DOI: https://doi.org/10.14710/nmjn.v13i1.48114

Effects of Patient and Family-Centered Care on Quality of Care in Pediatric Patients: A Systematic Review

*Tuti Seniwati orcid  -  Postgraduate Program, Faculty of Nursing, Universitas Indonesia, Indonesia
Dessie Wanda  -  Pediatric Nursing Department, Faculty of Nursing, Universitas Indonesia, Indonesia
Nani Nurhaeni  -  Pediatric Nursing Department, Faculty of Nursing, Universitas Indonesia, Indonesia
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Abstract

Background: Patient and family-centered care is one approach that is applied in pediatric care in various hospital settings to improve the quality of care. However, information related to the results of the entire study and its intervention model has not been identified effectively in child health care.

Purpose: This study aimed to describe and assess the effects of patient and family-centered care on the quality of care in pediatric patients.

Methods: A systematic review was used as a method in this study. Seven databases were used, including ScienceDirect, Scopus, ProQuest, EBSCO, Sage Journal, Tailor and Francis, and PubMed to search the literature for relevant published reviews that determined patient and family-centered care interventions between 2011 and 2021. The synthesis without meta-analysis guidelines was used to analyze the data in this review. The data were further analyzed by critically assessing the quality of the articles using the JBI and CASP checklists.

Results: From a total of 29.780 articles identified, fifteen articles were included in this review. Several models of patient and family-centered care interventions were identified, such as family-centered care, family-centered communication program, family-integrated care, family nurture intervention, family empowerment, parent participation, close collaboration, mother-nurse partnership program, and the newborn individualized developmental care and assessment program. From those models, the outcomes for quality of care were related to the pediatric quality of life, length of stay, patient safety, parent satisfaction, parent psychological response, and parent involvement and partnership with staff.

Conclusion: The shreds of evidence indicate that patient and family-centered care can improve the quality of care in the pediatric patients. It is recommended that patient and family-centered care can be implemented in pediatric care by increasing the participation of family during treatment.
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Keywords: Model; patient and family-centered care; pediatric patient; quality of care

