Abstract:
AIMS AND OBJECTIVES:To evaluate and adjust systematic implementation of guided family-centred care in a neonatal intensive care unit. BACKGROUND:Family-centred care is valued in neonatal intensive care units internationally, but innovative strategies are needed to realise the principles. Guided family-centred care was developed to facilitate person-centred communication by bridging the gap between theory and practice in family-centred care. Main mechanisms of guided family-centred care are structured dialogue, reflection and person-centred communication. DESIGN:Qualitative and quantitative data were used to monitor participatory implementation of a systematic approach to training and certification of nurses delivering guided family-centred care. METHODS:Systematic implementation of guided family-centred care included workshops, supervised delivery and certification. Evaluation and adjustment of nurse adherence to guided family-centred care was conducted by monitoring (1) knowledge, (2) delivery, (3) practice uptake and (4) certification. RESULTS:Implementation was improved by the development of a strategic framework and by adjusting the framework according to the real-life context of a busy neonatal care unit. Promoting practice uptake was initially underestimated, but nurse guided family-centred care training was improved by increasing the visibility of the study in the unit, demonstrating intervention progress to the nurses and assuring a sense of ownership among nurse leaders and nonguided-family-centred-care-trained nurses. CONCLUSIONS:An adjusted framework for guided family-centred care implementation was successful in overcoming barriers and promoting facilitators. RELEVANCE TO CLINICAL PRACTICE:Insights gained from our pioneering work might help nurses in a similar context to reach their goals of improving family-centred care.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
Weis J,Zoffmann V,Egerod Idoi
10.1111/jocn.12599subject
Has Abstractpub_date
2014-12-01 00:00:00pages
3478-89issue
23-24eissn
0962-1067issn
1365-2702journal_volume
23pub_type
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