The Effect of Family-centered Care Educational Training on Nurses' Attitudes and Parental Satisfaction

The Effect of Family-centered Care Educational Training on Nurses' Attitudes and Parental Satisfaction: A Semi-experimental Study

Family-Centered Care (FCC) is a care approach based on mutual respect, knowledge sharing, and collaboration among children, families, and healthcare professionals during the planning, implementation, and evaluation of healthcare. Nurses' supportive attitudes may positively influence their care practices and behaviors towards FCC. In this regard, educational training related to FCC may affect nurses' attitudes and behaviors. In the literature, it's evident that there is a need for studies examining how both the attitudes of nurses towards FCC a key determinant of their behavioral predispositions, and the parental satisfaction with healthcare services change in response to the provision of educational training. This study aims to determine the impact of the FCC educational training administered to nurses in pediatric clinics, primarily on nurses' attitudes towards FCC, and secondarily on parental satisfaction with healthcare. With this in mind, this study aims to determine the primary impact of the nurse centered FCC educational training, provided to nurses in pediatric clinics, on nurses' attitudes towards FCC, and its secondary impact on parental satisfaction with healthcare.

Study Overview

• Status: Completed
• Conditions: Nursing Care
• Intervention / Treatment: Behavioral: FCC educational training

Detailed Description

Research Hypotheses H1: There is a difference between the mean scores of nurses' attitudes towards FCC before and after the educational training.

H2: There is a difference between the mean scores of parental satisfaction with healthcare before and after the educational training.

This study employs a non randomized experimental design with a pre test, post test format. It was conducted between February and June 2021 in the pediatric units of a university hospital in the Eastern Mediterranean region of Turkey. The target population comprised 134 nurses working across a variety of specializations including pediatric hematology, pediatric surgery, pediatric emergency care, pediatric intensive care (PICU), neonatal intensive care (NICU), pediatric infectious diseases, and general pediatrics. In this study, where specific sample selection was not applied, the aim was to reach at least 80% of the total population. The research was undertaken with the participation of 130 nurses, which accounted for 97% of the targeted population.

Data collection tools; Nurse Information Form: These questions pertain to the nurses' age, gender, education, length of professional experience, duration spent in pediatric clinics, and prior participation in FCC training.

Family Centered Care Attitude Scale (FCCAS): The measurement tool, developed by Kara and Güdücü Tüfekçi, is used to identify the attitudes of nurses providing care to children and their parents towards FCC. This self-report tool is composed of 58 Likert scale items distributed across two subscales. An increase in the scale score indicates an increase in positive attitudes of nurses towards FCC.

PedsQL Health Care Parents Satisfaction Scale (PedsQL HCPSS): The PedsQL Health Care Parents Satisfaction Scale, originally designed by Varni and later adapted for Turkish audiences by Ulus and Kublay, is a self-report instrument used for assessing the satisfaction levels of parents whose children are utilizing healthcare services. Comprising 25 items divided into six subscales. A higher score on this scale signifies increased satisfaction among parents with the provided healthcare services.

Interventions The planning of the educational intervention process, the development of e-learning modules, and the organization of nurse centered interactions benefited from expert opinions in three nursing education, ten pediatric nursing, and two educational sciences. A six week period February - April 2021 was planned for the educational training. One week before the educational training, the nurses were administered the Nurse Information Form and FCCAS pre tests, which were conducted using an online form. Immediately following the administration of the pre tests, the planning of the educational process, including the development of e-learning modules and video lectures, was shared with the nurses. Each week, the topics were delivered to the nurses through online interactive methods, with each session lasting approximately 45-60 minutes. Complementing these sessions, video lectures of around 30 minutes duration were prepared for each topic. The flexibility of the e-learning format allowed nurses to access these modules and video lectures from any location. From the second week of the educational training, nurse centered interactions and group discussions were initiated within the clinical setting, providing a platform for collaborative learning and engagement among the nurses. In this process, at the beginning of each shift, FCC practices for children and their parents were discussed. In intra team interactions, group discussions were to explore the content of each week's module. Six weeks after the completion of the six week educational training, the nurses were administered the FCCAS post test via an online form. The PedsQL HCPSS was utilized to assess the level of healthcare satisfaction among parents whose children received care in pediatric clinics.

Statistical Methods Data analysis was conducted using SPSS version 21 (Statistical Package for Social Sciences) software. The Kolmogorov-Smirnov test was utilized to assess the normal distribution of the scale scores. Descriptive statistics such as mean, standard deviation, confidence interval, frequency, percentage, and effect size (d) were used to present the data. Paired sample t tests were employed to compare the mean scores of the FCCAS before and after the training among the nurses. Furthermore, the mean scores of the PedsQL HCPSS in the post training period were compared to the pre training institutional data of the hospital using a one sample t test.

