scholarly journals Involvement of information professionals in patient- and family-centered care initiatives: a scoping review

Author(s):  
Antonio P. DeRosa ◽  
Becky Baltich Nelson ◽  
Diana Delgado ◽  
Keith C. Mages ◽  
Lily Martin ◽  
...  

Objective: The goal of this scoping review was to collect data on patient- and family-centered care (PFCC) programs and initiatives that have included the direct involvement of librarians and information professionals to determine how librarians are involved in PFCC and highlight opportunities for librarians to support PFCC programs.Methods: Systematic literature searches were conducted in seven scholarly databases in the information, medical, and social sciences. Studies were included if they (1) described initiatives presented explicitly as PFCC programs and (2) involved an information professional or librarian in the PFCC initiative or program. Based on the definition of PFCC provided by the Institute for Patient- and Family-Centered Care, the authors developed a custom code sheet to organize data elements into PFCC categories or initiatives and outcomes. Other extracted data elements included how the information professional became involved in the program and a narrative description of the initiatives or programs.Results: All included studies (n=12) identified patient education or information-sharing as an integral component of their PFCC initiatives. Librarians were noted to contribute to shared decision-making through direct patient consultation, provision of health literacy education, and information delivery to both provider and patient with the goal of fostering collaborative communication.Conclusions: The synthesis of available evidence to date suggests that librarians and information professionals should focus on patient education and information-sharing to support both patients or caregivers and clinical staff. The burgeoning efforts in participatory care and inclusion of patients in the decision-making process pose a unique opportunity for librarians and information professionals to offer more personalized information services.

2021 ◽  
Vol 9 ◽  
Author(s):  
Karina Terp ◽  
Janne Weis ◽  
Pia Lundqvist

Purpose: To describe parents' views of family-centered care at a pediatric intensive care unit.Design and Methods: A qualitative descriptive study with a deductive and inductive approach was conducted based on the principles of family-centered care. Inclusion criteria were parents of children cared for at a pediatric intensive care unit for at least 48 h. Parents of children who died during the hospital stay were excluded. The sample consisted of spontaneous responses from 70 parents to five open questions in the EMpowerment of PArents in THe Intensive Care questionnaire, which was completed at discharge. The spontaneous responses were analyzed using thematic analysis.Results: The analysis of the parents' statement illuminated that partnership, the essence of family-centered care, appeared incomplete. Partnership was particularly evident regarding parents' experiences of being treated with empathy and respect. It also seemed prominent in situations where the professional team provided support to the child, parents, and family. Based on the parents' statements there was potential for development of the family-centered care approach in aspects such as decision-making concerning care and treatment, as well as improving person-centered communication on order to capture parents' experiences and needs in the highly technological pediatric intensive care unit environment.Conclusions: Although in general parents were satisfied with the care, areas for improvement were identified such as participation in decision-making about care and treatment as well as person-centered communication. The results can contribute to future quality improvement interventions focusing family centered care at pediatric intensive care units.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Kristina M. Kokorelias ◽  
Monique A. M. Gignac ◽  
Gary Naglie ◽  
Jill I. Cameron

2020 ◽  
Vol 9 (4) ◽  
pp. 357-371
Author(s):  
Andreja Krajnc ◽  
Mateja Berčan

2021 ◽  
Vol 26 (Supplement_1) ◽  
pp. e64-e64
Author(s):  
Blossom Dharmaraj ◽  
Catherine Diskin ◽  
Julia Orkin ◽  
Tanvi Agarwal ◽  
Arpita Parmar ◽  
...  

Abstract Primary Subject area Hospital Paediatrics Background Child and family-centered care, a partnership approach to health care decision-making, is central to paediatric practice. To reduce transmission of SARS-CoV-2, healthcare institutions implemented policies to protect staff, patients and families. Family presence at the bedside was reduced to one caregiver, except in special circumstances requiring pre-approval by hospital leadership. Objectives We explored the impact of the COVID-19 pandemic on paediatric healthcare delivery, focusing on family presence. We describe the clinician's experience of restricted family presence during the COVID-19 pandemic in a paediatric hospital. Design/Methods Physicians, trainees, and nurses at The Hospital for Sick Children completed surveys between March-August 2020 to identify patients they perceived to have experienced a suboptimal quality of care or health-outcome related to changes that had occurred as a result of the pandemic and describe the impact. Data were analyzed via case report and thematic analysis. As part of a larger study, here we report on cases related to family presence in the hospital. Results A total of 212 clinicians reported 116 cases; eighteen cases specified an impact on child and family-centered care. Nine cases related to patient experiences and nine to family experiences of the restricted family presence policy. Clinicians reported a perceived distress in patients due to family members not being present. 6267 family restriction exemption requests were received. Cases described families who opted for a different location for end-of-life care so that extended family could be present. Further cases highlighted how important conversations such as disclosure of diagnosis involved one parent present and the other joining remotely. Siblings were also reported to be impacted by visitor restrictions and closure of the sibling play area. Exclusions were also reported to be challenging for children with complex medical needs and technology dependency whereby two-caregivers were often required. Clinicians reported experiencing stress and moral distress as part of being required to support family restriction policies, impairing their ability to provide care. Conclusion Family presence policies are a critical component of child and family-centered care and have been impacted by the pandemic as described both by family and clinician stress. Recommendations based on these findings would include: facilitating two-caregiver presence to support shared decision making, regular remote meetings to communicate information with families in cases where they cannot be physically present; using remote technology or implementing allotted visitation time for siblings, reviewing exceptions to caregiver restrictions, and mental health supports for clinicians such as peer-support groups, or wellness workshops.


What are the teachings of the major world religious traditions about the status and care of the premature or sick newborn? This question becomes important in the context of neonatal intensive care units (NICUs) committed to the ideals of family-centered care, which encourages shared decision making between parents and NICU caregivers. In cases of infants with conditions marked by high mortality, morbidity, or “great suffering,” family-centered care affirms the right of parents to assist in decisions regarding aggressive treatment for their infant. But while there is evidence that families’ religious beliefs often profoundly shape their approach to medical decision making, few studies have tried to understand what major religious traditions teach about the care of the newborn or how these teachings may bear on parents’ decisions. This volume seeks to address this need, providing information on religious teachings to the multidisciplinary teams of NICU professionals (neonatologists, advance practice nurses, social workers), parents of NICU patients, and students of bioethics. In chapters dealing with Judaism, Catholicism, Denominational Protestantism, Evangelical Protestantism, African American Protestantism, Sunni and Shi’a Islam, Hinduism, Buddhism, Navajo religion, and Seventh-day Adventism, leading scholars develop the teachings of these traditions on the status, treatment, and ritual accompaniments of care of the premature or sick newborn.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Dorothy Vittner ◽  
Stephen DeMeo ◽  
Jaxon Vallely ◽  
Mary Parker ◽  
Anna Baxter ◽  
...  

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