Patient and family-centered care for children: A concept analysis


concept analysis
family-centered care
patient-centered care

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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.
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Accepted for publication: 2023-01-08
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Background: Family-centered care has evolved into patient and family-centered care. Although this is not a new concept; however, its application to nursing practice is very challenging among nurses due to its ambiguity.

Objective: This study aimed to clarify the concept of patient and family-centered care for children.

Methods: Walker and Avant’s concept analysis method was used. A literature search was also done using the following databases: Google Scholar, ProQuest, ScienceDirect, and Scopus, for articles published from 2011 to 2021. 

Results: The defining attributes of patient and family-centered care are partnership, communication, respect, and compassion. Antecedents include patient and family involvement, readiness to collaborate and participate, competency and desire of the care professional team, supportive environment, and policies. Consequences of the patient and family-centered care include improved child outcomes and quality of life, promotion of patient safety, increased patient and family satisfaction, enhancement of humanistic values, reduction of hospitalization cost and length of stay, and decreased stress, anxiety, and depression in family members.

Conclusion: Four attributes of patient and family-centered care, its antecedents, and consequences may aid researchers in better understanding the concept and its application in nursing practice. This concept can also be used to establish quality care delivery strategies and promote professional relationships between nurses, patients, and families in clinical settings.

Supporting Agencies

Educational Fund Management Institution (LPDP Scholarship) - Ministry of Finance, Republic of Indonesia. Recipient: First author.


Copyright (c) 2023 Tuti Seniwati, Yeni Rustina, Nani Nurhaeni, Dessie Wanda

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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Declaration of Conflicting Interest

The authors have no conflict of interest regarding this article.


The authors acknowledge Universitas Indonesia and Universitas Hasanuddin for their tremendous support during the study.

Authors’ Contributions

All authors contributed equally to this study, and they read and approved the final manuscript and were accountable and entirely responsible for its content.

Ethical Consideration

Not applicable.

Data Availability

Not applicable.


Abney-Roberts, S. E., & Norman, C. (2012). Patient family centered care: It's more than open visitation. Journal of Obstetric, Gynecologic & Neonatal Nursing, 41, S107.

Abraham, M., & Moretz, J. G. (2012). Implementing patient-and family-centered care: Part I-understanding the challenges. Pediatric Nursing, 38(1), 44-47.

American College of Emergency Physicians. (2019). Patient- and family-centered care and the role of the emergency physician providing care to a child in the emergency department. Annals of Emergency Medicine, 73(3), e29-e31.

Baird, J., Davies, B., Hinds, P. S., Baggott, C., & Rehm, R. S. (2015). What impact do hospital and unit-based rules have upon patient and family-centered care in the pediatric intensive care unit? Journal of Pediatric Nursing, 30(1), 133-142.

Brown, S. M., Rozenblum, R., Aboumatar, H., Fagan, M. B., Milic, M., Lee, B. S., Turner, K., & Frosch, D. L. (2015). Defining patient and family engagement in the intensive care unit. American Journal of Respiratory and Critical Care Medicine, 191(3), 358-360.

Browne, A. J. (1997). A concept analysis of respect applying the hybrid model in cross-cultural settings. Western Journal of Nursing Research, 19(6), 762-780.

Cambridge Dictionary. (2020a). Meaning of communication. In

Cambridge Dictionary. (2022b). Meaning of compassionate. In

Campillo, B., Corbella, J., Gelpi, M., Martinez, E., Viciana, M. A., & Alonso, M. (2020). Development and validation of the scale of perception of respect for and maintenance of the dignity of the inpatient [CuPDPH]. Ethics, Medicine and Public Health, 15, 100553.

Center for the Advancement of Collaborative Strategies in Health. (2022). Partnership Self-Assessment Tool Questionnaire.

Choi, M.-Y., & Uhm, J.-Y. (2022). Factorial validity of the Pediatric Nurse Parent Partnership Scale—Pediatric Nurses (PNPPS-PN). Healthcare, 10, 991.

Choi, M. Y., & Bang, K.-S. (2013). Development and testing of a pediatric nurse parent partnership scale. Journal of Korean Academy of Nursing, 43(2), 194-202.

Clay, A. M., & Parsh, B. (2016). Patient-and family-centered care: It’s not just for pediatrics anymore. AMA Journal of Ethics, 18(1), 40-44.

