Child and Family Centred Care: A Three-Phased Principle-Based Concept Analysis.
Maggie Zgambo, Julie Blamires, Mandie Foster and 4 others
PMID 40062474WHAT IT FOUND
Child and Family Centred Care is defined as placing the child at the core of holistic care, distinct from Family Centred Care.
It rests on four pillars: collaboration, participation, communication, and dignity. The concept is partially mature, with gaps in neonatal and cultural contexts.
Key findings
01Child and Family Centred Care is distinct from other models because it places the child, rather than the illness or family unit, at the centre of care delivery.
02The concept is built on four key attributes: collaboration, participation, communication, and dignity and respect.
03Successful implementation requires preconditions such as staff knowledge, organisational support, and therapeutic relationships, but is often hindered by time constraints and communication barriers.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The analysis is qualitative and theoretical; it does not measure patient outcomes or prove that CFCC improves health. Most included studies were from Western countries, so the definition may not fit all cultural contexts. No studies in neonatal settings were included, limiting relevance to NICU nurses. The concept itself is still evolving and not fully mature, so definitions may change.
Declared interests
The authors declare no conflicts of interest.
The easy way to misread this
Do not interpret this paper as evidence that CFCC improves clinical outcomes. It is a concept analysis that defines what CFCC is and how it should be applied, not a trial showing that it works.