Ethical Considerations The study obtained approval from the clinical research ethics committee, written institutional permission from the hospital, and informed consent from both the participating nurses and parents.

• Study Type: Interventional
• Enrollment (Actual): 134
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Mersin, Turkey, 33343
    • Mersin University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

For nurses:

1. be working in the pediatric clinics between February and April 2021,
2. be willing to participate in the research.

For parents:

1. have a child receiving healthcare in the specified pediatric clinics during the period of May to June 2021 (post-training period),
2. be willing to participate in the research.

Exclusion Criteria:

For nurses:

1. don't be working in the pediatric clinics between February and April 2021,
2. not willing to participate in the research.

For parents:

1. haven't a child receiving healthcare in the specified pediatric clinics during the period of May to June 2021 (post-training period),
2. not willing to participate in the research.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm

Intervention / Treatment

Experimental: FCC educational training; The administration of the pre-tests, the planning of the educational process, including the development of e-learning modules and video lectures, was shared with the nurses.Each week, the topics were delivered to the nurses through online interactive methods, with each session lasting approximately 45-60 minutes. Six weeks after the completion of the six-week educational training, the nurses were administered the FCCAS post test via an online form. The PedsQL HCPSS was utilized to assess the level of healthcare satisfaction among parents whose children received care in pediatric clinics. To assess parental healthcare satisfaction before the training, the mean scores of the PedsQL HCPSS from the institutional data of the hospital in January 2021 were used. Post training parental data were collected in May-June 2021 using the PedsQL HCPSS from parents whose children received care in pediatric clinics.

Behavioral: FCC educational training; An educational training, grounded in six weeks of nurse-centered interactions, was implemented.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
pediatric nurses' attitudes	FCC educational training administered to nurses in pediatric clinics, improving on nurses' attitudes towards FCC.Family Centered Care Attitude Scale (FCCAS): The measurement tool, developed by Kara and Güdücü Tüfekçi, is used to identify the attitudes of nurses providing care to children and their parents towards FCC. This self-report tool is composed of 58 Likert scale items distributed across two subscales. An increase in the scale score indicates an increase in positive attitudes of nurses towards FCC.	an average of 3 month

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
satisfaction with healthcare	increasing on parental satisfaction with healthcare. PedsQL Health Care Parents Satisfaction Scale (PedsQL HCPSS): The PedsQL Health Care Parents Satisfaction Scale, originally designed by Varni and later adapted for Turkish audiences by Ulus and Kublay, is a self-report instrument used for assessing the satisfaction levels of parents whose children are utilizing healthcare services. Comprising 25 items divided into six subscales. A higher score on this scale signifies increased satisfaction among parents with the provided healthcare services.	an average of 2 month

Collaborators and Investigators

• Sponsor: Mersin University

Publications and helpful links

Helpful Links

• Rostami, F., Hassan, S. T. S., Yaghmai, F., Ismaeil, S. B., & BinSuandi, T. (2015). The effect of educational intervention on nurses' attitudes toward the importance of family-centered care in pediatric wards in Iran. Electronic physician, 7(5), 1261.
• Angelo, M., Cruz, A. C., Mekitarian, F. F. P., & Martins, M. et al. (2014). Nurses' attitudes regarding the importance of families in pediatric nursing care. Revista da Escola de Enfermagem da USP, 48
• Boztepe, H., & Kerimoğlu-Yıldız, G. (2017). Nurses perceptions of barriers to implementing family-centered care in a pediatric setting: A qualitative study. Journal for Specialists in Pediatric Nursing, 22(2), e12175.
• Feeg, V. D., Paraszczuk, A. M., Çavuşoğlu, H., & Al Mamun, A. et al. (2016). How is family centered care perceived by healthcare providers from different countries? An international comparison study. Journal of Pediatric Nursing, 31(3), 26

Study record dates

Study Major Dates

• Study Start (Actual): February 20, 2021
• Primary Completion (Actual): April 20, 2021
• Study Completion (Actual): June 20, 2021

Study Registration Dates

• First Submitted: June 13, 2023
• First Submitted That Met QC Criteria: July 2, 2023
• First Posted (Actual): July 11, 2023

Study Record Updates

• Last Update Posted (Actual): July 11, 2023
• Last Update Submitted That Met QC Criteria: July 2, 2023
• Last Verified: July 1, 2023

More Information

Terms related to this study

• Keywords: satisfaction; nursing; family centered care; attitute
• Other Study ID Numbers: MersinU-HB-OGP-01

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No