Coats, H., Bourget, E., Starks, H., Lindhorst, T., Saiki-Craighill, S., Curtis, J. R., Hays, R., & Doorenbos, A. (2018). Nurses’ reflections on benefits and challenges of implementing family-centered care in pediatric intensive care units. American Journal of Critical Care, 27(1), 52-58.

Cole-King, A., & Gilbert, P. (2011). Compassionate care: The theory and the reality. Journal of Holistic Healthcare, 8(3), 29-37.

Committee on Hospital Care and Institute for Patient-and Family-Centered Care. (2012). Patient-and family-centered care and the pediatrician's role. Pediatrics, 129(2), 394-404.

Coyne, I., Holmström, I., & Söderbäck, M. (2018). Centeredness in healthcare: A concept synthesis of family-centered care, person-centered care and child-centered care. Journal of Pediatric Nursing, 42, 45-56.

Deepika, S. R., & Rahman, J. (2020). Patient and family centered care: Practices in pediatrics. International Journal of Nursing Education, 12(4), 43-47.

Dewar, B., Adamson, E., Smith, S., Surfleet, J., & King, L. (2014). Clarifying misconceptions about compassionate care. Journal of Advanced Nursing, 70(8), 1738-1747.

DiGioia Iii, A. M., & Greenhouse, P. K. (2016). Creating value with the patient-and family-centered care methodology and practice: What trainees need to know, why, and strategies for medical education. AMA Journal of Ethics, 18(1), 33-39.

Dudley, N., Ackerman, A., Brown, K. M., Snow, S. K., American Academy of Pediatrics Committee on Pediatric Emergency, M., American College of Emergency Physicians Pediatric Emergency Medicine, C., Emergency Nurses Association Pediatric, C., Shook, J. E., Chun, T. H., & Conners, G. P. (2015). Patient-and family-centered care of children in the emergency department. Pediatrics, 135(1), e255-e272.

Everhart, J. L., Haskell, H., & Khan, A. (2019). Patient-and family-centered care: Leveraging best practices to improve the care of hospitalized children. Pediatric Clinics, 66(4), 775-789.

Fakhr-Movahedi, A., Rahnavard, Z., Salsali, M., & Negarandeh, R. (2016). Exploring nurse’s communicative role in nurse-patient relations: A qualitative study. Journal of Caring Sciences, 5(4), 267-276.

Fernandes, A. K., Wilson, S., Nalin, A. P., Philip, A., Gruber, L., Kwizera, E., Sydelko, B. S., Forbis, S. G., & Lauden, S. (2021). Pediatric family-centered rounds and humanism: A systematic review and qualitative meta-analysis. Hospital Pediatrics, 11(6), 636-649.

Goldschmidt, K., & Mele, C. (2021). Disruption of patient and family centered care through the COVID-19 pandemic. Journal of Pediatric Nursing, 58, 102-103.

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.

Handayani, A., & Daulima, N. H. C. (2020). Parental presence in the implementation of atraumatic care during children’s hospitalization. Pediatric Reports, 12(S1), 8693.

Harrison, T. M. (2010). Family-centered pediatric nursing care: State of the science. Journal of Pediatric Nursing, 25(5), 335-343.

Hassanian, Z. M., Bahrami, F., Farhadian, M., & Khalili, A. (2018). Effect of participatory care on the satisfaction of parents of children admitted to the children's wards: Clinical trial study. National Journal of Physiology, Pharmacy and Pharmacology, 8(5), 664-670.

Hill, C., Knafl, K. A., Docherty, S., & Santacroce, S. J. (2019). Parent perceptions of the impact of the Paediatric Intensive Care environment on delivery of family-centred care. Intensive and Critical Care Nursing, 50, 88-94.

Hutchfield, K. (1999). Family‐centred care: A concept analysis. Journal of Advanced Nursing, 29(5), 1178-1187.

Institute for Patient- and Family-Centered Care (IPFCC). (2017). Advancing the practice of patient- and family-centered care in hospitals - how to get started.

Jones, J., lowe, m., Burns, C., Donaldson, P., Abbey, J., & Abbey, B. (2008). Practice Partnership Model : An innovative approach for nursing at The Prince Charles Hospital. Brisbane: Queensland Health and Queensland University of Technology.

