1. Kinna P. Siarro, RN

2. FAMILY-CENTERED CARE

3. Family-centered care
• Provides a framework for health care
providers to ensure that all aspects of
care and the care environment are
designed and focused toward family
needs and concerns
• The patient and family members are
active members of the care team

4. • The family is recognized and cares
for the hospitalized child with full
information, support, and respect
• GOAL: to maintain or strengthen the
roles and ties of the family with the
hospitalized child to promote
normality of the family unit

5. BENEFITS FOR PARENT
AND CHILD

6. 1. Care and teaching are in keeping
with specific family needs and
strengths.
2. Family roles and close family
interactions during time of stress are
enhanced.
3. Minimizes separation anxiety.
4. Decreases reactions of protest,
denial, and despair.

7. 5. Increases sense of security for the
child.
6. Family needs to care for their child
physically and emotionally are
fulfilled.
7. Parents feel useful and important,
rather than dependent and
peripheral.
8. Decreases parental guilt feelings.

8. 9. Increases parents' competence and
confidence in caring for the sick
child.
10. Families of children with special
needs share comfort and support
from one another.
11. Greater absorption of staff teaching
by the family.
12. Diminishes posthospitalization
reactions.

9. IMPLEMENTATION
STRATEGIES

10. • Implementation of family-centered
care will depend on regulations of
the particular health care setting as
well as the capabilities of the
individual family unit
• Review the policies and regulations
regularly with the input of children
or adolescents and family members

11. 1. Taking a family history and
listening for specific family/cultural
needs and preferences
2. Allowing rooming-in for parents of
young children
3. Having parents participate in the
child's physical care.

12. 4. Acknowledging that parents are not
“visitors”; having flexible visiting
regulations for family members,
including siblings
5. Having pictures of family members
available at the hospital
6. Encouraging telephone contact

13. 7. Encouraging the child and family
members to participate in health
care provider or team rounds when
appropriate.
• Having patient and parental input
during the development of the daily
medical plan can be beneficial.

14. 8. Acknowledging that there are
varying types of family units
• Ensure that the child's usual caregiver
(who may not always be a parent) or
legal guardian is included in the
decision-making process as
appropriate.