Budi W

Poltekes Smg
2015

Overview of lecture

Definition of Family
Role of the family
Identify the members of a family
Family centred care (FCC)

Yang dibahas

Definisi Keluarga
Peran Keluarga
Identifikasi anggota kelg
Family centred care (FCC)

What is a family?

What is a family?

What is a family?
Several interpretations of a family
depends on our
Our interpretation often
own experience of family

In todays 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 childs family

Apa itu kelg

Beeberapa interpretasi thd kelaurga
tergantung pd
Interpretasi kita sering

pengalaman kelg kita sendiri

Di dunia skr, kita hrs terbuka thd berbagai jenis
kelg yg kita temui
Akhirnya kelg didefiniskan dg sendirinya
oki sbg perawat, kita perlu menentukan siapa yg
di kelg si anak

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 familys role in
childrens care.
FCC recognises that nursing care is most
effective if done in conjunction with the parents

Anak di Hospital

Hospital bisa jadi baru & menakutkan bagi

anak

Sering, yg akrab hanyalah kelg mrk

Hospital sebaiknya tdk mengurangi peran
kelg dlm perawatan anak
FCC mengakui bahwa perawatan paling
efektif jk dilak dg ortu

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

Are both parents involved?

Assess the family relationships:

How many siblings in the family?

Are the grandparents etc. involved in the childs
care?
Any other important people?
Will someone stay with the child in hospital?

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 childs 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 childrens

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 childs 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 childs 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 childrens 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

Battrick C. and Glasper E.A. (2002) The views of children and their families on
being in hospital, British Journal of Nursing 13(6), 328-336.

Callery P. (1997) Paying to participate: financial, social and personal costs to

parents of involvement in their childrens care in hospital, Journal of Advanced
Nursing 25(4), 746-752.

Casey A. (1995) Partnership nursing: influences on involvement of informal

carers, Journal of Advanced Nursing 22(6), 1058-1062.

Children in Hospital Ireland (2002) The EACH Charter for children in hospital &
annotations, Children in Hospital Ireland, Dublin.

Coyne I.T. (1995) Partnership in care: parents' views of participation in their

hospitalised child's care, Journal of Clinical Nursing 4(2), 71-79.

Dudley S.K. and Carr J.M. (2004) Vigilance: the experience of parents staying
at the bedside of hospitalised children, Journal of Pediatric Nursing 19(4), 267275.

Espezel H.J.E. and Canam C.J. (2003) Parentnurse interactions: care of

hospitalized children, Journal of Advanced Nursing 44(1), 34-41.

References

Friedman M (1998) Family nursing: theory and practice, 4th edition. AppletonCentury-Crofts, Norwalk, CT, USA.

Lindsay B. (2001) Visitors and childrens hospitals, 1852-1948: a reappraisal, Paediatric Nursing 13(4), 20-24.

Lupton D. and Fenwick J. (2001) Theyve forgotten that Im the mum:

constructing and practising motherhood in special care nurseries, Social
Science & Medicine 53, 10111021.

Shields L. and Tanner A. (2004) Costs of meals and parking for parents of
hospitalised children in Australia, Paediatric Nursing 16(6), 14-18.

Smith L., Coleman V. and Bradshaw M. (eds) (2002) Family-centred care:

concept, theory and practice, Palgrave, Basingstoke, Hampshire.

Valentine F. (1998) Empowerment: family-centred care, Paediatric Nursing

10(1), 24-7.

Wang K.W.K. and Barnard A. (2004) Technology-dependent children and their

families: a review, Journal of Advanced Nursing 45(1), 36-46.