Patient- and Family-Centered Care and the Role of the Emergency Physician Providing Care to a Child in the Emergency Department

Abstract

Patient-and family-centered care is an approach to health care that recognizes the role of the family in providing medical care; encourages collaboration between the patient, family, and health care professionals; and honors individual and family strengths, cultures, traditions, and expertise. Although there are many opportunities for providing patient-and family-centered care in the emergency department, there are also challenges to doing so. The American Academy of Pediatrics and the American College of Emergency Physicians support promoting patient dignity, comfort, and autonomy; recognizing the patient and family as key decision-makers in the patient's medical care; recognizing the patient's experience and perspective in a culturally sensitive manner; acknowledging the interdependence of child and parent as well as the pediatric patient's evolving independence; encouraging family-member presence; providing information to the family during interventions; encouraging collaboration with other health care professionals; acknowledging the importance of the patient's medical home; and encouraging institutional policies for patient-and family-centered care.

Importance of parental anxiety in management of developmental breast conditions in children: A study with a prospective hierarchical regression model

“…Social, cultural, economic, psychological, and educational parameters are essential for mutual interactions within a family. [ 12 ] Parrish et al stated in their studies that the parent is the most critical link between the patient and practitioner for a successful outcome in treating pediatric patients. In line with these scientific anecdotes, previous publications have reported that although malignant breast disease in children is sporadic, the idea that their children may have permanent breast damage or suspicion of malignancy may cause psychological trauma and anxiety in parents who apply to relevant centers due to breast problems in their children.…”

Caring for the invisible and forgotten: a qualitative document analysis and experience-based co-design project to improve the care of families experiencing out-of-hospital cardiac arrest

“…Family-centred care is the collaboration of healthcare providers, patients, and families to optimize the quality of care [ 5 ]. It is well established in critical care [ 9 ] and paediatric emergency [ 10 ]. Family-centred care strategies in cardiac arrest care are believed by some to be a strategy to improve outcomes for patients and families [ 11 , 12 ] yet barriers to their adoption in the prehospital setting have been identified [ 13 ].…”

Effect of Home-Based Cardiac Rehabilitation Program on Self-Efficacy of Patients With Implantable Cardioverter Defibrillator

“…HBCR program is the standard of practice that results in high-quality services. HBCR program embraces the concepts that, (a) we are providing care for a person, not a condition, (b) the patient is best understood in the context of his or her family, culture, values, and goals, and (c) honoring that context will result in optimal health care, safety, and patient satisfaction ( American Academy of Pediatrics, 2006 ; Dunn et al, 2006 ). In the UK, HBCR with a self-help manual—the heart manual—supported by a nurse facilitator is a program of CR that has been available for years.…”