Facilitating Family-Centred Care at the Paediatric Intensive Care Unit: Implementation of a Co-Created Bedside Family Board.
Lisa-Maria van Klaveren, Barbara Geven, Rien de Vos and 2 others
PMID 41773070WHAT IT FOUND
The paediatric intensive care bedside family board was rated acceptable and feasible, and observed use remained high over six months.
Families and professionals said it helped capture child and family needs and shared goals, though most daily goals focused on physical and mental health.
Key findings
01Professionals rated the board as highly acceptable, appropriate and feasible, with median scores of 4 on 5-point measures.
02Observed board use exceeded the predefined threshold over six months, with a median of seven items per board.
03Families and professionals reported the board reflected child and family needs and helped shared goal setting, with median scores above the predefined threshold.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
It was a single-site study at one 11-bed PICU, so transferability to other units is uncertain. Doctors were underrepresented among respondents, so self-reported findings reflect families, nurses and social professionals more than doctors. The outcomes were implementation, perceived acceptability, use and family-centred care, not clinical outcomes. Professionals self-reported use below the predefined threshold, even though observed use exceeded it. Not all board items were used consistently, and some items were not applicable to newborns or older children. The board was available only in Dutch during the study, which may limit use by families who speak other languages. The number of focus groups and interviews was set pragmatically rather than by data saturation.
Declared interests
This work was supported by a stimulation grant for interprofessional care from the board of directors of Amsterdam Academic Medical Centre. The authors declare no conflicts of interest. They used GPT-5 to improve readability and clarity, reviewed and edited the content, and take full responsibility for it.
The easy way to misread this
Do not conclude that the board improves family-centred care or patient outcomes. The study measured implementation, perceived acceptability, use and family-centred care, not clinical outcomes, and most recorded daily goals were Fitness goals.