Practice and challenge of Family-Centered Care (FCC) of NICU nurse in A prefecture: from the interview survey by nurse

Abstract

 Aim of this study is to obtain the nursing suggestions regarding FCC in NICU. A descriptive qualitative research design was used. Semi-structured interviews were conducted with 12 nurses working in NICU and analyzed. As a result, six core categories were formed regarding the practice: “supports continuously with prediction for home care”, “judges timings and promotes parents’ participation in care of the child”, “supports the parents’ understanding of the state of the child”, “assesses the family function and provides support”, “promotes the parents’ recognition of their roles and transfers care to the parents”, “respect the family”. Four core categories were formed regarding the challenges: “enrichment and evaluation of family support”, “maintenance of the systems within the facilities and medical team”, “quality improvement in knowledge and skills on FCC”, “development of seamless support system for transitionto-home”. The findings suggest the following three points; reinforcement and improvement of nursing education, establishment of adequate environment and system of the NICU, and improvement of the transition to home care system for children.