Family centered care of hospitalized children: A hybrid concept analysis in Iran

Abstract

Background: Family centered care of hospitalized children (FCCHC) is a multidimensional concept, which is directly associated with the context and healthcare system. This study was conducted to analyze the concept of FCCHC in Iran.Methods: This concept analysis was conducted with the use of hybrid model in 3 phases: a literature review in the theoretical phase, semi-structured interviews and descriptive observations in the fieldwork phase, and combination of the results of 2 previous phases in the final analytical phase.Results: The 4 main themes extracted in theoretical phase included “family and healthcare professional participation”, “information sharing with families”, “family and healthcare professional relationship based on dignity and respect” and “individualized care of family”.Moreover, 4 themes were emerged in the fieldwork phase, including “family as a nonparticipant visitor”, “one-way education”, “non-supportive interactions” and “non-specific care of family”. In third phase with combination of the results of 2 phases, the final definition of the concept was presented.Conclusion: FCCHC is a comprehensive care that is affected by human and organizational factors and requires full participation of staff and family, effective interaction with family, education and information sharing with them, and individualized care of each family. By knowing the dimensions of the FCCHC, we will be able to run our activities to provide facilities and features for its optimal implementation in Iran.

Keywords: Concept formation, Family nursing, Pediatric nursing