2016 Volume 25 Issue 3 Pages 24-31
This study attempted to clarify nurses’ perceptions about “child and family-based care,” including the process of initiating home-based medical care for the child and family. We conducted a survey among nurses working in hospitals or home-visit settings. We defined “child and family-based care” based on existing perspectives on child-parent interaction and concepts of patient- and family-centered care prevalent in Western countries, wherein reciprocal engagement between children, families, and nurses is encouraged and where the child’s and family’s perspective and experience are respected. Although nurses recognized the importance of child and family-based care, few practiced it. Nurses reported difficulty in providing the child and family-based care, especially when teamwork or organized systems were required. The factor analysis revealed four significant factors: “collaboratively engaging in care while sharing perspectives and thoughts among the child, parent and nurses,” “respecting them as child, parent or family,” “providing necessary information and support for the child’s, parents’, and the family’s life,” and “ensuring the availability of opportunities for discussion.” Thus, further studies are necessary in order to draw a clearer picture of the care.
