پژوهان (Jun 2024)
Barriers to Implementing Family-Centered Care in Pediatric and Neonatal Intensive Care Units from the Perspectives of Nurses
Abstract
Background and Objectives: The optimal implementation of family-centered care requires a better understanding of the attitudes and opinions of treatment personnel and families; therefore, the barriers between the two groups should be recognized. This study was conducted with the aim of investigating the barriers to implementing family-centered care in Pediatric and Infants Intensive Care Units from the perspectives of nurses. Materials and Methods: In this cross-sectional descriptive study, 62 nurses in the pediatric and neonatal intensive care units of Be'sat and Fatemiyeh hospitals in Hamedan were investigated using a census method. The data were collected by the questionnaire of Barriers to Implementing Family-Centered Care in Pediatric and Neonatal Intensive Care Units from the Nurses’ Point of View and analyzed by SPSS software version 23 with descriptive statistical tests. Results: The most important obstacles to the implementation of family-centered care included parents' fear of the patient's condition worsening, a better understanding of the patient's needs by the nurse compared to the parents, parents' lack of self-confidence, nurses making necessary decisions based on medical treatment, and the nurse being the decision-maker regarding the presence or absence of parents. On the other hand, the least important obstacles were found to be the lack of necessary training for nurses, hospital managers' lack of enthusiasm for family-centered care policies, absence of clear policies regarding parental involvement, fear of harm to infants/children due to improper care by parents and staff, and insufficient personnel for the implementation and supervision of family-centered care. Conclusion: The barriers identified in the implementation process of family-centered care from the nurses’ perspectives can be provided to the officials as a guide to formulate strategies for a more powerful implementation of family-centered care.
