TY - JOUR
T1 - A Taxonomy of Supports and Barriers to Family-Centered Adult Critical Care
T2 - A Qualitative Descriptive Study
AU - Thirsk, Lorraine Marie
AU - Vandall-Walker, Virginia
AU - Rasiah, Jananee
AU - Keyko, Kacey
N1 - Publisher Copyright:
© The Author(s) 2021.
PY - 2021/8
Y1 - 2021/8
N2 - Family-centered care (FCC) improves the quality and safety of health care provision, reduces cost, and improves patient, family, and provider satisfaction. Despite several decades of advocacy, research, and evidence, there are still challenges in uptake and adoption of FCC practices in adult critical care. The objective of this study was to understand the supports and barriers to family-centered adult critical care (FcACC). A qualitative descriptive design was used to develop a taxonomy. Interviews and focus groups were conducted with 21 participants in Alberta, Canada, from 2013 to 2014. Analysis revealed two main domains of supports and barriers to FcACC: PEOPLE and STRUCTURES. These domains were further classified into concepts and subconcepts that captured all the reported data. Many factors at individual, group, and organizational levels influenced the enactment of FcACC. These included health care provider beliefs, influence of primary versus secondary tasks, perceptions of family work, nurses’ emotional labor, and organizational culture.
AB - Family-centered care (FCC) improves the quality and safety of health care provision, reduces cost, and improves patient, family, and provider satisfaction. Despite several decades of advocacy, research, and evidence, there are still challenges in uptake and adoption of FCC practices in adult critical care. The objective of this study was to understand the supports and barriers to family-centered adult critical care (FcACC). A qualitative descriptive design was used to develop a taxonomy. Interviews and focus groups were conducted with 21 participants in Alberta, Canada, from 2013 to 2014. Analysis revealed two main domains of supports and barriers to FcACC: PEOPLE and STRUCTURES. These domains were further classified into concepts and subconcepts that captured all the reported data. Many factors at individual, group, and organizational levels influenced the enactment of FcACC. These included health care provider beliefs, influence of primary versus secondary tasks, perceptions of family work, nurses’ emotional labor, and organizational culture.
KW - critical care
KW - family involvement
KW - family nursing
KW - family-centered care
KW - patient and family engagement
KW - professional-family relations
KW - qualitative study
UR - http://www.scopus.com/inward/record.url?scp=85103180218&partnerID=8YFLogxK
U2 - 10.1177/1074840721999372
DO - 10.1177/1074840721999372
M3 - Journal Article
C2 - 33769127
AN - SCOPUS:85103180218
SN - 1074-8407
VL - 27
SP - 199
EP - 211
JO - Journal of Family Nursing
JF - Journal of Family Nursing
IS - 3
ER -