Juliá-Sanchis, R., Cabañero-Martínez, M. J., Leal-Costa, C., Fernández-Alcántara, M., & Escribano, S. (2020). Psychometric properties of the health professionals communication skills scale in university students of health sciences. International Journal of Environmental Research and Public Health, 17(20), 7565.

Kenyon, E., & Barnett, N. (2001). Partnership in nursing care (PINC): The Blackburn model. Journal of Child Health Care: for Professionals Working with Children in the Hospital and Community, 5(1), 35-38.

Khan, A., Spector, N. D., Baird, J. D., Ashland, M., Starmer, A. J., Rosenbluth, G., Garcia, B. M., Litterer, K. P., Rogers, J. E., & Dalal, A. K. (2018). Patient safety after implementation of a coproduced family centered communication programme: Multicenter before and after intervention study. BMJ 363, k4764.

Kourkouta, L., & Papathanasiou, I. V. (2014). Communication in nursing practice. Materia Socio-Medica, 26(1), 65-67.

Leal-Costa, C., Tirado-González, S., Rodríguez-Marín, J., & vander-Hofstadt-Román, C. J. (2016). Psychometric properties of the health professionals communication skills scale (HP-CSS). International Journal of Clinical and Health Psychology, 16(1), 76-86.

Lee, Y., & Seomun, G. (2016). Development and validation of an instrument to measure nurses' compassion competence. Applied Nursing Research, 30, 76-82.

Lloyd, B., Elkins, M., & Innes, L. (2018). Barriers and enablers of patient and family centred care in an Australian acute care hospital: Perspectives of health managers. Patient Experience Journal, 5(3), 55-64.

Lusk, J. M., & Fater, K. (2013). A concept analysis of patient‐centered care. Nursing Forum, 48(2), 89-98.

Melo, E. M. d. O. P. d., Ferreira, P. L., Lima, R. A. G. d., & Mello, D. F. d. (2014). The involvement of parents in the healthcare provided to hospitalzed children. Revista Latino-Americana de Enfermagem, 22, 432-439.

Merriam-Webster Dictionary. (2022a). Definition of communication. In

Merriam-Webster Dictionary. (2022b). Definition of respect. In

Mikkelsen, G., & Frederiksen, K. (2011). Family‐centred care of children in hospital–a concept analysis. Journal of Advanced Nursing, 67(5), 1152-1162.

Minooei, M. S., Ghazavi, Z., Abdeyazdan, Z., Gheissari, A., & Hemati, Z. (2016). The effect of the family empowerment model on quality of life in children with chronic renal failure: Children’s and parents’ views. Nephro-Urology Monthly, 8(4), e36854.

Mitchell, M. L., Coyer, F., Kean, S., Stone, R., Murfield, J., & Dwan, T. (2016). Patient, family-centred care interventions within the adult ICU setting: An integrative review. Australian Critical Care, 29(4), 179-193.

Moradian, S. T. (2018). Family-centered care: An evolutionary concept analysis. International Journal of Medical Reviews, 5(2), 82-86.

Morgan, S., & Yoder, L. H. (2012). A concept analysis of person-centered care. Journal of Holistic Nursing, 30(1), 6-15.

Mulyaningsih, N., Yuniar, I., & Setyaningsih, E. (2021). Gambaran tingkat pengetahuan dan pemberian dukungan emosional perawat di ruang instalasi rawat intensif (IRI) RSUD dr Soedirman Kebumen [Description of the level of knowledge and providing emotional support for nurses in the intensive care unit (IRI) RSUD dr Soedirman Kebumen]. Proceeding of The 13th University Research Colloquium 2021: Kesehatan dan MIPA, Central Java, Indonesia.

National Association of Pediatric Nurse Practitioners. (2013). NAPNAP position statement on the role of pediatric nurse practitioners in quality improvement. Journal of Pediatric Health Care, 27(4), e43-e45.

Nurhaeni, N., Rustina, Y., Agustini, N., & Rosuliana, N. E. (2018). Impact of family empowerment model on satisfaction and children’s length of stay in hospital. Enfermería Clínica, 28, 36-40.

