Imelda Coyne1, Inger Holmström2, Maja Söderbäck3. 1. School of Nursing & Midwifery, Trinity College Dublin, Dublin, Ireland. Electronic address: coynei@tcd.ie. 2. School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden; Department of Public Health and Caring Sciences, Health Services Research, Uppsala University, Uppsala, Sweden. Electronic address: inger.holmstrom@mdh.se. 3. School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden. Electronic address: maja.soderback@mdh.se.
Abstract
BACKGROUND: Increasingly within healthcare, different kind of 'centeredness' are used to denote the focus of care which can create confusion for practitioners. METHODS: A concept analysis was undertaken to identify the antecedents, attributes and relationship between family-, person-, and child-centered care. PubMed and CINAHL were searched from 2012 to 2017 and thirty-five papers were reviewed. RESULTS: Both person- and child-centered care are focused on individuals, a symmetric relationship and the tailoring of care to individual needs while family- centered care is focused on the family as a unit of which the child is included. Person-centered care focuses on an adult person with autonomy, while the focus in child-centered care is the individual child as an own actor with rights but still close to a family. CONCLUSION: It appears at a conceptual level that the concepts of centeredness contain both similarities and differences. Finding ways to structure nursing and focus the care that respects a person's dignity and humanity is essential in healthcare and should be a major goal of health policy and health systems worldwide. IMPLICATIONS: The identification of the antecedents and attributes embedded in the concepts may help raise professionals' awareness of the different foci and how this will influence one's practice. There is a need to recognize strengths and weaknesses of the centeredness in different settings and environments. Furthermore, it is important to know which approach to apply within different situations so that quality care is enabled for every person, child and family.
BACKGROUND: Increasingly within healthcare, different kind of 'centeredness' are used to denote the focus of care which can create confusion for practitioners. METHODS: A concept analysis was undertaken to identify the antecedents, attributes and relationship between family-, person-, and child-centered care. PubMed and CINAHL were searched from 2012 to 2017 and thirty-five papers were reviewed. RESULTS: Both person- and child-centered care are focused on individuals, a symmetric relationship and the tailoring of care to individual needs while family- centered care is focused on the family as a unit of which the child is included. Person-centered care focuses on an adult person with autonomy, while the focus in child-centered care is the individual child as an own actor with rights but still close to a family. CONCLUSION: It appears at a conceptual level that the concepts of centeredness contain both similarities and differences. Finding ways to structure nursing and focus the care that respects a person's dignity and humanity is essential in healthcare and should be a major goal of health policy and health systems worldwide. IMPLICATIONS: The identification of the antecedents and attributes embedded in the concepts may help raise professionals' awareness of the different foci and how this will influence one's practice. There is a need to recognize strengths and weaknesses of the centeredness in different settings and environments. Furthermore, it is important to know which approach to apply within different situations so that quality care is enabled for every person, child and family.
Authors: Dawn T Bounds; Dominka A Winiarski; Caitlin H Otwell; Valerie Tobin; Angela C Glover; Adrian Melendez; Niranjan S Karnik Journal: J Child Adolesc Psychiatr Nurs Date: 2020-07-20
Authors: Martina Summer Meranius; Inger K Holmström; Jakob Håkansson; Agneta Breitholtz; Farah Moniri; Sofia Skogevall; Karin Skoglund; Dara Rasoal Journal: Nurs Open Date: 2020-06-10