(a)Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, New Territories, Hong Kong SAR, China.
(a)Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, New Territories, Hong Kong SAR, China.
J Pediatr Nurs. 2020 Nov-Dec;55:10-28. doi: 10.1016/j.pedn.2020.05.018. Epub 2020 Jul 3.
Limited knowledge exists regarding the scope practices and implementation from developing countries. This integrative review aims to report research on the scope of FCC practices, facilitators and barriers to the FCC implementation for hospitalised children and their families in developing countries.
Qualitative, quantitative, mixed-method studies, reports, systematic reviews and integrative reviews reporting implementation, barriers and facilitators of FCC, published in English between 2008 and 2018, from developing countries were evaluated. Joanna Briggs Institute Appraisal Tools were used for methodological assessment.
Eleven studies from developing countries met the inclusion criteria. Four studies were randomised controlled trials, five were cross-sectional, one was a quasi-experimental while one was a qualitative study.
The scope of FCC research focuses on information sharing, family participation, and respect and dignity and FCC implementation focuses on practices and perceptions, measurement and impact of FCC. Both personal and health system facilitators and barriers exist but their influence on FCC implementation is limited. Research on needs of families and hospitalised children is also limited.
FCC practice and research are still in infancy stage in developing countries. There is limited understanding on scope of FCC practices, the needs of parents and children, and the influence of facilitators and barriers.
The limited findings reported in this review support the need for international collaboration to FCC to critique FCC research and integrate it with other philosophies such as child and family centred care and child centred care as is the case in some developed countries.
关于发展中国家的实践范围和实施情况，我们的知识有限。本综合评价旨在报告有关发展中国家住院儿童及其家庭的 FCC 实践范围、实施 FCC 的促进因素和障碍的研究。
评估了 2008 年至 2018 年间发表的关于 FCC 实施、障碍和促进因素的定性、定量、混合方法研究、报告、系统评价和综合评价，这些研究均为发展中国家采用英文撰写。使用 Joanna Briggs 研究所评估工具进行方法学评估。
11 项来自发展中国家的研究符合纳入标准。其中 4 项为随机对照试验，5 项为横断面研究，1 项为准实验研究，1 项为定性研究。
FCC 研究的范围集中在信息共享、家庭参与、尊重和尊严方面，而 FCC 的实施则集中在实践和感知、FCC 的测量和影响方面。个人和卫生系统的促进因素和障碍都存在，但它们对 FCC 实施的影响有限。对家庭和住院儿童需求的研究也很有限。
FCC 实践和研究在发展中国家仍处于起步阶段。我们对 FCC 实践的范围、父母和儿童的需求以及促进因素和障碍的影响了解有限。
本综述有限的发现支持了国际合作进行 FCC 的必要性，以批评 FCC 研究，并将其与其他理念（如儿童和家庭为中心的护理以及一些发达国家的以儿童为中心的护理）相结合。