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  1. Abdelkader, R., Khalaf, I., Kridli, S., Arabiat, D., & Alrimawi, I. (2016). Parents involvement in child ’ s care in an Arab pediatric setting. Health Science Journal, 10(4), 1–7
  2. Adineh, M., Toulabi, T., Pournia, Y., & Baraz, S. (2016). The effect of family presence during pediatric intensive care unit bedside on family general health: A clinical trial study. International Journal of Pediatrics, 4(5), 1809–1817. https://doi.org/10.22038/ijp.2016.6776
  3. Aljabari, S., Birisci, E., & Kummerfeld, F. (2022). Provider’s perception of parental anxiety in the pediatric intensive unit. Cureus, 14(8), 8–15. https://doi.org/10.7759/cureus.28589
  4. Bastani, F., Abadi, T. A., & Haghani, H. (2015). Effect of family-centered care on improving parental satisfaction and reducing readmission among premature infants: A randomized controlled trial. Journal of Clinical and Diagnostic Research, 9(1), SC04-SC08. https://doi.org/10.7860/jcdr/2015/10356.5444
  5. Bohn, J. A., Kassaye, B. M., Record, D., Chou, B. C., Kraft, I. L., Purdy, J. C., Hilton, K. A., Miller, D. A., Getachew, S., Addissie, A., & Robison, J. A. (2016). Demographic and mortality analysis of hospitalized children at a referral hospital in Addis Ababa, Ethiopia. BMC Pediatrics, 16(1), 1–5. https://doi.org/10.1186/s12887-016-0709-4
  6. Brown, K., Mace, S. E., Dietrich, A. M., Knazik, S., & Schamban, N. E. (2008). Patient and family-centred care for pediatric patients in the emergency department. Canadian Journal of Emergency Medicine, 10(1), 38–43. http://www.jstor.org/stable/3767218
  7. Brown, S. M., Rozenblum, R., Aboumatar, H., Fagan, M. B., Milic, M., Lee, B. S., Turner, K., & Frosch, D. L. (2015). Defining patient and family engagement in the Intensive Care Unit. American Journal of Respiratory and Critical Care Medicine, 191(3), 358–360
  8. Campbell, M., McKenzie, J. E., Sowden, A., Katikireddi, S. V., Brennan, S. E., Ellis, S., Hartmann-Boyce, J., Ryan, R., Shepperd, S., Thomas, J., Welch, V., & Thomson, H. (2020). Synthesis without meta-analysis (SWiM) in systematic reviews: Reporting guideline. The BMJ, 368, 1–6. https://doi.org/10.1136/bmj.l6890
  9. Cimke, S., & Mucuk, S. (2017). Mothers’ participation in the hospitalized children’s care and their satisfaction. International Journal of Caring Sciences, 10(3), 1643–1651. https://www.proquest.com/scholarly-journals/mothers-participation-hospitalized-childrens-care/docview/1988004163/se-2
  10. Cintra, C. de C., Garcia, P. C. R., Brandi, S., Crestani, F., Lessa, A. R. D., & Cunha, M. L. da R. (2022). Parents ’ satisfaction with care in pediatric intensive care units. Revista Gaucha de Enfermagem, 43, 1–10. https://doi.org/https://doi.org/10.1590/1983- 1447.2022.20210003.en
  11. Considine, J., Shaban, R. Z., Fry, M., & Curtis, K. (2017). Evidence based emergency nursing: Designing a research question and searching the literature. International Emergency Nursing, 32, 78–82. https://doi.org/10.1016/j.ienj.2017.02.001
  12. Critical Appraisal Skills Programme. (2020). CASP randomised controlled trial checklist (Issue 2020). http://www.casp-uk.net
  13. Europian Observatory on Health Systems and Policies. (2019). Improving healthcare quality in Europe. In R. Busse, N. Klazinga, D. Panteli, & W. Quentin (Eds.), Improving Healthcare Quality in Europe. https://doi.org/10.1787/b11a6e8f-en
  14. Gallo, K. P., Hill, L. C., Hoagwood, K. E., & Olin, S. C. S. (2016). A Narrative synthesis of the components of and evidence for patient- and family-centered care. Clinical Pediatrics, 55(4), 333–346. https://doi.org/10.1177/0009922815591883
  15. Geerligs, L., Rankin, N. M., Shepherd, H. L., & Butow, P. (2018). Hospital-based interventions: A systematic review of staff-reported barriers and facilitators to implementation processes. Implementation Science, 13(1), 1–17. https://doi.org/10.1186/s13012-018-0726-9
  16. Goldfarb, M. J., Bibas, L., Bartlett, V., Jones, H., & Khan, N. (2017). Outcomes of patient- and family centered care interventions in the ICU: A systematic review and meta-analysis. Critical Care Medicine, 45(10), 1751–1761. https://doi.org/10.1097/CCM.0000000000002624
  17. Goplen, C. M., Verbeek, W., Kang, S. H., Jones, C. A., Voaklander, D. C., Churchill, T. A., & Beaupre, L. A. (2019). Preoperative opioid use is associated with worse patient outcomes after total joint arthroplasty: A systematic review and meta-analysis. BMC Musculoskeletal Disorders, 20(1), 1–13. https://doi.org/10.1186/s12891-019-2619-8
  18. Hassanian, Z., Bahrami, F., Farhadian, M., & Khalili, A. (2018). Effect of participatory care on the satisfaction of parents of children admitted to the children’s wards: Clinical trial study. National Journal of Physiology, Pharmacy and Pharmacology, 8(5), 664-670. https://doi.org/10.5455/njppp.2018.8.1247303012018