Palokas, J. M., Northington, L., Wilkerson, R. R., & Boss, B. J. (2015). An interactive evaluation of patient/family centered rounds on pediatric inpatient units. Journal of Pediatric Nursing, 30(4), e9-e15.

Panczyk, M., Iwanow, L., Zarzeka, A., Jaworski, M., & Gotlib, J. (2019). Communication skills attitude scale: A translation and validation study in asample of registered nurses in Poland. BMJ Open, 9(5), e028691.

Park, M., Lee, M., Jeong, H., Jeong, M., & Go, Y. (2018). Patient-and family-centered care interventions for improving the quality of health care: A review of systematic reviews. International Journal of Nursing Studies, 87, 69-83.

Power, L. (2016). Nursing theory and the delivery of compassionate care. Nursing Standard (Royal College of Nursing (Great Britain) : 1987), 30(24), 41-46.

Power, N., & Franck, L. (2008). Parent participation in the care of hospitalized children: A systematic review. Journal of Advanced Nursing, 62(6), 622-641.

Prior, S. J., & Campbell, S. (2018). Patient and family involvement: A discussion of co-led redesign of healthcare services. Journal of Participatory Medicine, 10(1), e8957.

Rawson, J. V., & Moretz, J. (2016). Patient-and family-centered care: A primer. Journal of the American College of Radiology, 13(12), 1544-1549.

Razeq, N. M. A., Arabiat, D. H., & Shields, L. (2021). Nurses' perceptions and attitudes toward family-centered care in acute pediatric care settings in Jordan. Journal of Pediatric Nursing, 61, 207-212.

Rees, C., Sheard, C., & Davies, S. (2002). The development of a scale to measure medical students' attitudes towards communication skills learning: The Communication Skills Attitude Scale (CSAS). Medical Education, 36(2), 141-147.

Rodgers, B. L., Jacelon, C. S., & Knafl, K. A. (2018). Concept analysis and the advance of nursing knowledge: state of the science. Journal of Nursing Scholarship, 50(4), 451-459.

Rostami, F., Hassan, S. T. S., Yaghmai, F., Ismaeil, S. B., & Suandi, T. B. (2015). Effects of family-centered care on the satisfaction of parents of children hospitalized in pediatric wards in a pediatric ward in Chaloos in 2012. Electronic Physician, 7(2), 1078-1084.

Runcan, P. L., Constantineanu, C., Ielics, B., & Popa, D. (2012). The role of communication in the parent-child interaction. Procedia-Social and Behavioral Sciences, 46, 904-908.

Smith, J., Swallow, V., & Coyne, I. (2015). Involving parents in managing their child's long-term condition—a concept synthesis of family-centered care and partnership-in-care. Journal of Pediatric Nursing, 30(1), 143-159.

Smith, W. (2018). Concept analysis of family-centered care of hospitalized pediatric patients. Journal of Pediatric Nursing, 42, 57-64.

Subramani, S., & Biller-Andorno, N. (2022). Revisiting respect for persons: Conceptual analysis and implications for clinical practice. Medicine, Health Care and Philosophy, 25, 351-360.

Summers, J. A., Hoffman, L., Marquis, J., Turnbull, A., Poston, D., & Nelson, L. L. (2005). Measuring the quality of family—professional partnerships in special education services. Exceptional Children, 72(1), 65-81.

Turchi, R. M., Antonelli, R. C., Norwood, K. W., Adams, R. C., Brei, T. J., Burke, R. T., Davis, B. E., Friedman, S. L., Houtrow, A. J., & Kuo, D. Z. (2014). Patient-and family-centered care coordination: A framework for integrating care for children and youth across multiple systems. Pediatrics, 133(5), e1451-e1460.

Uhl, T., Fisher, K., Docherty, S. L., & Brandon, D. H. (2013). Insights into patient and family‐centered care through the hospital experiences of parents. Journal of Obstetric, Gynecologic & Neonatal Nursing, 42(1), 121-131.

Walker, L. O., & Avant, K. C. (2014). Strategies for theory construction in nursing (5th ed.). Upper Saddle River, NJ: Pearson/Prentice Hall.

Weiss, E. S., Anderson, R. M., & Lasker, R. D. (2002). Making the most of collaboration: Exploring the relationship between partnership synergy and partnership functioning. Health Education & Behavior, 29(6), 683-698.

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