Patient & Family

Centered Care
Article Presentation by:
Kaitlin Simarro
& Sarah Brader

What is Patient and Family Centered Care?

Walk the Talk: Promoting Control of Nursing

Practice and a Patient-Centered Culture
Kramer, et al (2009)
Objective:
Highlight nurses need to Walk the Talk in order to control nursing

practice and promote patient-centered care

Impression:
Helped me understand the importance of the culture in nursing

Kramer, et al (2009)
Main Points:
Best practices that promote control of nursing practice:
Access to power
Widespread participation
Recognition to reinforce participation
Taking pride in accomplishments
Evidence-based practice teams
Walk the talk- By your actions they will know you

Can you think of examples of ways nurses or hospitals can better walk
the talk?

Kramer, et al (2009)
Main Points:
A healthy work environment is essential to providing quality patient

care (ex: magnet hospitals)

Prioritizing patient and family oriented care
Teamwork- interprofessional collaboration
Have you seen any nurses advocate for their patient during clinical?

Kramer, et all (2009)

Summary:
The dominant core values on all units in the 8 magnet hospitals

interviewed were patient/family-centeredness and teamwork

When values were grouped into 2 categories (patient focused
values and staff focused), 83% of responders prioritized patient
focused values

Abraham & Moretz (2012)

Objectives:
Part I - Identify the challenges to implementing PFCC
Part II - Strategies and Resources for Success in Implementing PFCC

Summary:
Difficulties are noted in providing patient and/or family-centered

care include both organizational and attitudinal challenges. The

primary implementation to overcome these barriers is education.

Abraham & Moretz - Part I

Main Points:
Currently PFCC is considered the gold standard in pediatrics.
In 1987 the Association for Childrens Health defined family as the

constant in a childs life and encouraged them to be a part of care

Why is it not universally implemented?
Attitudinal Challenges: traditional provider-centered approach
Organizational Challenges: lack of training & orientation,

assessment and offering incentives within facility to provide PFCC.

Abraham & Moretz - Part II

Main Points:
It requires a personal commitment to include patients and their

family in decisions about their care.

Many nurses who show a personal commitment to overcoming
attitudinal barriers still have to face organizational challenges.
Strategies for successfully overcoming these challenges include
education: educate yourself, educate others and involve leadership.
Remember: One person can start to push for change, but it requires a
team effort of healthcare workers to integrate and sustain PFCC.

Questions:
How would you think the results to this survey would differ if the

sample was taken of only nonmagnet hospitals?

What are some examples of ways nurses can show clinical
autonomy?
What can we do as student nurses during clinical to help promote a
culture that strengthens the group and enhances quality care?

Annotated Bibliography
Abraham, M. & Moretz, J.G., (2012) Implementing Patient-and-Family-Centered Care: Part I - Understanding the Challenges. Pediatric Nursing. 38, 44-47
I found this initial assessment of the topic to be very helpful in describing the variety of challenges that healthcare workers and facilities have in effectively providing
PFCC in the work field. It outlined the fact that PFCC should ideally be included in the standard of care because it encourages better patient outcomes and feeds back
directly into the healthcare facility. The authors offered examples to help understand the difference between attitudinal and organizational challenges, and it was very
thought-provoking to consider what I might do if I was in the role of a nurse. I thought it was a little bit hypothetical in nature, just because it was creating an open
discussion about the challenges found in healthcare facilities for individuals trying to implement patient and family centered care.
Moretz, J.G & Abraham, M. (2012) Implementing Patient-and-Family-Centered Care: Part II- Strategies and Resources for Success. Pediatric Nursing. 38, 106-109
The second consecutive article was a lot more pragmatic about solving the problem of lacking patient-centered care in healthcare facilities. The previous article
seemed more hypothetical with the purpose to generate options and possibilities. The authors did extensive research on the value of PFCC and followed it up with
techniques and strategies for trying to implement it fromt the bottom up. They really encouraged nurses to be the advocate for the patient, and therefore set the
example for other providers to follow through education seminars, patient testimonials and including other faculty and healthcare leaders. This could be used as a
great resource for nurses who want to implement PFCC within their care facility but are not sure where to start.
Kremer, M., Schmalenber, C., Maguire, P., Brewer, B. B., Burke, R., Chmielewski, L., . . . Waldo, M. (2009). Walk the Talk: Promoting Control of Nursing Practice and
a Patient-Centered Culture. Health Work Environments, 29(3), 77-93.
This article highlights the importance of patient-centered culture and how control of nursing practice allows nurses to establish a healthy working environment. Culture,
widespread participation amongst staff, and teamwork strengthens groups of health professionals and are essential to providing quality care to patients. The study
showed that the 8 magnet hospitals instilled cultures that prioritized patient care rather than focusing on the concerns regarding the staff. The primary goal of this
research is to reinforce the effects work environment can have on the delivery of patient care and reinforce the need for nurses to put values into action. I plan to
further research how control of nursing practice and patient-centered culture is maintained in nonmagnet hospitals. I believe conducting a similar survey with
nonmagnet hospitals will provide more insight as to the effect working environment can have on quality care and how the cultures of these of hospitals differ.