Talk:Family-centered care

This is the beginning of a nursing/medical article on the expanding field of family-centered care. I decided not to play around with this article as much as I might have otherwise on the Sandbox as I'm trying to encourage collaboration on this project, keeping in mind the Wikipedia:Potential, not just current state and Wikipedia:There is no deadline standards. There are plenty of resources, notable links, etc on the way. We don't need any wild-eyed deletionists galavanting through here with a gleam in their eyes, I've dealt with one too many of them already- heck, dealing with even one is too many. :) Ks64q2 (talk) 05:27, 28 February 2009 (UTC)

fleshed out the article some. My internet connection is not working well, so I'm having to drop offline to do vast majority of work and then pop online when I am able to update. Need to look for some other healthcare professionals to help smooth things out in the article a bit. Ks64q2 (talk) 18:59, 28 February 2009 (UTC)

References are added, but not all notated in the right places yet; will do that once I flesh things out a bit more. Ks64q2 (talk) 03:17, 2 March 2009 (UTC)

Do interviews have a place in an encyclopedia? Doesn't seem like it to me, but I found a great resource with personal interviews from medical professionals... would seem to be a stretch. Maybe to just mention it in passing? Ks64q2 (talk) 13:56, 18 March 2009 (UTC)

Revised text

Family-centered care emerged as an important concept in health care at the end of the 20th century; but the implementation of Family-centered care was met with a variety of snags. Prior to the early 1990s, the relationship between care providers and patients was frequently distant. The traditional model of care revolved around physicians, and an expectation that patients and their families would assume a passive “observer” role, rather than as a participant. Healing was treated largely as an abstract or business-like affair. Special requests by the patient were seen as interfering with the provision of their care or even as being a detriment to their health. Modern ideas like open visitation or care partners were almost unheard of and were generally dismissed as impossible to accomplish. This was compounded by the implementation of Health Maintenance Organizations, which successfully reigned in the rising healthcare costs of the 1970s at the cost of the patient-healthcare worker relationship.

Much of the early work on family-centered care emerged from the pediatric and geriatric medicine fields. For example, as research came to light about the effects of separating hospitalized children from their families, many healthcare institutions began to adopt policies that welcomed family members to be with their child around the clock. As awareness increased of the importance of meeting the psychosocial and holistic needs of children in the course of their medical care, the family-centered care model began to make serious headway as a bona fide intervention model. This was further encouraged by Federal legislation in the late 1980's and early 1990's that provided additional validation on the importance of family-centered principles. [1][2][3][4][5]

Beginning in the mid 1990’s, family-centered care spread from pediatric populations into the general health care setting. Research began to indicate that many of the supposed detriments to family-centered care were negligible, not supported by research, or simply untrue. The concept of “open visitation”, in which family members of an admitted patient are allowed to visit them on any schedule, was long held as a contraindication to sepsis control, as well as being an undue distraction on a patient’s ability to heal. (Lee, et al, 499)

However, studies conducted in 2001 (Critical Care Medicine, 498) showed that open visitation had little to no effect on physiologic parameters such as heart rate, blood pressure, respiratory rate, cardiac arrhythmias, and intracranial pressure. Indeed, evidence suggested after family-centered care was implemented, anxiety levels and the general cardiovascular health of patients were positively affected, leading to fewer medical interventions being required (physical or chemical therapies in particular).(Damboise and Cardin, 56AA) Another area of concern- septic and infection control- found that when a patient's visitors were educated in the proper aseptic procedure (such as hand washing and use of hand sanitizer gel), infection control outcomes were not negatively affected by unrestricted visitation. (Critical Care Medicine, 500)

Patient care was also positively affected. Decubidation rates in facilities with family-centered care dropped significantly. (Critical Care Medicine, 500) Family and close friends were also more likely to identify slight variations in the patient's mental or physical health that healthcare professionals largely unfamiliar with the patient may miss. (UVA Health System, 2) Furthermore, while healthcare professionals are very talented at their work, their jobs are generally limited by the walls of the healthcare facility, whereas a patient's family is not. Enlisting a patient's family as a part of their healthcare team helps enable their ability to assist, manage, and assess the patient's healing after their discharge from a healthcare facility.

A study undertaken at the University of Virginia's Children's Hospital showed that sharing information and involving family in a patient's care (via the family-centered care model described previously) had the following effects:

   * A rise in staff satisfaction due to reduced phone calls by security at night;
   * Improved consistency of information given to family members;
   * A decrease in clinical workload;
   * A significant rise in patient satisfaction scores on the Press-Ganey scale in the areas of Accommodations and Comfort of Visitors (93 to 98), Information Provided to 

Family (87 to 99), Staff Attitudes Towards Visitors (62 to 75), and Safety and Security Felt at the Hospital (86 to 88). (UVA Health System, 2)

Combined with this information, serious inroads were made into combating the misconceptions held by medical professionals towards the concept of family-centered care. Holding focus groups to discuss preconceived notions versus research as to the benefits and detriments to family-centered care was found to have an almost ninety-percent success rate in furthering the acceptance of family-centered care, and helped to foster a sense of “ownership” amongst health care professionals in its implementation (Gallagher, 35)

Decubidation

The word "decubidation" is in this article, but it isn't a word and I have no idea what it is meant to be. The citation for this paragraph is just "Insert FMC-article link here", so idk BedazzledApplesause (talk) 07:11, 21 December 2019 (UTC)

I have commented that sentence out. It reads:

"Decubidation rates in facilities with family-centered care dropped significantly."

Now, I suspect that it is a reference to bedsores, once known as decubitus ulcers, but you are right: "decubidation" is not a word in any dictionary, and come to that, nor is "decubitation" (with a T instead of a D — the form that one might expect if it is from the same root as "decubitus"). So that sentence has been removed from the article's text because it means nothing, and will only be reinstated if somebody can properly interpret it and give it a wording that actually means something.Kelisi (talk) 18:22, 16 January 2024 (UTC)