  19. He, S. W., Xiong, Y. E., Zhu, L. H., Lv, B., Gao, X. R., Xiong, H., Wang, H., Shi, H. R., & Latour, J. M. (2018). Impact of family integrated care on infants’ clinical outcomes in two children’s hospitals in China: A pre-post intervention study. Italian Journal of Pediatrics, 44(1), 1–7. https://doi.org/10.1186/s13052-018-0506-9
  20. Heo, Y. J., & Oh, W. O. (2019). The effectiveness of a parent participation improvement program for parents on partnership, attachment infant growth in a neonatal intensive care unit: A randomized controlled trial. International Journal of Nursing Studies, 95, 19–27. https://doi.org/10.1016/j.ijnurstu.2019.03.018
  21. Higgins, J. P. T., Altman, D. G., Gøtzsche, P. C., Jüni, P., Moher, D., Oxman, A. D., Savović, J., Schulz, K. F., Weeks, L., & Sterne, J. A. C. (2011). The cochrane collaboration’s tool for assessing risk of bias in randomised trials. BMJ (Online), 343(7829), 1–9. https://doi.org/10.1136/bmj.d5928
  22. Institute for Patient-and Family-Centered Care. (2017). Advancing the practice of patient- and family-centered care in hospitals - How to get started. https://www.ipfcc.org/resources/getting_started.pdf
  23. Joanna Briggs Institute. (2020). Critical appraisal checklist for quasi-experimental studies. https://jbi.global/critical-appraisal-tools
  24. Khan, A., Spector, N. D., Baird, J. D., Ashland, M., Starmer, A. J., Rosenbluth, G., Garcia, B. M., Litterer, K. P., Rogers, J. E., Dalal, A. K., Lipsitz, S., Yoon, C. S., Zigmont, K. R., Guiot, A., O’Toole, J. K., Patel, A., Bismilla, Z., Coffey, M., Langrish, K., … Landrigan, C. P. (2018). Patient safety after implementation of a coproduced family centered communication programme: Multicenter before and after intervention study. BMJ, 363, k4764. https://doi.org/10.1136/bmj.k4764
  25. Ladak, L. A., Premji, S. S., Amanullah, M. M., Haque, A., Ajani, K., & Siddiqui, F. J. (2013). Family-centered rounds in Pakistani pediatric intensive care settings: Non-randomized pre- and post-study design. International Journal of Nursing Studies, 50(6), 717–726. https://doi.org/10.1016/j.ijnurstu.2012.05.009
  26. Lloyd, B., Elkins, M., & Innes, L. (2018). Barriers and enablers of patient and family centred care in an Australian acute care hospital: Perspectives of health managers. Patient Experience Journal, 5(3), 55–64. https://doi.org/10.35680/2372-0247.1270
  27. McCabe, M. (2014). Impact of Family Presence in the Healthcare Setting. Liberty University
  28. Melo, E. M. de O. P. de, Ferreira, P. L., Lima, R. A. G. de, & Mello, D. F. de. (2014). The involvement of parents in healthcare provided to hospitalized children. Revista Latino-Americana de Enfermagem, 22(3), 432–439. https://doi.org/10.1590/0104-1169.3308.2434
  29. Minooei, M. S., Ghazavi, Z., Abdeyazdan, Z., Gheissari, A., & Hemati, Z. (2016). The effect of the family empowerment model on quality of life in children with chronic renal failure: Children’s and parents’ views. Nephro-Urology Monthly, 8(4), e58813. https://doi.org/10.5812/numonthly.36854
  30. National Association of Pediatric Nurse Practitioners. (2013). NAPNAP position statement on the role of pediatric nurse practitioners in quality improvement. Journal of Pediatric Health Care, 27(4), e43–e45. https://doi.org/10.1016/j.pedhc.2013.03.004
  31. Nurhaeni, N., Rustina, Y., Agustini, N., & Rosuliana, N. E. (2018). Impact of family empowerment model on satisfaction and children’s length of stay in hospital. Enfermería Clínica, 28, 36–40
  32. Palokas, J. M., Northington, L., Wilkerson, R. R., & Boss, B. J. (2015). An interactive evaluation of patient/family centered rounds on pediatric inpatient units. Journal of Pediatric Nursing, 30(4), e9–e15. https://doi.org/https://doi.org/10.1016/j.pedn.2014.11.005
  33. Park, M., Giap, T. T. T., Lee, M., Jeong, H., Jeong, M., & Go, Y. (2018). Patient- and family-centered care interventions for improving the quality of health care: A review of systematic reviews. International Journal of Nursing Studies, 87, 69–83. https://doi.org/10.1016/j.ijnurstu.2018.07.006
  34. Peyrovi, H., Mosayebi, Z., Mohammad-Doost, F., Chehrzad, M. M., & Mehran, A. (2015). The effect of empowerment program on “perceived readiness for discharge” of mothers of premature infants. Journal of Maternal-Fetal and Neonatal Medicine, 29(5), 752–757. https://doi.org/10.3109/14767058.2015.1017461
  35. Polanin, J. R., Pigott, T. D., Espelage, D. L., & Grotpeter, J. K. (2019). Best practice guidelines for abstract screening large-evidence systematic reviews and meta-analyses. Research Synthesis Methods, 10(3), 330–342. https://doi.org/10.1002/jrsm.1354
  36. Rostami, F., Hassan, S. T. S., Yaghmai, F., Ismaeil, S. B., & Suandi, T. Bin. (2017). Effects of family-centered care on the satisfaction of parents of children hospitalized in pediatric wards in a pediatric ward in Chaloos in 2012. Electronic Physician, 9, 3592–3597. https://doi.org/10.14661/2015.1078-1084
