What Impact Do Hospital and Unit-Based Rules Have Upon Patient and Family-Centered Care in the Pediatric Intensive Care Unit?
Patient and family-centered care (PFCC) is the foundation for pediatric healthcare. The existence of hospital rules can, however, impact the extent to which PFCC is delivered. This qualitative, grounded theory study identified the existence of explicit and implicit rules in a pediatric intensive car...
Gespeichert in:
| Veröffentlicht in: | Journal of pediatric nursing 2015-01, Vol.30 (1), p.133-142 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 142 |
|---|---|
| container_issue | 1 |
| container_start_page | 133 |
| container_title | Journal of pediatric nursing |
| container_volume | 30 |
| creator | Baird, Jennifer Davies, Betty Hinds, Pamela S. Baggott, Christina Rehm, Roberta S. |
| description | Patient and family-centered care (PFCC) is the foundation for pediatric healthcare. The existence of hospital rules can, however, impact the extent to which PFCC is delivered. This qualitative, grounded theory study identified the existence of explicit and implicit rules in a pediatric intensive care unit, all of which negatively affected the family's ability to receive care that was attentive to their needs. The rules also placed the registered nurse in the challenging position of serving as rule enforcer and facilitator of PFCC. Further work is needed to explore how to adapt the hospital environment to better meet families' needs.
•Explicit and implicit hospital rules may impact delivery of patient and family-centered care (PFCC).•Nurses have dual roles: they must both enforce rules and deliver PFCC•The PFCC conceptual model may need to better emphasize the impact of context on care delivery. |
| doi_str_mv | 10.1016/j.pedn.2014.10.001 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4405525</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0882596314002681</els_id><sourcerecordid>1645234143</sourcerecordid><originalsourceid>FETCH-LOGICAL-c516t-2cc2952c107ca84c145205d02b84d04ad72e7f7fb88b78e846bd260d572cd1383</originalsourceid><addsrcrecordid>eNqNksGOFCEQhonRuOPqC3gwJF689Ag0NHRiNDq6ziSbuDFOPBIaGIdJN7RAT7IH3116Z92oB-OJUPXVT1F_AfAUoyVGuHl5WI7W-CVBmJbAEiF8Dywwq0klKG3vgwUSglSsbeoz8CilQwEw4-1DcEYYZYhSvAA_vu5VhpthVDrD9wGuQxpdVj1U3sCtd7l6p5I18PPU2wTX6mjhdgweXqnsrM832IUaXH9drcrdxsKuVLTQeZj3Fl5Z41SOTsNNyfrkisBNftZ-8xg82Kk-2Se35znYXnz4slpXl58-blZvLyvNcJMrojVpGdEYca0E1ZgygphBpBPUIKoMJ5bv-K4TouPCCtp0hjTIME60wbWoz8Hrk-44dYM1unQaVS_H6AYVr2VQTv6Z8W4vv4WjpBQxRlgReHErEMP3yaYsB5e07XvlbZiSxA0nqG14g_4DLd3XFNO6oM__Qg9hir5MYqZEK0TD57fJidIxpBTt7q5vjOS8CPIg50WQ8yLMseJzKXr2-4_vSn45X4BXJ8CWuR-djTLp4qgufkWrszTB_Uv_J-Bhw0c</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1648988675</pqid></control><display><type>article</type><title>What Impact Do Hospital and Unit-Based Rules Have Upon Patient and Family-Centered Care in the Pediatric Intensive Care Unit?</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>Baird, Jennifer ; Davies, Betty ; Hinds, Pamela S. ; Baggott, Christina ; Rehm, Roberta S.</creator><creatorcontrib>Baird, Jennifer ; Davies, Betty ; Hinds, Pamela S. ; Baggott, Christina ; Rehm, Roberta S.</creatorcontrib><description>Patient and family-centered care (PFCC) is the foundation for pediatric healthcare. The existence of hospital rules can, however, impact the extent to which PFCC is delivered. This qualitative, grounded theory study identified the existence of explicit and implicit rules in a pediatric intensive care unit, all of which negatively affected the family's ability to receive care that was attentive to their needs. The rules also placed the registered nurse in the challenging position of serving as rule enforcer and facilitator of PFCC. Further work is needed to explore how to adapt the hospital environment to better meet families' needs.
