Nurses’ and physicians’ Perspective about Barriers to Implement Family Centered Care in Neonatal Intensive Care Units

Abstract Background & Aim: Despite widespread implementation of family-centered care (FCC) in children’s hospitals, there is insufficient information about the degree of and barriers to its implementation. This study aims to determine the perspectives of nurses and physicians about barriers to...

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Main Authors: J Mirlashari, T Sadeghi, S Sagheb, T Khanmohammadzadeh
Format: Article
Language:fas
Published: Iran University of Medical Sciences 2015-04-01
Series:نشریه پرستاری ایران
Subjects:
Online Access:http://ijn.iums.ac.ir/article-1-2161-en.html
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author J Mirlashari
T Sadeghi
S Sagheb
T Khanmohammadzadeh
author_facet J Mirlashari
T Sadeghi
S Sagheb
T Khanmohammadzadeh
author_sort J Mirlashari
collection DOAJ
description Abstract Background & Aim: Despite widespread implementation of family-centered care (FCC) in children’s hospitals, there is insufficient information about the degree of and barriers to its implementation. This study aims to determine the perspectives of nurses and physicians about barriers to FCC in neonatal intensive care units (NICU) in hospitals affiliated to Tehran University of Medical Sciences. Material & Methods: It was a descriptive cross-sectional study. The sample was all of the nurses and physicians working in the NICUs of the educational hospitals. Data was collected by a researcher-made valid questionnaire and analyzed by descriptive and inferential statistics using SPSS-PC (v.16).     Results: “Units which are not equipped enough for family centered care implementation” (76.6%), “family problems (74%) and “Parents unwilling to stay in the units for a long time” (73.3%) were respectively the three most important barriers from nurses’ perspective. From physicians’ perspective, “Units which are not equipped enough for family-centered care implementation” (69%), “Parents unwilling to stay in the wards for a long time” (65%), and “absence of clear rules and guidelines for the level of involvement of parents in neonatal care” (64%) were respectively the three most important barriers to the implementation of family centered care. Conclusion: Although nurses and physicians agreed upon two barriers but they were not so agree about other factors. To facilitate family centered care, it seems that consideration of the two groups’ perspective to provide an appropriate environment and needed changes in intensive care units is necessary.
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spelling doaj.art-a0266996bad94cff8a68af40397655c72022-12-21T20:20:39ZfasIran University of Medical Sciencesنشریه پرستاری ایران2008-59312015-04-012893140150Nurses’ and physicians’ Perspective about Barriers to Implement Family Centered Care in Neonatal Intensive Care UnitsJ Mirlashari0T Sadeghi1S Sagheb2T Khanmohammadzadeh3 Assistant professor, Dept. Pediatric & NICU nursing, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran. Assistant professor, School of Nursing & Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran. Neonatal specialist, assistant professor, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Master degree in neonatal intensive care, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran (٭Corresponding author). Tel: +98 9124156674 Email:b_mz1349@yahoo.com Abstract Background & Aim: Despite widespread implementation of family-centered care (FCC) in children’s hospitals, there is insufficient information about the degree of and barriers to its implementation. This study aims to determine the perspectives of nurses and physicians about barriers to FCC in neonatal intensive care units (NICU) in hospitals affiliated to Tehran University of Medical Sciences. Material & Methods: It was a descriptive cross-sectional study. The sample was all of the nurses and physicians working in the NICUs of the educational hospitals. Data was collected by a researcher-made valid questionnaire and analyzed by descriptive and inferential statistics using SPSS-PC (v.16).     Results: “Units which are not equipped enough for family centered care implementation” (76.6%), “family problems (74%) and “Parents unwilling to stay in the units for a long time” (73.3%) were respectively the three most important barriers from nurses’ perspective. From physicians’ perspective, “Units which are not equipped enough for family-centered care implementation” (69%), “Parents unwilling to stay in the wards for a long time” (65%), and “absence of clear rules and guidelines for the level of involvement of parents in neonatal care” (64%) were respectively the three most important barriers to the implementation of family centered care. Conclusion: Although nurses and physicians agreed upon two barriers but they were not so agree about other factors. To facilitate family centered care, it seems that consideration of the two groups’ perspective to provide an appropriate environment and needed changes in intensive care units is necessary.http://ijn.iums.ac.ir/article-1-2161-en.htmlfamily centered nursingphysiciannurseneonatal intensive care
spellingShingle J Mirlashari
T Sadeghi
S Sagheb
T Khanmohammadzadeh
Nurses’ and physicians’ Perspective about Barriers to Implement Family Centered Care in Neonatal Intensive Care Units
نشریه پرستاری ایران
family centered nursing
physician
nurse
neonatal intensive care
title Nurses’ and physicians’ Perspective about Barriers to Implement Family Centered Care in Neonatal Intensive Care Units
title_full Nurses’ and physicians’ Perspective about Barriers to Implement Family Centered Care in Neonatal Intensive Care Units
title_fullStr Nurses’ and physicians’ Perspective about Barriers to Implement Family Centered Care in Neonatal Intensive Care Units
title_full_unstemmed Nurses’ and physicians’ Perspective about Barriers to Implement Family Centered Care in Neonatal Intensive Care Units
title_short Nurses’ and physicians’ Perspective about Barriers to Implement Family Centered Care in Neonatal Intensive Care Units
title_sort nurses and physicians perspective about barriers to implement family centered care in neonatal intensive care units
topic family centered nursing
physician
nurse
neonatal intensive care
url http://ijn.iums.ac.ir/article-1-2161-en.html
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AT tsadeghi nursesandphysiciansperspectiveaboutbarrierstoimplementfamilycenteredcareinneonatalintensivecareunits
AT ssagheb nursesandphysiciansperspectiveaboutbarrierstoimplementfamilycenteredcareinneonatalintensivecareunits
AT tkhanmohammadzadeh nursesandphysiciansperspectiveaboutbarrierstoimplementfamilycenteredcareinneonatalintensivecareunits