  37. Sannino, P., Giannì, M. L., De Bon, G., Fontana, C., Picciolini, O., Plevani, L., Fumagalli, M., Consonni, D., & Mosca, F. (2016). Support to mothers of premature babies using NIDCAP method: A non-randomized controlled trial. Early Human Development, 95, 15–20. https://doi.org/10.1016/j.earlhumdev.2016.01.016
  38. Santos, S., Crespo, C., Canavarro, M. C., & Kazak, A. E. (2015). Family rituals and quality of life in children with cancer and their parents: The role of family cohesion and hope. Journal of Pediatric Psychology, 40(7), 664–671. https://doi.org/10.1093/jpepsy/jsv013
  39. Segers, E., Ockhuijsen, H., Baarendse, P., van Eerden, I., & van den Hoogen, A. (2019). The impact of family centred care interventions in a neonatal or paediatric intensive care unit on parents’ satisfaction and length of stay: A systematic review. Intensive and Critical Care Nursing, 50, 63–70. https://doi.org/10.1016/j.iccn.2018.08.008
  40. Seniwati, T., Rustina, Y., Nurhaeni, N., & Wanda, D. (2023). Patient and family-centered care for children: A concept analysis. Belitung Nursing Journal, 9(1), 17–24. https://doi.org/10.33546/bnj.2350
  41. Simon, A. K., Hollander, G. A., & McMichael, A. (2015). Evolution of the immune system in humans from infancy to old age. Proceedings of the Royal Society B: Biological Sciences, 282(1821). https://doi.org/10.1098/rspb.2014.3085
  42. Suparto, T. A., Somantri, B., Andriani, S., Puspita, A. P. W., Rohaedi, S., Amalia, L., Syihab, S., & Sari, A. T. (2020). Parents’ Roles in Overcoming the Impact of Hospitalization on Preschool Children. Advance in Health Science Research, 21(ICSSHPE 2019), 140–143. https://doi.org/10.2991/ahsr.k.200214.039
  43. Toivonen, M., Lehtonen, L., Loyttyniemi, E., Ahlqvist-Bjorkroth, S., & Axelin, A. (2020). Close collaboration with parents intervention improves family-centered care in different neonatal unit contexts: A pre–post study. Pediatric Research, 88(3), 421–428. https://doi.org/10.1038/s41390-020-0934-2
  44. Uhl, T., Fisher, K., Docherty, S. L., & Brandon, D. H. (2013). Insights into patient and family‐centered care through the hospital experiences of parents. Journal of Obstetric, Gynecologic & Neonatal Nursing, 42(1), 121–131. https://doi.org/https://doi.org/10.1111/1552-6909.12001
  45. Uhm, J. Y., & Kim, H. S. (2019). Impact of the mother–nurse partnership programme on mother and infant outcomes in paediatric cardiac intensive care unit. Intensive and Critical Care Nursing, 50, 79–87. https://doi.org/10.1016/j.iccn.2018.03.006
  46. Van Mol, M. M. C., Boeter, T. G. W., Verharen, L., Kompanje, E. J. O., Bakker, J., & Nijkamp, M. D. (2017). Patient- and family-centred care in the intensive care unit: a challenge in the daily practice of healthcare professionals. Journal of Clinical Nursing, 26(19–20), 3212–3223. https://doi.org/10.1111/JOCN.13669
  47. Vasli, P., & Salsali, M. (2014). Parents’ participation in taking care of hospitalized children: A concept analysis with hybrid model. Iranian Journal of Nursing and Midwifery Research, 19(2), 139–144
  48. Verma, A., Maria, A., Pandey, R. M., Hans, C., Verma, A., & Sherwani, F. (2017). Family-centered care to complement care of sick newborns: A randomized controlled trial. Indian Pediatric, 54(6), 455-459. Htps://doi: 10.1007/s13312-017-1047-9
  49. Vissing, N. H., Chawes, B. L., Rasmussen, M. A., & Bisgaard, H. (2018). Epidemiology and risk factors of infection in early childhood. Pediatrics, 141(6), e20170933. https://doi.org/10.1542/peds.2017-0933
  50. Viswanathan, M., Ansari, M. T., Berkman, N. D., Chang, S., Hartling, L., McPheeters, M., Santaguida, P. L., Shamliyan, T., Singh, K., Tsertsvadze, A., & Treadwell, J. R. (2012). Assessing the risk of bias in systematic reviews of health care interventions. In Methods Guide for Effectiveness and Comparative Effectiveness Reviews. Agency for Healthcare Research and Quality (US)
  51. Welch, M. G., Hofer, M. A., Stark, R. I., Andrews, H. F., Austin, J., Glickstein, S. B., Ludwig, R. J., Myers, M. M., Afifi, L., Bechar, A., Beebe, B. S., Brunelli, S. A., Carnazza, K. E., Chang, C. Y., Farrell, P. A., Fiedor, E. S., Karim, Q., Kofman, S., Koukaz, Y. A., … Hane, A. A. (2013). Randomized controlled trial of family nurture intervention in the NICU: Assessments of length of stay, feasibility and safety. BMC Pediatrics, 13(1), 1. https://doi.org/10.1186/1471-2431-13-148
  52. WHO. (2018). Global efforts in measuring quality of care (Issue February). https://apps.who.int/iris/bitstream/handle/10665/260544/WHO-HIS-SDS-2018.1-eng.pdf
  53. Witt, W. P., Weiss, A. J., & Elixhauser, A. (2014). Overview of hospital stays for children in the United States, 2012. In Healthcare cost and utilization project (HCUP) statistical briefs. Agency for Healthcare Research and Quality (US). https://www.ncbi.nlm.nih.gov/books/NBK274247/

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