An integrative review of nurses' perspectives of family-centered care practice in the level III NICU: Addressing persisting barriers

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dc.contributor.authorKhan, Shaara
dc.contributor.supervisorMarcellus, Lenora
dc.date.accessioned2015-09-01T18:10:18Z
dc.date.available2015-09-01T18:10:18Z
dc.date.copyright2015en_US
dc.date.issued2015-09-01
dc.degree.departmentSchool of Nursingen_US
dc.degree.levelMaster of Nursing M.N.en_US
dc.description.abstractFamily-centered care (FCC) remains a challenge to integrate in the Level III(+) NICU by bedside nurses. The goal of this integrative literature review is to identify barriers/ facilitators to shed light on neonatal nurse perspectives of FCC and more effectively implement FCC practices in the NICU. This study aims to determine recommendations that better support the knowledge translation of FCC to nurses and its integration at the bedside by nurses. An integrative literature review was conducted using a methodological approach of constructivist grounded theory to uncover unique perspectives of NICU nurses and identify and address the issues surrounding FCC integration. General themes of barriers/ facilitators were compared to neonatal nurse perceptions of barriers/ facilitators to FCC and two main categorical differences are now identified: 1) nurses describe a need for change in unit/ organization culture rather than focusing on unit design and policy; 2) nurses identify an existing lack of skill and knowledge to integrate FCC into practice, rather than viewing staff attitudes or practices as a barrier. A model based on FCC facilitators identified by NICU nurses was constructed (i.e. The Knowledge Translation Model for Family-Centered Care in the NICU) as a strategic approach to improve integration and support of FCC in the NICU. Recommendations were made for nurses, healthcare team members, decision-makers and Nurse Educators based on this model, for development of FCC education curriculum and sustaining an FCC culture in the NICU. Limits of this study include that findings were not generalizable for many of the articles included in the review, conducting this review as a single graduate student, limits of the critical appraisal tool employed, and small number of studies included due to lack of available research in this area. A lack of literature about how to effectively translate and integrate necessary FCC skills and knowledge into NICU nursing practice indicates that this integrative literature review can significantly contribute to knowledge in this field.en_US
dc.description.scholarlevelGraduateen_US
dc.identifier.urihttp://hdl.handle.net/1828/6645
dc.language.isoenen_US
dc.rightsAvailable to the World Wide Weben_US
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/ca/*
dc.subjectfamily centered careen_US
dc.subjectneonatal careen_US
dc.subjectneonatal nursesen_US
dc.subjectnurse perspectiveen_US
dc.subjectneonatal intensive care nursingen_US
dc.subjectbarriers to family centered careen_US
dc.subjectfacilitators to family centered careen_US
dc.subjectNICU cultureen_US
dc.subjectknowledge translation of family centered careen_US
dc.titleAn integrative review of nurses' perspectives of family-centered care practice in the level III NICU: Addressing persisting barriersen_US
dc.typeprojecten_US

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