Family-Centred Care: Time for a New Model?
Family-Centred Care: time for a new model? Linda Shields MD, PhD, FACN, Centaur Fellow, MAICD, CCYPN Professor of Rural Health, Charles Sturt University, Bathurst, NSW and Honorary Professor, School of Medicine, The University of Queensland Brisbane Australia Necker-Enfants Malades Hospital, Paris, 1801 • Free Hospital for Sick Children (Royal Children’s Hospital), Melbourne, 1870 • Hospital for Sick Children (Royal Hospital for Sick Children, Great Children’s Hospital), Brisbane, 1878 Ormond Street, London, 1832 • The Sydney Hospital for Sick Children (Royal Alexandra Hospital for Children), 1880 4 “Although the tonsillectomy itself aroused anxiety in all the children, the great majority mastered and integrated the experiences without any serious emotional consequences” (Blom, 1954) 5 Sir James Spence, 1892-1954 René A. Spitz, 1887-1974 John Bowlby 1907-1990 Joyce Robertson 1919-2013 James Robertson 1911-1988 Platt Report 1959 • Children .. Should not be admitted to hospital unless … treatment … cannot be given in other ways … • Children should not be nursed in adult wards • Child should be handled by as few people as possible • Both parents and child should be adequately prepared for admission to hospital • … wherever possible provision should be made for both mother and child to be admitted together. • Unrestricted visiting strongly advised • School and play provisions be made • Sister in charge should be RSCN. Models of care: • Care-by-parent USA 1960s • Partnership-in-care - Anne Casey UK 1988 • Family-centred care - many places ≈ 1970s AAAAAHHHHH!!!!! FAMILY-CENTRED CARE “a way of caring for children and their families within health services which ensures that care is planned around the whole family, not just the individual child/person, and in which all the family members are recognised as care recipients” (Shields et al.
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