Purpose
This study was conducted to investigate nurses’ perceptions and performance of family-centered care (FCC) at a children’s hospital in Sri Lanka and to explore the feasibility of implementing FCC in the context of the Sri Lankan healthcare system.
Methods
A convergent, parallel, mixed-methods design was applied to understand Sri Lankan nurses’ perspectives on FCC. In total, 157 nurses working at a large teritagy children’s hospital responded to a self-report survey and 18 nurses participated in focus group interviews.
Results
Of the factors of FCC, family participation in caring for children received the highest score (4.09±0.51) for perceptions, and information-sharing received the highest score (3.54±0.55) for performance. The qualitative data revealed the following five themes: (a) importance of the family in caring for children; (b) helping families during children’s hospitalization; (c) taking steps to implement FCC, even with imperfect knowledge; (d) barriers in the current situation; and (e) suggested strategies to promote FCC.
Conclusion
Participants endorsed the concept of FCC and demonstrated some aspects of it in their day-to-day practice. The results indicate a clear knowledge deficit and several challenges, which need to be addressed to effectively implement FCC.

Citations

• Dimensions, challenges, and improvement strategies of family-centered care in emergency pediatric settings: A mixed-methods systematic review
  Arezoo Ghavi, Zohreh Nabizadeh-Gharghozar, Leila Valizadeh, Aydin Feyzi
  Journal of Pediatric Nursing.2026; 86: 300.     CrossRef
• A scoping review of the perceptions and practices of pediatric nurses’ toward family-centered care
  Haytham Mohammad Al-Oran, Mahmoud Ayed Al-Frejat
  Frontiers of Nursing.2025; 12(2): 177.     CrossRef
• Análisis de la Relevancia e Impacto de la Enfermería Pediátrica en los Distintos Contextos de la Salud
  Velkys Marlenys Castillo Sánchez, Yasmery Yamileth Moreno Flores
  Estudios y Perspectivas Revista Científica y Acad.2025; 5(3): 3374.     CrossRef
• Association Between Family Importance in Nursing Care and Parental Satisfaction: A Cross-sectional Study
  Mehdi Mahmoudzadeh, Mohammad Ali Mohammadi, Shohreh Moshfeghi, Behrouz Dadkhah
  Journal of Nursing and Midwifery Sciences.2025;[Epub]     CrossRef
• Family-Centered Care in the Pediatric Intensive Care Unit
  Elizabeth A. Olafson, Ivette Hidalgo, Luzmary Ocampo
  Critical Care Nursing Clinics of North America.2025;[Epub]     CrossRef
• Nurses' Experiences of the Prerequisites for Implementing Family-Centered Care to Prevent Pediatric Delirium
  Tiina Saarenpää, Miia Jansson, Heli Kerimaa, Riitta Alanko, Outi Peltoniemi, Miikka Tervonen, Tiina Lahtela, Tarja Pölkki
  Clinical Nurse Specialist.2024; 38(5): 221.     CrossRef
• Parent Education and Counseling (PairEd-C) Intervention to Improve Family-Centered Care: Protocol for a Prospective Acceptability Study Using the Theoretical Framework of Acceptability
  Leul Deribe, Eshetu Girma, Nataliya Lindström, Abdulkadir Gidey, Solomon Teferra, Adamu Addissie
  JMIR Research Protocols.2024; 13: e54914.     CrossRef
• Family-Centered Care from the Point of View of Undergraduate Nursing Students Studying in Selected Public Universities: A Cross-Sectional Study
  Haytham Al-Oran, Ahmad Al-Sagarat, Hala Obeidat
  Health Scope.2024;[Epub]     CrossRef
• A Cross-Sectional Study of Pediatric Nurses’ Perceptions and Practices of Family-Centered Care in Governmental Pediatric Setting
  Haytham Al-Oran, Ahmad AL-Sagarat, Faris Alsaraireh, Deema Mahasneh
  Journal of Comprehensive Pediatrics.2023;[Epub]     CrossRef
• The perceptions and performance of family-centered care among pediatric nurses at a children's hospital in South Korea: a descriptive study
  Suk-Jin Lim, Kyung-Sook Bang
  Child Health Nursing Research.2023; 29(3): 207.     CrossRef

Purpose
This paper is a report on the concept analysis of family-centered care for hospitalized children.
Methods
The concept analysis approach of Walker and Avant was used. A search of multidisciplinary literature published between 1960 and 2016 was undertaken using the keyword ‘family centered care’ or ‘family centered nursing’ combined with hospitalized children. Attributes, antecedents, and consequences were inductively derived from the citations analyzed (n=19).
Results
The attributes of family-centered care included (1) family respect, (2) collaboration, (3) family support, and (4) information sharing. These attributes are influenced by the ‘willingness of family to participate’, ‘competency and willingness of staff,’ and ‘institution policy and system.’ Additionally, family-centered care does significantly impact ‘the health of the children’, ‘family empowerment’ and ‘work satisfaction and self-confidence of staff’.
Conclusion
Family-centered care of hospitalized children as defined by the result of this study will contribute to the theoretical foundation for application in pediatric nursing practice.

