From theory to practice: the inclusion of hospitalized children's families in painful procedures.
Danton Matheus de Souza, Rafaela de Fátima Fernandes, Cibelle Tiphane de Sousa Costa and 2 others
PMID 37624383WHAT IT FOUND
Nurses say they support family presence during painful procedures but often exclude them due to past conflicts and emotional reactions.
They suggest protocols and training are needed to turn this stated philosophy into consistent clinical practice.
Key findings
01Professionals recognize family-centered care principles but report that inclusion depends on individual staff preference rather than institutional policy.
02Staff cite personal barriers like moral distress and past aggression, and institutional barriers like lack of training, as reasons for excluding families.
03Participants proposed continuing education and mandatory protocols to ensure family presence becomes a standard practice.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Findings cannot be generalized beyond this specific hospital context. Only nursing staff were interviewed, excluding other healthcare professionals who also deliver care. Self-reported behavior may not reflect actual clinical actions, as participants might have answered what they believed was expected.
Declared interests
No specific funding or conflict of interest declarations were provided in the supplied text.
The easy way to misread this
Do not interpret the nurses' stated agreement with family-centered care principles as evidence that these principles are being followed. The study found a disconnect between theory and practice, with many staff actively excluding families due to personal and institutional barriers.