The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
Institute of Applied Technoly, Fatima College of Health Sciences, Al Ain, Abu Dhabi, United Arab Emirates.
J Clin Nurs. 2023 Sep;32(17-18):6662-6676. doi: 10.1111/jocn.16740. Epub 2023 Apr 25.
To explore the perceptions of family-centred care among nurses and the family members of hospitalised children and investigate the facilitators of and barriers to the implementation of family-centred care in Malawi.
In Malawi, approximately 34% of children have long-term illnesses that require hospitalisation. Family-centred care ensures that the delivery of healthcare is grounded in partnerships between healthcare providers, patients and their families, which can improve the psychological well-being of families. However, there is lack a good understanding of how families and nurses perceive this concept, its facilitators and the barriers.
This was an exploratory qualitative study. Data were analysed deductively and inductively using the five-step qualitative content analysis method.
Twenty-nine nurses and 31 families were recruited. Data were collected through in-depth, semi-structured and face-to-face individual interviews. The study was reported using the COREQ checklist.
Both nurses and families of hospitalised children recognised the importance of nurse-family partnerships in family-centred care. Four themes emerged as follows: Perceptions of family-centred care, elements of family-centred care, facilitators of family-centred care and barriers to family-centred care. Specific information to families and the religious beliefs of families were identified as important facilitator and barrier to family-centred care, respectively.
The implementation of family-centred care is promising in Malawi, as it is positively perceived by nurses and families, and its implementation is consistent with the Institute for Patient and Family-Centred Care Framework.
Our findings present the best practices, gaps and challenges in the context of a low-income country regrading implementation of family-centred care. Education programmes on family-centred care are crucial for sustaining the current gains.
探索护士和住院儿童的家庭成员对以家庭为中心的护理的看法，并调查在马拉维实施以家庭为中心的护理的促进因素和障碍。
在马拉维，约有 34%的儿童患有需要住院的长期疾病。以家庭为中心的护理确保医疗保健的提供立足于医疗保健提供者、患者及其家属之间的伙伴关系，这可以改善家庭的心理健康。然而，人们对家庭和护士如何看待这一概念、其促进因素和障碍缺乏很好的理解。
这是一项探索性定性研究。使用五步定性内容分析法进行演绎和归纳分析数据。
招募了 29 名护士和 31 名家庭。通过深入、半结构化和面对面的个人访谈收集数据。该研究使用 COREQ 清单进行报告。
护士和住院儿童的家庭都认识到护士与家庭伙伴关系在以家庭为中心的护理中的重要性。出现了四个主题：以家庭为中心的护理的看法、以家庭为中心的护理的要素、以家庭为中心的护理的促进因素和以家庭为中心的护理的障碍。向家庭提供具体信息和家庭的宗教信仰分别被确定为以家庭为中心的护理的重要促进因素和障碍。
以家庭为中心的护理在马拉维的实施前景看好，因为它得到了护士和家庭的积极认可，并且其实施与患者和家庭为中心的护理研究所的框架一致。
我们的研究结果提出了在低收入国家实施以家庭为中心的护理方面的最佳实践、差距和挑战。关于以家庭为中心的护理的教育计划对于维持当前的成果至关重要。
