International commentary on Phiri et al. ‘Registered nurses’ experiences pertaining to family involvement in the care of hospitalised children at a tertiary government hospital in Malawi’

Shields, Linda; Arabiat, Diana; Ben-Sefer, Ellen; Carter, Bernie; Coyne, Imelda; Foster, Mandie; Kalembo, Fatch Welcome; Zgambo, Maggie

doi:10.1177/2057158518791778

“…6 There is a consensus in the international community of paediatric health professionals on the different application possibilities of the PFCC, agreeing that it is difficult to theoretically describe the model and fully understand its core. 11,16,28,29 Nevertheless, experts agree that the PFCC can be operationalized using a standard model of guidelines that can be flexible to suit different configurations and contexts of each country and its health systems. 15,30 The parents' answers to the individual items were significantly higher than those of the health team for 19 of the 20 instrument items.…”

Section: Education Levelmentioning

confidence: 99%

Parent and staff perceptions of patient and family‐centred care in a Brazilian paediatric's hospital: Quantitative study

Petersen

¹

,

Lima

²

,

Balieiro

³

et al. 2023

Evaluation Clinical Practice

0

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Background: Patient and family-centred care (PFCC) is a healthcare model has been acknowledged as the central pillar in the paediatric health care that recognizes the family's role and experience in the health care delivery.Aims: This study investigated and compared the perception of PFCC from the perspective of staff and parents of hospitalized children and adolescents. Methods: A quantitative and comparative cross-sectional survey was used in a convenience sample of 105 staff and 116 parents, who completed the Brazilian versions of the Perceptions of Family Centred Care-Parent and Staff questionnaires, with additional questions on their characteristics. Descriptive and analytical statistics were used, as well as the Kruskal-Wallis and Mann-Whitney tests and Spearman's correlation coefficient.Results: Both parents and staff responses were positive and parents had significantly higher scores for 19 of the 20 items (p < 0.001). The item related to parental participation did not show any significant difference between the groups. Conclusion:The positive perception of PFCC for both groups is consistent with recommendations for expanded care that includes patient and family in healthcare settings. Parents' perception was more positive than staff perceptions of their delivery of family-centred care in hospital. The lowest score for the parent support subscale in both groups requires investigation.

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“…Studies of family involvement practices in paediatric inpatient facilities in Malawi [2,7] and Kenya [8] have concluded that nurses lack a basis for sound implementation resulting from the absence of formal practice guidelines and institutional policy norms. In addition to noting the absence of practical guidelines, studies examining family involvement in hospitalised children in Africa's paediatric care facilities have encountered difficulties when applying concepts of family involvement originating from the higher-resourced and culturally distinct practice environments of higher resourced settings including Europe and America [2,8,9], with international dialogue highlighting the differences in context and perspective between practitioners from different geocultural contexts [10].…”

Section: Introductionmentioning

confidence: 99%

Distinctive nursing practices in working with mothers to care for hospitalised children at a district hospital in KwaZulu-Natal, South Africa: a descriptive observational study

North

¹

,

Leonard

²

,

Bonaconsa

³

et al. 2020

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Background: The presence of family members and their active involvement in caring for hospitalised children is an established practice in many African paediatric settings, with family members often regarded as a resource. This aspect of African paediatric nursing practice lacks formal expression or a clear conceptual basis, and difficulties arise when applying concepts of family involvement originating from the culturally distinct practice environments of higher resourced settings including Europe and America. The aim of this study was to articulate a nurse-led practice innovation intended to facilitate family involvement in the care of hospitalised children, observed in a paediatric inpatient ward in a district hospital in rural KwaZulu-Natal, South Africa. Methods: A qualitative case study design was used. Data collection included visual research methods (graphic facilitation, sociograms and photo-elicitation) as well as a focus group, interviews and practice observation. Activities associated with 20 nurses and 22 mother-child dyads were observed. Data were subjected to content analysis, with Standards for Reporting Qualitative Research (SRQR) applied. Results: Findings relate to six aspects of practice, categorised thematically as: preserving the mother-child pair; enabling continuous presence; psychological support and empathy; sharing knowledge; mothers as a resource; and belief and trust. Conclusion: The nursing practices and organisational policies observed in this setting relating to the facilitation of continuous maternal presence represent a distinctive nursing practice innovation. This deliberate practice contrasts with models of care provision which originate in higher resourced settings including Europe and America, such as Family Centred Care, and contrasts with informal practices in local African settings which tolerate the presence of mothers in other settings, as well as local institutional policies which limit mothers' presence to varying extents.

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“…Studies of family involvement practices in paediatric inpatient facilities in Malawi 2,7 and Kenya 8 have concluded that nurses lack a basis for sound implementation resulting from the absence of formal practice guidelines and institutional policy norms. In addition to noting the absence of practical guidelines, studies examining family involvement in hospitalised children in Africa's paediatric care facilities have encountered difficulties when applying concepts of family involvement originating from the higher-resourced and culturally distinct practice environments of higher resourced settings including Europe and America 2,8,9 , with international dialogue highlighting the differences in context and perspective between practitioners from different geo-cultural contexts 10 .…”

mentioning

confidence: 99%

Distinctive nursing practices in working with mothers to care for hospitalised children at a district hospital in KwaZulu-Natal, South Africa: a descriptive observational study

North¹,

Leonard

²

,

Bonaconsa

³

et al. 2020

Preprint

0

View full text Add to dashboard Cite

Background: The presence of family members and their active involvement in caring for hospitalised children is an established practice in many African paediatric settings, with family members often regarded as a resource. This aspect of African paediatric nursing practice lacks formal expression or a clear conceptual basis, and difficulties arise when applying concepts of family involvement originating from the culturally distinct practice environments of higher resourced settings including Europe and America. The aim of this study was to articulate a nurse-led practice innovation intended to facilitate family involvement in the care of hospitalised children, observed in a paediatric inpatient ward in a district hospital in rural KwaZulu-Natal, South Africa. Methods: A qualitative case study design was used. Data collection included visual research methods (graphic facilitation, sociograms and photo-elicitation) as well as a focus group, interviews and practice observation. Activities associated with 20 nurses and 22 mother-child dyads were observed. Data were subjected to content analysis, with Standards for Reporting Qualitative Research (SRQR) applied. Results: Findings relate to six aspects of practice, categorised thematically as: preserving the mother-child pair; enabling continuous presence; psychological support and empathy; sharing knowledge; mothers as a resource; and belief and trust. Conclusion: The nursing practices and organisational policies observed in this setting relating to the facilitation of continuous maternal presence represent a distinctive nursing practice innovation. This deliberate practice contrasts with models of care provision which originate in higher resourced settings including Europe and America, such as Family Centred Care, and contrasts with informal practices in local African settings which tolerate the presence of mothers in other settings, as well as local institutional policies which limit mothers’ presence to varying extents.

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International commentary on Phiri et al. ‘Registered nurses’ experiences pertaining to family involvement in the care of hospitalised children at a tertiary government hospital in Malawi’

Cited by 7 publications

References 20 publications

Parent and staff perceptions of patient and family‐centred care in a Brazilian paediatric's hospital: Quantitative study

Parent and staff perceptions of patient and family‐centred care in a Brazilian paediatric's hospital: Quantitative study

Distinctive nursing practices in working with mothers to care for hospitalised children at a district hospital in KwaZulu-Natal, South Africa: a descriptive observational study

Distinctive nursing practices in working with mothers to care for hospitalised children at a district hospital in KwaZulu-Natal, South Africa: a descriptive observational study

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