucellosis in rural mothers 7 , 18 , 21 .…”

“…We examined clarity, readability, and simplicity of questions based on the pilot which included 50 caregivers. The reliability coefficients (Cronbach's α) of the high-risk behaviors questionnaire and the empowerment evaluation questionnaire were 0.88 and 0.85, respectively, suggesting an acceptable internal consistency of the tool's criterion (20). Likewise, the appropriate correlation coefficient between all constructs of family-centered empowerment was observed.…”

“…The family-centered empowerment model is a theoretical framework that can reduce the level of care burden through increasing self-ability and improving mental and physical function 16,19 . This model is designed based on the effectiveness of the family members and individuals' role on the three motivational, self-problem characteristics (knowledge, attitude, and perceived threat) and psychological (self-efficacy and self-esteem) [19][20][21] . The main target of the family-centered empowerment model is to strengthen the family members to improve the health level of the patient 19 .…”

Factors Associated With Primary Family Caregivers’ Perceptions on Quality of Family‐Centered Care in Mental Health Practice

“…As yet, mental healthcare providers including MHNs are viewed as the most stigmatizing group that inadvertently influences the quality of mental healthcare services (Arboleda‐Flórex & Stuart, ). Despite the increased concern with FCC, the biomedical model continues to influence the traditional healthcare practice, solely addressing the individual patient rather than the family as a care recipient, especially in what concerns nurses (Hsiao & Tsai, ; Moradian, ; Wong, ). With the increasing demands on families to assume continuous care for sick relatives, it is critical to shed light on family‐centered practice from family caregivers’ perspectives.…”

‘There are no more secrets’: acceptability of a family-centered model of care for HIV positive children in Eswatini

“…Both caregivers and HCWs experienced some difficulties with FCCM. HCWs had concerns as families were not visiting health facilities together as a unit as required by FCCM principles [15,26,27] and by how the FCCM pilot program was designed. HCWs struggled synchronizing clinic visits appointments dates for families mainly due to schedule conflicts for school-going HIV-positive children and teenagers participating in weekend Teen Clubs for psychosocial support.…”