Atención centrada en la familia para niños hospitalizados de cero a 12 años
Información
- DOI:
- https://doi.org/10.1002/14651858.CD004811.pub3Copiar DOI
- Base de datos:
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- Cochrane Database of Systematic Reviews
- Versión publicada:
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- 17 octubre 2012see what's new
- Tipo:
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- Intervention
- Etapa:
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- Review
- Grupo Editorial Cochrane:
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Grupo Cochrane de Consumidores y comunicación
- Copyright:
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- Copyright © 2012 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
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Autores
Contributions of authors
Linda Shields, Jan Pratt and Judith Hunter: conceived the review and were content experts, providing input into the development of the background and objectives of the review.
Huaqiong Zhou: undertook review and assessment of studies, and helped with writing of completed review
Marjory Taylor: devised search strategy, undertook searches and helped with writing completed review.
Linda Shields: helped with searches and review and assessment of studies and writing of completed review.
Elaine Pascoe: helped with the assessment of studies and data extraction and writing of completed review, and would have undertaken statistical analysis.
Jan Pratt: undertook review and assessment of studies, and assisted with writing.
Judith Hunter: undertook review and assessment of studies.
Linda Shields will be responsible for future updates.
Declarations of interest
LS, JP, HZ, and MT work for paediatric health facilities which have stated policies of family‐centred care. LS is an author of potentially relevant studies and was not involved in the assessment of these studies for inclusion in the review.
Acknowledgements
This work has been supported in kind by Curtin University, and the Princess Margaret Hospital for Children Nursing Research Department, Perth. For support and help with searching we thank the staff of the Princess Margaret Hospital Library, and Mr John Kis‐Rigo (Trials Search Coordinator, Cochrane Consumers and Communication Review Group). Thanks, also, to Ms Jeanette Gilchrist, Faculty of Health and Social Care, University of Hull, for early administrative support.
The authors would also like to express our appreciation to Dr Carol Trivette and Dr Carl Dunst for their assistance during protocol development, and for permission to use their research tool.
Ms Anne Cutler from the Association for the Wellbeing of Children in Health Care has reviewed the update and provided consumer feedback. For this we thank her.
We thank the staff and editors of the Cochrane Consumers and Communication Review Group, in Melbourne, Australia, in particular Managing Editors Dr Megan Prictor and Ms Jessica Thomas, research fellow Dr. Rebecca Ryan, and contact editor, Dr Sophie Hill, for ongoing assistance.
We would like to thank Dr Leigh Davis of Queensland University of Technology, and Dr Vicky Flenady, Acting Research Director for the Mater Mothers' Research Centre, Mater Mothers' Hospital, South Brisbane, Queensland, who were authors on the original review.
Sources of support
In the original review (Shields 2007) we gratefully acknowledged the support of the Telstra Foundation Community Development Fund Australia, and the Royal Children's Hospital Foundation (R916‐011), Brisbane, Australia. The Centre for Clinical Studies ‐ Women's and Children's Health, Mater Mothers' Hospital, South Brisbane, Queensland, Australia also provided internal support for the original review. There were no sources of support for this 2012 update.
Version history
| Published | Title | Stage | Authors | Version |
| 2012 Oct 17 | Family‐centred care for hospitalised children aged 0‐12 years | Review | Linda Shields, Huaqiong Zhou, Jan Pratt, Marjory Taylor, Judith Hunter, Elaine Pascoe | |
| 2007 Jan 24 | Family‐centred care for children in hospital | Review | Linda Shields, Jan Pratt, Leigh Davis, Judith Hunter | |
| 2003 Oct 20 | Family‐centred care for children in hospital | Protocol | Linda Shields, Jan Pratt, Vicki J Flenady, Leigh M Davis, Judith Hunter | |
Differences between protocol and review
In the original protocol and review (Shields 2007), we included a range of study designs (RCTs, quasi‐RCTs and CBAs). For this update, we included only RCTs in an attempt to improve the methodological rigour of studies eligible for inclusion in the review. However, as a way of potentially including studies on family‐centred care, we decreased the threshold for inclusion in the family‐centred care intervention score from the 80% of the original review to 50%.
We have also excluded single interventions that did not reflect a FCC model of care from the review, and excluded premature neonates from the eligible participant group. Finally, we have removed the selection criterion whereby studies with inadequate or unclear blinding of outcome assessment were excluded from the review. We have also adopted the Cochrane Collaboration's Risk of Bias tool to assess included studies.
Another important difference between the original protocol and review and this update relates to screening of studies and interventions. Initial assessment in the original protocol and review was, at times, confusing, as we had to have many deliberations over whether or not to move studies of varying interventions forward for scoring of the family‐centredness of interventions and quality assessment. In this update, we corrected this to ensure that only studies of a family‐centred model of care, as opposed to studies of a single intervention, for example, venipuncture or parental present anaesthesia induction, became potential inclusions. This ensured a greater degree of precision within the methods of the update.
We have also changed terminology to describe the control comparison group: in the previous version of the review we described 'professionally‐centred models of care' but as these are the same as standard models of care we have now adopted 'standard models' to describe the control group.
In the original review, our population of interest included premature neonates. This update has removed these from the eligible participant group because premature neonates' requirements for family‐centred care, and the ethics and philosophies of care around this particular group, are different to those in a ward/unit where full term infants and children are nursed.
In the original review we excluded studies based on blinding of outcome assessment. This update has removed this exclusion criterion.