Citations

• Factors affecting pediatric nurses’ development of partnerships with parents of hospitalized children: An evaluation based on the stress-coping adaptation model
  In Young Cho, So Hyoung Hong, Ji Yeong Yun
  Journal of Child Health Care.2025; 29(1): 53.     CrossRef
• Development of an atraumatic care education model based on family-centered care to improve maternal behavior in reducing children's stress during hospitalization
  Dera Alfiyanti, Yuni Sufyanti Arief, Ilya Krisnana, Mira Triharini, Arief Yanto
  Journal of Pediatric Nursing.2025; 83: 218.     CrossRef
• Mothering children at a paediatric intensive care unit with strict visiting hours: A qualitative study
  Na‐Ry Chung, Sun‐Mi Chae
  Nursing in Critical Care.2024; 29(6): 1654.     CrossRef
• Assessing the maturity of the “Family Centered Care” concept: A review of concept analyses studies
  Mohammad Al-Motlaq, Mandie Foster, Maggie Zgambo, Sarah Neill
  Journal of Pediatric Nursing.2024; 79: 150.     CrossRef
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  Seo Jin Park, Ji Yeong Yun, Jina Lee, In Young Cho
  Nursing Open.2024;[Epub]     CrossRef
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  Dera Alfiyanti, Arief Sufyanti, Ilya Krisnana, Mira Triharini, Satriya Pranata
  Scripta Medica.2024; 55(5): 537.     CrossRef
• The perceptions and performance of family-centered care among pediatric nurses at a children's hospital in South Korea: a descriptive study
  Suk-Jin Lim, Kyung-Sook Bang
  Child Health Nursing Research.2023; 29(3): 207.     CrossRef
• Psychometric Validation of the Korean Version of the Family-Centered Care Questionnaire—Revised
  Jihee Han, Won-Oak Oh, YooJin Heo, Sunho Kim
  Journal of Nursing Measurement.2023; 31(3): 347.     CrossRef
• Effects of the Discharge Education Program on Family Caregivers Caring for Patients on Mechanical Home Ventilation in Korea: A Pilot Test
  Hyang Sook Kim, Gwang Suk Kim, Hyangkyu Lee, JiYeon Choi, Young Sam Kim, Eui Geum Oh
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• Research Trends of Follow-Up Care after Neonatal Intensive Care Unit Graduation for Children Born Preterm: A Scoping Review
  So Ra Kang, Haeryun Cho
  International Journal of Environmental Research an.2021; 18(6): 3268.     CrossRef
• Levels of Partnership between Nurses and Parents of Hospitalized Children and the Quality of Pediatric Nursing Care as Perceived by Nurses
  So Yeon Yoo, Haeryun Cho, Yae Young Kim, Ji Hyeon Park
  Child Health Nursing Research.2020; 26(1): 64.     CrossRef
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  Won‐Oak Oh, EunJoo Kim, YeoJin Im, Jihee Han, Mirim Kim
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• Medication self-management and the quality of discharge education among parents of children with epilepsy
  Hyun Jie Lee, Eun Kyoung Choi, Hee Soon Kim, Hoon Chul Kang
  Epilepsy & Behavior.2019; 94: 14.     CrossRef
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  Nary Chung, Yeseul Kim, Eunyoung Park, Lisa Yeo, Jiwon Hwang
  Perspectives in Nursing Science.2019; 16(1): 35.     CrossRef
• Validity and Reliability of the Korean Version of the Families’ Importance in Nursing Care-Pediatric Nurses’ Attitudes Instrument
  Jina Oh, Yae Young Kim, So Yeon Yoo, Haeryun Cho
  Child Health Nursing Research.2018; 24(3): 274.     CrossRef
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  So Young Jung
  Child Health Nursing Research.2018; 24(4): 465.     CrossRef
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  So Yeon Yoo, Yae Young Kim, Haeryun Cho
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PURPOSE
Humor is an important part of life. Humor has many benefits as an intervention for hospitalized children. Humor is one strategy that pediatric nurses can use to help children cope with illness and hospitalizations. The purposes of the study were to 1) review the definition of humor, 2) identify methods and skills in using humor as an intervention, 3) identify the effects of humor as an intervention, and 4) suggest further research.
METHOD
The design was a descriptive study with literature review. Previous studies were identified by searches of MEDLINE, CHNIAL, PUBMED and ProQuest.
RESULTS
Humor has positive physiological, psychological, social and communicative effects on patients and humor has a positive effect on the immune system.
CONCLUSION
The main point identified from this study suggests that humor as a nursing intervention be developed for nurses to use with children who are hospitalized. Further research is needed to develop programs for humor as an intervention for health promotion and disease prevention in children.