•Explicit and implicit hospital rules may impact delivery of patient and family-centered care (PFCC).•Nurses have dual roles: they must both enforce rules and deliver PFCC•The PFCC conceptual model may need to better emphasize the impact of context on care delivery.</description><identifier>ISSN: 0882-5963</identifier><identifier>EISSN: 1532-8449</identifier><identifier>DOI: 10.1016/j.pedn.2014.10.001</identifier><identifier>PMID: 25450441</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Child ; Child, Preschool ; Children with complex chronic conditions ; Chronic Disease - therapy ; Families & family life ; Female ; Grounded theory ; Health Impact Assessment ; Hospitals ; Hospitals, Teaching - organization & administration ; Humans ; Infant ; Inpatient care ; Intensive Care Units, Pediatric - organization & administration ; Long-Term Care - methods ; Male ; Middle Aged ; Needs Assessment ; Nursing ; Outcome Assessment (Health Care) ; Patient and family-centered care ; Patient-Centered Care - organization & administration ; Pediatric intensive care unit ; Pediatrics ; Professional-Family Relations ; Qualitative Research ; Risk Assessment ; Rules ; Severity of Illness Index</subject><ispartof>Journal of pediatric nursing, 2015-01, Vol.30 (1), p.133-142</ispartof><rights>2015 Elsevier Inc.</rights><rights>Copyright © 2015 Elsevier Inc. All rights reserved.</rights><rights>Copyright W.B. Saunders Company/JNL Jan-Feb 2015</rights><rights>2014 Elsevier Inc. All rights reserved. 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c516t-2cc2952c107ca84c145205d02b84d04ad72e7f7fb88b78e846bd260d572cd1383</citedby><cites>FETCH-LOGICAL-c516t-2cc2952c107ca84c145205d02b84d04ad72e7f7fb88b78e846bd260d572cd1383</cites><orcidid>0000-0002-8355-7984</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.pedn.2014.10.001$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,30999,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25450441$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baird, Jennifer</creatorcontrib><creatorcontrib>Davies, Betty</creatorcontrib><creatorcontrib>Hinds, Pamela S.</creatorcontrib><creatorcontrib>Baggott, Christina</creatorcontrib><creatorcontrib>Rehm, Roberta S.</creatorcontrib><title>What Impact Do Hospital and Unit-Based Rules Have Upon Patient and Family-Centered Care in the Pediatric Intensive Care Unit?</title><title>Journal of pediatric nursing</title><addtitle>J Pediatr Nurs</addtitle><description>Patient and family-centered care (PFCC) is the foundation for pediatric healthcare. The existence of hospital rules can, however, impact the extent to which PFCC is delivered. This qualitative, grounded theory study identified the existence of explicit and implicit rules in a pediatric intensive care unit, all of which negatively affected the family's ability to receive care that was attentive to their needs. The rules also placed the registered nurse in the challenging position of serving as rule enforcer and facilitator of PFCC. Further work is needed to explore how to adapt the hospital environment to better meet families' needs.
•Explicit and implicit hospital rules may impact delivery of patient and family-centered care (PFCC).•Nurses have dual roles: they must both enforce rules and deliver PFCC•The PFCC conceptual model may need to better emphasize the impact of context on care delivery.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children with complex chronic conditions</subject><subject>Chronic Disease - therapy</subject><subject>Families & family life</subject><subject>Female</subject><subject>Grounded theory</subject><subject>Health Impact Assessment</subject><subject>Hospitals</subject><subject>Hospitals, Teaching - organization & administration</subject><subject>Humans</subject><subject>Infant</subject><subject>Inpatient care</subject><subject>Intensive Care Units, Pediatric - organization & administration</subject><subject>Long-Term Care - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Needs Assessment</subject><subject>Nursing</subject><subject>Outcome Assessment (Health Care)</subject><subject>Patient and family-centered care</subject><subject>Patient-Centered Care - organization & administration</subject><subject>Pediatric intensive care unit</subject><subject>Pediatrics</subject><subject>Professional-Family Relations</subject><subject>Qualitative Research</subject><subject>Risk Assessment</subject><subject>Rules</subject><subject>Severity of Illness Index</subject><issn>0882-5963</issn><issn>1532-8449</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNksGOFCEQhonRuOPqC3gwJF689Ag0NHRiNDq6ziSbuDFOPBIaGIdJN7RAT7IH3116Z92oB-OJUPXVT1F_AfAUoyVGuHl5WI7W-CVBmJbAEiF8Dywwq0klKG3vgwUSglSsbeoz8CilQwEw4-1DcEYYZYhSvAA_vu5VhpthVDrD9wGuQxpdVj1U3sCtd7l6p5I18PPU2wTX6mjhdgweXqnsrM832IUaXH9drcrdxsKuVLTQeZj3Fl5Z41SOTsNNyfrkisBNftZ-8xg82Kk-2Se35znYXnz4slpXl58-blZvLyvNcJMrojVpGdEYca0E1ZgygphBpBPUIKoMJ5bv-K4TouPCCtp0hjTIME60wbWoz8Hrk-44dYM1unQaVS_H6AYVr2VQTv6Z8W4vv4WjpBQxRlgReHErEMP3yaYsB5e07XvlbZiSxA0nqG14g_4DLd3XFNO6oM__Qg9hir5MYqZEK0TD57fJidIxpBTt7q5vjOS8CPIg50WQ8yLMseJzKXr2-4_vSn45X4BXJ8CWuR-djTLp4qgufkWrszTB_Uv_J-Bhw0c</recordid><startdate>20150101</startdate><enddate>20150101</enddate><creator>Baird, Jennifer</creator><creator>Davies, Betty</creator><creator>Hinds, Pamela S.</creator><creator>Baggott, Christina</creator><creator>Rehm, Roberta S.