Abstract
Abstract Objective: To compare the evaluation carried out by the nursing teams of pediatric and maternal-infant with adult patient wards on the inclusion of families in institutional policies and practices. Method: A cross-sectional and descriptive study carried out in a university hospital with 148 professionals from the nursing team of the maternal and pediatric units and 43 from adult units. The data were analyzed by the program Statistical Package for the Social Sciences 22, using the chi-square test and Fisher's exact test. Results: The groups presented distinct perceptions about the differentiation between families and visitors in policies and practices; similar perceptions related to the policies and practices are not favorable to the presence of siblings and children, and to the non-inclusion of the families in aspects related to daily care. Conclusion and Implications for Practice: The perception of nursing teams indicates that families are not included in institutional policies and practices. The results of an organizational self-assessment about families' inclusion subsidize a way to improve organizational policies and practices, making it possible to draw up an action plan to implementing Patient and Family Centered Care at the institutional level.
Highlights
Patient-and family-Centered Care (PFCC) is an approach for planning, the provision and the evaluation of health care, based on mutually beneficial partnership between the health care providers, patients and families
This model has been endorsed as ideal for the care by large professionals as well as non-professional organizations, such as Institute for Patient and Family-Centered Care (IPFCC),[5] Institute of Medicine (IOM), American College of Critical Care Medicine (ACCM), American Academy of Pediatrics (AAP) and Joint Commission International (JCI)[6] contributing so principles and PFCC strategies can be incorporated into the health policies, national and international guidelines, health research and the clinical practice
The participants' perception about the content regarding families that was described in the institution policies is shown in the Table 3, and there was a significant discrepancy among the groups (p = 0.006) when questioned about the families being considered as visitors in which the most (46.3%) of the Group I declared that the institutional written policies did not consider the families as visitors and the most (59.5%) of the Group II that the written policies considered the families as visitors
Summary
Patient-and family-Centered Care (PFCC) is an approach for planning, the provision and the evaluation of health care, based on mutually beneficial partnership between the health care providers, patients and families In agreement with this prospect, family is defined as two or more persons that are related in some way, biologically, legally or emotionally, and are the individuals/patients and family member that indicate who is part of the family and the level of involvement that each member shall have in aspects related to the care.[1] It is important to note that the advent and the PFCC evolution are rooted in the pediatric area, and its incorporation into other specialties is recent and has been gradually occurring. Records of implementation consolidated of this approach in an institutional framework have not occurred yet, the evidence shows actions related to the application of the PFCC principles[7,8,9] or implementation of the referred model in the context of specific care,[10] indicating a trend to incorporate the PFCC in the national health scenarios
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