Principles of Patient and Family Centred Care
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INTRODUCTIONOnly two third of 0-1 had been to a maternal and health care services and around32% of 2-3 years old and approximately around 12% of 4-5 years old in the past 12months(Tsai, 2015).Australian institute of health and welfare estimates that around14% child under the age of 15 years i.e. around approximately 606,000 children consulthealth and care service centre(Velardo, 2017).Patient and family centred care (P&FCC) is a non-profit organization which wasfounded in the year 1992, who provide health care services and support to patients,individuals and families. They aim at building quality improvement, policy formulationand safety initiatives. They aim to provide education to health professional and facilitateresearch for better and effective health care outcomes which leads to improvedexperience of care for patient and family members(McCormack, 2016).This study will highlight positive impact of P&FCC on the child and family withreference to traditional models of paediatric care. This study also includes concepts ofP&FCC for enabling empowerment and analysing how these concepts helps in applyingto paediatric nursing care. This study further highlights, principles of P&FCC and theimpact and outcomes of hospitalization on child. This study also includes strategieswhich help reduce negative effect of hospitalization on child and family with reference tocase study present in report.MAIN BODY1.) One positive impact of P&FCC on the child and family, with features of traditionalmodels of paediatric care.Patient and family centred care (P&FCC) is an approach of planning, evaluatingand delivering health care services with partnership to individuals, children, patients,adolescents and families. The approach is beneficial in improving quality of health careservices in order to achieve best possible outcomes. According to (Committe, 2012)P&FCC aims at delivering health and care services on partnership with patients, familiesand with all those corporations and committees who are involved in the care of the childand family members.
FCC is based on core concepts of care which comprise dignity, respect in whichit is important for the care providers to focus on choice and perspective of patient andfamilies. The main principles of family centred care are that they aim at improvisingquality and experience of care by actively involving patients and families for effectivetreatment and care. Another major principle of FCC is that they work with dignity andrespect and value the choice of patients and family members. FCC aim at incorporatingknowledge, skills, values, culture, beliefs while formulation of plan and delivering ofhealth care services to patients and family members. Health care practitioners aim atsharing complete and unbiased information which leads to effective decision makingand customer satisfaction (Davidson, 2017). This information helps in taking bestdecision for effective treatment of patients which leads to effective results andoutcomes. Effective communication and sharing of information help in improvedperformance of health care practitioners.Family centred care improvespaediatric nursing care by treating family and carewith respect care. They communicate with patients and families for effective results andoutcomes. They share information clearly with patients which help FCC to involvepatients and family members for effective and efficient decision making.One of the most positive impact of FCC is that they involve patient s and familymembers in specific issue or operations. The participation and collaboration of patientsand family members with FCC results in quality treatment and improved outcomes. FCCmain function is to provide excellent quality care and safe services to patients and theirfamily members.Traditional approach of care centred, patients and family members do notactively participate in decision making and they are merely an observer. Managingholistic needs of patients and family members act as interference in the nursing care.Paediatric care providers who follow family cantered service principles treat each childas an individual and support family values and strengths to promote positive patientoutcomes. These professionals also engage families in a way that supports emotionaldevelopment and reassures family members that they are an important component intheir child’s treatment.In accordance with Baird, 2015) traditional model of paediatric
care that is family centred carethere are policies and procedures that guide the actions,responses and behaviour of a traditional nurse. To be more specific, aside from medicaltreatment, comfort, advice, and kindness there is little else that a traditional nurse cando to treat their patients. In this type of care, the family members of patients are notbeing involved. In this type of care the methods used by nurses are limited. The nursesin the traditional model of paediatric care are less trained in comparison to P&FCC(Patient- and Family- Centered Care Defined,2019).On the other hand, (Pettoello-Mantovani, 2009)says that P&FCC consider child,family and patients and work in partnership them to implement effective policies whichresults high quality services and improved outcomes. The positive impact of P&FCC isto improve health outcomes by implementing improved quality health and serviceswhich leads to improved experience of care and patient satisfaction by wise allocation ofresources. The main strength of P&FCC is to treat patients with dignity and respect byclearly sharing information which leads to effective and efficient decision making (Clay &Parsh,2016). P&FCC aims at improving hospitalisation together with patients andfamily members by implementing effective techniques and surveys for best outcomesand results. They provide high quality staff with effective training and research whichleads to higher outcomes and results. P&FCC have strengthened diversity in researchand development with improved technology and leads to effective seminars andconsultation. The family members can act as the service user’s advisors, committeeand task force for enhancing the best possible treatment outcome. Family centred careencourages patients to be involve in the treatment process wilfully. Traditionally, healthcare services used to exclusively focus on health professionals and how they assignnurses to provide services to patients.2.) Effective concepts of P&FCC are enabling and empowerment and how they can beeffectively applied to paediatric nursing care.Enabling:Enabling means giving knowledge and skills to people who canparticipate in decision making for effective results and outcomes. Enabling givessomeone authority to perform a particular task or action in an effective manner toachieve desired results(Dunst, 1988).