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familycentredcare approach to nursing-2023.ppt

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Family centered care

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Family Centred Care T. Nkhoma Child Nurse Specialist
OBJECTIVES Upon completion of this lesson, students should be able to: ?Describe a family ?Identify the members of a family ?Role of the family in Paediatric nursing ?Discuss family cantered care FCC and its importance in child nursing
What is a ｀韓温馨庄鉛霞¨?
What is a ｀韓温馨庄鉛霞¨?
What is a family? ? Several interpretations of a ｀family¨ ? Our interpretation often depends on our own experience of family ? In today¨s world we must be open to the many types of families we meet. ? Ultimately the family is defined by itself ? Therefore as nurses, we need to establish who is in the child¨s family
The Child in Hospital ? Hospital can be new and frightening for children ? Often, their families are the only familiar aspect ? Hospital should not diminish the family¨s role in children¨s care. ? FCC recognises that nursing care is most effective if done in conjunction with the parents
Family-centred care (FCC) Broadly defined as promoting a partnership between the parents and healthcare professionals in the care of the child (Smith et al. 2002)
The family Assess the family relationships: ? Are both parents involved? ? How many siblings in the family? ? Are the grandparents etc. involved in the child¨s care? ? Any other important people? ? Will someone stay with the child in hospital?
familycentredcare approach to nursing-2023.ppt
The role of the nurse ? Introduce yourself to the child & parents ? Show the child & parents around the ward:- ? tell them about the hospital facilities ? Ask parents if they:- ? slept well, ? had breakfast, etc. ? Explain the care the child will receive that day / night ? Explain what you are going to do, for example, measure blood pressure, dressing change ? Ask parents what they would like to do ? Ask them if they have any questions
Parents have a right to make decisions about their child Therefore: Parents need to have information about their child¨s condition, treatment and nursing care
Answering questions ? Do not be afraid to say ＾I do not know￣ when a child / parent asks a question ? Tell child / parents ＾I do not know but I will get that information for you￣
Negotiation ? Helping parents to be involved in their children¨s care is an important part of FCC ? Nurses and parents need to decide who will perform the care the child will need, for example: - Showering the child - Changing a wound dressing - Feeding the child ? How does the nurses¨ routine suit the parents¨ routine?
Family-Centered Care (FCC) ? Remember: Parents do not know that they can be involved in their child¨s care ? Therefore, nurses must explain to them ? But nurses should not expect parents to be involved ? Therefore, negotiate with the parents what they can do and what they want to do
? A common myth is that family centred care involves the parents staying with their child in hospital. This is not true ? Family centred care means that we support the parents to be involved as much as possible in the child¨s care
Reasons parents may not stay with their child in hospital ? Other children ? Expense ? Their job ? Personal reasons ? Others ´´´ Remember: it is not our job to judge parents
The cost of staying with a child in hospital ? Food ? Parents¨ accommodation ? Transport ? Possibly loss of earnings ? Child-minders for other siblings ? Telephone bills ? Toys & treats for the sick child
Important Points ? Parents are not extra or unpaid nurses and should never be expected to replace nursing shortages ? Parents should not be expected to be involved in their children¨s care - Parents can decide if they want to be involved or not ? Never assume that a parent will do something ? Never judge parents because of your own personal opinions
References ? Hockenberry, M.J., & Wilson, D. (2017). Wong¨s Essentials of Paediatric Nursing.10th ED. St. Louis, MO: Mosby/Elsevier ? Kliegman, R.M., Behrman, R.E., Jenson, H.B. & Stanton, B.F. (2011). Nelson¨s Textbook of Paediatrics. Philadelphia: Saunders

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familycentredcare approach to nursing-2023.ppt

  • 2. OBJECTIVES Upon completion of this lesson, students should be able to: ?Describe a family ?Identify the members of a family ?Role of the family in Paediatric nursing ?Discuss family cantered care FCC and its importance in child nursing
  • 3. What is a ｀韓温馨庄鉛霞¨?
  • 4. What is a ｀韓温馨庄鉛霞¨?
  • 5. What is a family? ? Several interpretations of a ｀family¨ ? Our interpretation often depends on our own experience of family ? In today¨s world we must be open to the many types of families we meet. ? Ultimately the family is defined by itself ? Therefore as nurses, we need to establish who is in the child¨s family
  • 6. The Child in Hospital ? Hospital can be new and frightening for children ? Often, their families are the only familiar aspect ? Hospital should not diminish the family¨s role in children¨s care. ? FCC recognises that nursing care is most effective if done in conjunction with the parents
  • 7. Family-centred care (FCC) Broadly defined as promoting a partnership between the parents and healthcare professionals in the care of the child (Smith et al. 2002)
  • 8. The family Assess the family relationships: ? Are both parents involved? ? How many siblings in the family? ? Are the grandparents etc. involved in the child¨s care? ? Any other important people? ? Will someone stay with the child in hospital?
  • 10. The role of the nurse ? Introduce yourself to the child & parents ? Show the child & parents around the ward:- ? tell them about the hospital facilities ? Ask parents if they:- ? slept well, ? had breakfast, etc. ? Explain the care the child will receive that day / night ? Explain what you are going to do, for example, measure blood pressure, dressing change ? Ask parents what they would like to do ? Ask them if they have any questions
  • 11. Parents have a right to make decisions about their child Therefore: Parents need to have information about their child¨s condition, treatment and nursing care
  • 12. Answering questions ? Do not be afraid to say ＾I do not know￣ when a child / parent asks a question ? Tell child / parents ＾I do not know but I will get that information for you￣
  • 13. Negotiation ? Helping parents to be involved in their children¨s care is an important part of FCC ? Nurses and parents need to decide who will perform the care the child will need, for example: - Showering the child - Changing a wound dressing - Feeding the child ? How does the nurses¨ routine suit the parents¨ routine?
  • 14. Family-Centered Care (FCC) ? Remember: Parents do not know that they can be involved in their child¨s care ? Therefore, nurses must explain to them ? But nurses should not expect parents to be involved ? Therefore, negotiate with the parents what they can do and what they want to do
  • 15. ? A common myth is that family centred care involves the parents staying with their child in hospital. This is not true ? Family centred care means that we support the parents to be involved as much as possible in the child¨s care
  • 16. Reasons parents may not stay with their child in hospital ? Other children ? Expense ? Their job ? Personal reasons ? Others ´´´ Remember: it is not our job to judge parents
  • 17. The cost of staying with a child in hospital ? Food ? Parents¨ accommodation ? Transport ? Possibly loss of earnings ? Child-minders for other siblings ? Telephone bills ? Toys & treats for the sick child
  • 18. Important Points ? Parents are not extra or unpaid nurses and should never be expected to replace nursing shortages ? Parents should not be expected to be involved in their children¨s care - Parents can decide if they want to be involved or not ? Never assume that a parent will do something ? Never judge parents because of your own personal opinions
  • 19. References ? Hockenberry, M.J., & Wilson, D. (2017). Wong¨s Essentials of Paediatric Nursing.10th ED. St. Louis, MO: Mosby/Elsevier ? Kliegman, R.M., Behrman, R.E., Jenson, H.B. & Stanton, B.F. (2011). Nelson¨s Textbook of Paediatrics. Philadelphia: Saunders