The barriers to family-centered care in the pediatric rehabilitation ward: A qualitative study

被引:3
|
作者
Nematifard, Taban [1 ]
Tabrizi, Kian Norouzi [1 ]
Arsalani, Narges [1 ]
Fallahi-Khoshknab, Masoud [1 ]
Borimnejad, Leili [2 ]
机构
[1] Univ Social Welf & Rehabil Sci, Dept Nursing, Tehran, Iran
[2] Iran Univ Med Sci, Nursing & midwifery Care Res Ctr, Tehran, Iran
来源
JOURNAL OF PEDIATRIC NURSING-NURSING CARE OF CHILDREN & FAMILIES | 2023年 / 73卷
关键词
Family -centered care; Rehabilitation; Children; HOSPITALIZED CHILDREN; CONDUCTIVE EDUCATION; PARENTS; PROGRAM; NETWORK; NURSES; NEEDS;
D O I
10.1016/j.pedn.2023.08.018
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background: Family-centered care (FCC) is one of the fundamental principles of care provision to children with disability (CWD). It is based on the collaboration of healthcare providers, patients, and families. However, there is limited information about the barriers to FCC in pediatric rehabilitation settings in Iran. This study aimed at exploring the barriers to FCC in the pediatric rehabilitation ward. Methods: This descriptive qualitative study was conducted in 2022. Participants were nine rehabilitation staff and twelve mothers of hospitalized CWD purposively selected from the pediatric rehabilitation ward of hospital Rofeideh, Tehran, Iran. Rehabilitation staff were three nurses, a head nurse, a nursing manager, a medical specialist, a social worker, a physical therapist, and an occupational therapist. Eleven semi-structured interviews and three focus group discussions were conducted for data collection, and conventional content analysis proposed by Graneheim and Lundman (2004) was used for data analysis. Results: The three main categories of the barriers to FCC in the pediatric rehabilitation ward were family-related barriers (subcategories: knowledge about child rehabilitation, sociocultural background, and participation), staff-related barriers (subcategories: knowledge, ethical concerns, and collaboration), and organizational barriers (subcategories: factors related to FCC policies, managerial factors, environmental factors, and factors related to the coronavirus disease 2019 pandemic). Conclusion: The barriers to FCC in the pediatric rehabilitation ward are very diverse due to the long-term course of child disability and long-term interaction of families with rehabilitation centers. Data collection from both families and rehabilitation staff helped acquire an in-depth understanding about these barriers. More in-depth explorations of family-related barriers such as sociocultural factors are essential to determine the reasons for family resistance to healthcare providers' recommendations to develop more effective care plans.
引用
收藏
页码:120 / 129
页数:10
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