Family-centered care models in pediatric nursing and their effectiveness on patients’ health outcomes: A systematic review



Anahtar Kelimeler:

Family-centered care, effectiveness, models, pediatric nursing


Purpose: In contemporary healthcare, the paradigm of family-centered care has emerged as a pivotal framework within the realm of pediatric nursing. This review aims to explore various family-centered care models in pediatric nursing to determine their effectiveness in improving patient outcomes.

Method: A comprehensive literature search was conducted in databases, including PubMed/MEDLINE, CINAHL, Cochrane Library, Scopus, and Web of Science. The search strategy utilized a combination of keywords related to "family-centered care," "pediatric nursing," and "effectiveness." The inclusion criteria were studies published in English, on family-centered care models in pediatric nursing, randomized controlled trials (RCTs), quasi-experimental studies, observational studies, and systematic reviews/meta-analyses, studies reporting outcomes related to patient and family satisfaction, clinical outcomes, and quality of care. The exclusion criteria were studies not related to family-centered care in pediatric nursing, non-English language publications without available translations, case reports, editorials, letters, and opinion pieces, studies lacking clear methodology or reporting. A narrative synthesis conducted to summarize findings from included studies.

Results: In this study 25 articles were reviewed. The synthesis of findings from the systematic review underscores the positive impact of family-centered care models in pediatric nursing. The evidence consistently suggests that the implementation of such models contributes to improved patient outcomes (quality of life, pain reduction), heightened family engagement, and an overall enhancement of the quality of care. The diversity in family-centered care models, as identified in the selected studies, highlights the adaptability of these frameworks to various healthcare settings and patient populations.

Conclusion: This systematic review introduced five models that can be used in family-centered care in pediatric settings, emphasizing the importance of family involvement in care decisions. As healthcare institutions continue to strive for patient-centered and family-oriented care, the findings of this review provide a foundation for further research, policy development, and the continuous improvement of pediatric healthcare delivery.


Abukari, A. S. & Schmollgruber, S. (2023). Concepts of family-centered care at the neonatal and paediatric intensive care unit: A scoping review. Journal of Pediatric Nursing.

Arabiat, D., Whitehead, L., Foster, M., Shields, L. & Harris, L. (2018). Parents' experiences of family centred care practices. Journal of Pediatric Nursing, 42, 39-44.

Bombard, Y., Baker, G. R., Orlando, E., Fancott, C., Bhatia, P., Casalino, S., . . . Pomey, M.-P. (2018). Engaging patients to improve quality of care: A systematic review. Implementation Science, 13, 1-22.

Care, C. o. H. & Care, I. f. P.-a. F.-C. (2012). Patient-and family-centered care and the pediatrician's role. Pediatrics, 129(2), 394-404.

Day, C. (2013). Family partnership model: connecting and working in partnership with families. Australian Journal of Child and Family Health Nursing, 10(1), 4-10.

Done, R. D. G., Oh, J., Im, M. & Park, J. (2020). Pediatric nurses' perspectives on family-centered care in Sri Lanka: A mixed-methods study. Child Health Nursing Research, 26(1),

Donney, J. F., Ghandour, R. M., Kogan, M. D. & Lewin, A. (2022). Family-centered care and flourishing in early childhood. American Journal of Preventive Medicine, 63(5), 743-750.

Ford, W. L., Ruge, D., Capple, N., O’hren, T. J. & Roth, S. (2012). Partnering with families. Public Health Practice: What Works, 333.

Gafni-Lachter, L. R. (2015). Better Together: Advancing family centered care. Boston University.

Goode, T. & Jones, W. (2006). A guide for advancing family-centered and culturally and linguistically competent care. Washington, DC: National Center for Cultural Competence, Georgetown University Center for Child and Human Development.

Grant, S. M. & Johnson, B. H. (2019). Advancing the practice of patient-and family-centered care: The central role of nursing leadership. Nurse Leader, 17(4), 325-330.

Hockenberry, M. J., Wilson, D. & Rodgers, C. C. (2021). Wong's essentials of pediatric nursing-e-book: Elsevier Health Sciences.

Hsu, C., Gray, M. F., Murray, L., Abraham, M., Nickel, W., Sweeney, J. M., . . . Johnson, B. (2019). Actions and processes that patients, family members, and physicians associate with patient-and family-centered care. BMC Family Practice, 20, 1-11,

King, S., Teplicky, R., King, G. & Rosenbaum, P. (2004). Family-centered service for children with cerebral palsy and their families: A review of the literature. Seminars in Pediatric Neurology.

Knighton, A. J. & Bass, E. J. (2021). Implementing family-centered rounds in hospital pediatric settings: A scoping review. Hospital Pediatrics, 11(7), 679-691.

Leahey, M. & Wright, L. M. (2016). Application of the Calgary family assessment and intervention models: Reflections on the reciprocity between the personal and the professional. Journal of Family Nursing, 22(4), 450-459.

McDonald, M., Prichard, P. & O’Byrne, M. (2015). Using the Family Partnership Model to engage communities. 10.4225/50/557923933D011

Mileski, M., McClay, R., Heinemann, K. & Dray, G. (2022). Efficacy of the use of the Calgary family intervention model in bedside nursing education: A systematic review. Journal of Multidisciplinary Healthcare, 1323-1347.

Mirlashari, J., Brown, H., Fomani, F. K., de Salaberry, J., Zadeh, T. K. & Khoshkhou, F. (2020). The challenges of implementing family-centered care in NICU from the perspectives of physicians and nurses. Journal of Pediatric Nursing, 50, e91-e98.

Nicholson, E., McDonnell, T., De Brún, A., Barrett, M., Bury, G., Collins, C., . . . McAuliffe, E. (2020). Factors that influence family and parental preferences and decision making for unscheduled paediatric healthcare–systematic review. BMC Health Services Research, 20(1), 1-23. 10.1186/s12913-020-05527-5.

Ramezani, T., Shirazi, Z. H., Sarvestani, R. S. & Moattari, M. (2014). Family-centered care in neonatal intensive care unit: a concept analysis. International Journal of Community Based Nursing and Midwifery, 2(4), 268.

Schor, E. L. (2003). Family pediatrics: Report of the Task Force on the Family. Pediatrics, 111(6 Pt 2), 1541-1571.

Seniwati, T., Rustina, Y., Nurhaeni, N. & Wanda, D. (2023). Patient and family-centered care for children: A concept analysis. Belitung Nursing Journal, 9(1), 17-24. https://doi/10.33546/bnj.2350

Vetcho, S., Cooke, M. & Ullman, A. J. (2020). Family-centred care in dedicated neonatal units: An integrative review of international perspectives. Journal of Neonatal Nursing, 26(2), 73-92.



Nasıl Atıf Yapılır

Sabetsarvestani, R. (2024). Family-centered care models in pediatric nursing and their effectiveness on patients’ health outcomes: A systematic review . Journal of Infant, Child and Adolescent Health, 4(1), 83–88.