Family-Centered Care From the Perspective of Parents of Children Cared for in a Pediatric Intensive Care Unit: An Integrative Review.
Carrie Hill, Kathleen A Knafl, Sheila Judge Santacroce
PMID 29153934WHAT IT FOUND
Parents said PICU care felt respectful when staff listened, used plain language, and let them participate.
Noise, restricted access, and rushed communication made family-centered care feel unmet; collaboration was rarely reported.
Key findings
01Parents reported that respect and dignity remained largely unmet overall, despite themes of compassion and environment.
02Parents reported that medical rounds helped many understand their child's condition and plan, but some found them uncomfortable.
03Parents said nurses helped them participate at the bedside, but many reported barriers to participating at the level they preferred.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The supplied text does not state how many articles or parents were included, so readers cannot judge the breadth of the review. No articles were excluded because of poor methodological quality, so weaker studies may have influenced the themes. The review relied on published reports, which may have omitted parent data relevant to family-centered care concepts. Fathers were underrepresented compared with mothers. The absence of reported collaboration may reflect that published studies did not aim to measure it, not necessarily that it never occurs.
Declared interests
The supplied text does not report funding or author conflict-of-interest declarations. It notes that the first author is a member of a patient and family advisory board.
The easy way to misread this
Do not read this review as proof that family-centered care improves child or family outcomes. It summarizes parents' perceptions of implementation in published studies, not tested interventions.