</creator><general>Elsevier Inc</general><general>W.B. Saunders Company/JNL</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8355-7984</orcidid></search><sort><creationdate>20150101</creationdate><title>What Impact Do Hospital and Unit-Based Rules Have Upon Patient and Family-Centered Care in the Pediatric Intensive Care Unit?</title><author>Baird, Jennifer ; Davies, Betty ; Hinds, Pamela S. ; Baggott, Christina ; Rehm, Roberta S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c516t-2cc2952c107ca84c145205d02b84d04ad72e7f7fb88b78e846bd260d572cd1383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children with complex chronic conditions</topic><topic>Chronic Disease - therapy</topic><topic>Families & family life</topic><topic>Female</topic><topic>Grounded theory</topic><topic>Health Impact Assessment</topic><topic>Hospitals</topic><topic>Hospitals, Teaching - organization & administration</topic><topic>Humans</topic><topic>Infant</topic><topic>Inpatient care</topic><topic>Intensive Care Units, Pediatric - organization & administration</topic><topic>Long-Term Care - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Needs Assessment</topic><topic>Nursing</topic><topic>Outcome Assessment (Health Care)</topic><topic>Patient and family-centered care</topic><topic>Patient-Centered Care - organization & administration</topic><topic>Pediatric intensive care unit</topic><topic>Pediatrics</topic><topic>Professional-Family Relations</topic><topic>Qualitative Research</topic><topic>Risk Assessment</topic><topic>Rules</topic><topic>Severity of Illness Index</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baird, Jennifer</creatorcontrib><creatorcontrib>Davies, Betty</creatorcontrib><creatorcontrib>Hinds, Pamela S.</creatorcontrib><creatorcontrib>Baggott, Christina</creatorcontrib><creatorcontrib>Rehm, Roberta S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of pediatric nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Baird, Jennifer</au><au>Davies, Betty</au><au>Hinds, Pamela S.</au><au>Baggott, Christina</au><au>Rehm, Roberta S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>What Impact Do Hospital and Unit-Based Rules Have Upon Patient and Family-Centered Care in the Pediatric Intensive Care Unit?</atitle><jtitle>Journal of pediatric nursing</jtitle><addtitle>J Pediatr Nurs</addtitle><date>2015-01-01</date><risdate>2015</risdate><volume>30</volume><issue>1</issue><spage>133</spage><epage>142</epage><pages>133-142</pages><issn>0882-5963</issn><eissn>1532-8449</eissn><abstract>Patient and family-centered care (PFCC) is the foundation for pediatric healthcare. The existence of hospital rules can, however, impact the extent to which PFCC is delivered. This qualitative, grounded theory study identified the existence of explicit and implicit rules in a pediatric intensive care unit, all of which negatively affected the family's ability to receive care that was attentive to their needs. The rules also placed the registered nurse in the challenging position of serving as rule enforcer and facilitator of PFCC. Further work is needed to explore how to adapt the hospital environment to better meet families' needs.
•Explicit and implicit hospital rules may impact delivery of patient and family-centered care (PFCC).•Nurses have dual roles: they must both enforce rules and deliver PFCC•The PFCC conceptual model may need to better emphasize the impact of context on care delivery.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25450441</pmid><doi>10.1016/j.pedn.2014.10.001</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-8355-7984</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0882-5963 |
| ispartof | Journal of pediatric nursing, 2015-01, Vol.30 (1), p.133-142 |
| issn | 0882-5963 1532-8449 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4405525 |
| source | MEDLINE; Elsevier ScienceDirect Journals Complete; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Adolescent Adult Child Child, Preschool Children with complex chronic conditions Chronic Disease - therapy Families & family life Female Grounded theory Health Impact Assessment Hospitals Hospitals, Teaching - organization & administration Humans Infant Inpatient care Intensive Care Units, Pediatric - organization & administration Long-Term Care - methods Male Middle Aged Needs Assessment Nursing Outcome Assessment (Health Care) Patient and family-centered care Patient-Centered Care - organization & administration Pediatric intensive care unit Pediatrics Professional-Family Relations Qualitative Research Risk Assessment Rules Severity of Illness Index |
| title | What Impact Do Hospital and Unit-Based Rules Have Upon Patient and Family-Centered Care in the Pediatric Intensive Care Unit? |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-29T10%3A00%3A00IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=What%20Impact%20Do%20Hospital%20and%20Unit-Based%20Rules%20Have%20Upon%20Patient%20and%20Family-Centered%20Care%20in%20the%20Pediatric%20Intensive%20Care%20Unit?&rft.jtitle=Journal%20of%20pediatric%20nursing&rft.au=Baird,%20Jennifer&rft.date=2015-01-01&rft.volume=30&rft.issue=1&rft.spage=133&rft.epage=142&rft.pages=133-142&rft.issn=0882-5963&rft.eissn=1532-8449&rft_id=info:doi/10.1016/j.pedn.2014.10.001&rft_dat=%3Cproquest_pubme%3E1645234143%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1648988675&rft_id=info:pmid/25450441&rft_els_id=S0882596314002681&rfr_iscdi=true |