Tips in The Development of Family Central Care

Yıl 2019, Cilt: 7 Sayı: Ek - IRUPEC 2019 Kongresi Tam Metin Bildirileri, 524 - 526, 10.12.2019

Emine Geçkil

Öz

It began to be accepted in the 19th century when children were not miniatures of adults, but had unique physical, psychological, cognitive and spiritual developmental processes and needs. This perspective led to the understanding that children should be treated differently than adults, and this understanding led to the opening of children's hospitals. n these hospitals, mothers were initially allowed to stay with their sick children, but families were banned from visiting and worried about the spread of infections, and this perspective continued for nearly a century (Smith 2018, Yılmaz and Gözen 2019). These events continued until the Second World War. The father of the Family Centered Care (FCC) Bowlby has revealed the devastating effects of hospitalization on children, apart from their families (Yılmaz and Gözen 2019). Dr. Bowly and Robertson's paper led to the establishment of a “maternal care organization for hospitalized children”in the UK and the preparation of the Platt Report in 1959. The Platt report includes admission of pediatric patients to the hospital with their mothers, allowing parents to visit their in-patient children, providing play opportunities, and training nurses to meet the emotional needs of children and their families (Shields and Tanner 2004). “Family-centered care ğü, which Western medicine sees as something new and different, is in fact a deep-rooted value in cultures like us that place strong emphasis on family ties and networks (Igel and Lenner 2016).
We see that the concept of patient and family centered care is used more frequently. Patient and family-centered care is a collaborative approach between health professionals, patients, and families in planning, delivering and evaluating health care (Johnson and Abraham 2012). Patient and family-centered care emphasizes cooperation not only for children, but also for people of all ages in the whole care setting. This cooperation is not only related to care, but also includes quality development, research, policy-making, training of health workers, design of health care facilities and safety issues (IPFCC, 2019). In patient and family-centered care, there is no concept of “doing for patients or families”, but instead of “doing with patients and families.”
In pediatric nursing, the importance of the primary caregiver role of the family in meeting the physical, cognitive, psychosocial, spiritual and developmental needs of the child and increasing the health and welfare of the child is increasingly recognized. The FCC provides a holistic approach to patient care, including psychological, spiritual, cultural and emotional dimensions. This term also recognizes the role of family members of the patient in the planning and implementation of home care. Family-centered care is beneficial not only for children but also for all (Clay and Parsh 2016). Implementation of FCC improves patient outcomes, contributes to faster recovery, reduces the number of patients coming back to the emergency room, reduces costs, and increases employee satisfaction (Clay and Parsh 2016, Öztürk, Ayar 2019). The FCC involves family involvement in care and decisions and allows the use of autonomy. In this sense, the FCC is a rising value that contributes to the ethically defensible service provided (Igel and Lenner 2016). The FCC has been listed as a “ten rules for redesigning health care to improve quality in the US by the Institute of Medical (IOM) Health Care Quality Institute (Clay and Parsh 2016).

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