PURPOSE
The purpose of this study was to develop a program promoting self-esteem and to determine the effectiveness of the program for hospitalized school-aged children.
METHOD
The sample group consisted of 68 hospitalized children in a University Hospital located in Busan. The experimental group was given the program and feedback was obtained 3 times up until the day of discharge. Data were analyzed using t-test and 2-way ANOVA with the SPSS program package.
RESULT
There was a significant difference between experimental and control groups in self-esteem.
CONCLUSION
It was found that the program promoting self-esteem in school aged children was effective. The program, which was based on learning theory, was shown to be an effective and strong method to promote adjustment in hospitalized school-aged children.

PURPOSE
The purpose of this study was to explore the fatigue of the mothers of the hospitalized children's mothers in descriptive study.
METHOD
Two hundred eighty three mothers who take care of the hospitalized children in three University hospitals were enrolled from June, 1 to October, 30, 2003. Data were collected using a questionnaire titled "Symptom Table on Fatigue Perception" designed by the Fatigue Research Committee of Japan, consisted of a total 30 items categorized into three sub-dimensions: the physical, the psychological and the neuro-sensory. SPSS was used for the analysis of data with 0.05 of significance.
RESULT
1) The mean average fatigue score of subjects was 1.94(SD:.48): the physical fatigue revealed the highest value with a mean of 2.19(SD:.57), followed by psychological fatigue with a mean score of 1.85(SD:.52), neuro-sensory fatigue with a mean of 1.79(SD:.51). 2) With the respect to the general characteristics of hospitalized children and mothers, there were statistically significant differences in the mothers' fatigue perception by the child sex(t=-2.697, p=.008), the character of child(F=9.032, p=.000), the child condition compared to pre-hospitalization(F=3.523, p=.031), with or without support in domestic households(t=-1.981, p=.049), the amount of sleeping time(t=2.704, p=.007), and with or without of night-time sleep disturbance because of the child hospitalization(t=2.082, p=.038).
CONCLUSION
These results suggest that health care professional need to be aware of the persistent presence of the maternal fatigue related to the child hospitalization and the factors worsen the degree of the fatigue.

This study was done to evaluate the need and satisfaction for nursing care of the families with their hospitalized children. The data were collected through the questionnaire from March 15, 2002 to April 7. Subjects were the 103 families caring for their hospitalized children at pediatric ward in two university hospitals in Daegu. The nursing need instrument was developed by Seo(1999) and modified by the researcher of this study based on the classification of nursing care area(nursing assessment, direct nursing, education and counseling, and facilities and environment). The nursing satisfaction instrument was developed by Wandelt & Ager(1974) and modified by Park(1994) based on classification of nursing care area (psychosocial care, physical care, general care, professional care, and communicative care). The results are summarized as follows: 1. The scores in the nursing need showed in the Direct nursing(3.41 +/- .42), Facilities and Environment(3.38 +/- .46), Education and Counseling (3.35 +/- .40), and Nursing Assessment(3.14 +/- .41) area in order. 2.The scores in the nursing satisfaction showed in the Psychosocial care(3.70 +/- .74), Commu- nicative care(3.60 +/- .72), General care(3.42 +/- .76), Professional care(3.38 +/- .82), and Physical care(3.32 +/- .70) area in order. 3.General characteristics of families which influence on the satisfaction showed a significant difference according to their educational(F=5.63, p=.001) and economical level(F=4.47, p=.006), and hospitalized experience(t=2.30, p=0.02). 4. There was no correlation between the nursing need and the nursing satisfaction.

The purpose of this study was to identify therapeutic play need and the degree of the nurses's therapeutic play performances perceived by hospitalized children's mothers, and then to compare the difference between the degree of the need and perceived performances. The subjects of this study consist of 121 hospitalized children's mothers. A questionaire for this study was 29 item likert type 4 point scale developed on the basis of literature review, hospitalized children's mother interview and researcher's clinical experiences. Data was analyzed by Paired t-test, t-test, ANOVA & Duncan's comparison. Results of this study are summarized as follows : 1. The degree of the therapeutic play need was measured to be high (3.20). The degree of perceived therapeutic play need by five components were followed as : physiologic suffering relief & enhancing play (3.39), growth & development facilitating play (3.26), instructional play (3.24), emotional well-being promoting play (3.18) and providing play tool & environment(2.97). 2.The degree of the nurse's therapeutic play performances perceived by mothers was measured to be low (1.60). The degree of perceived performances of the therapeutic play by the five components were followed as : physiologic suffering relief & enhancing play (1.87), instructional play (1.74), emotional well-being promoting play (1.64), providing play tool & environment (1.44) and growth & development facilitating play (1.42). 3. The difference between the degree of the therapeutic play need and nurese's perfor mances perceived by hospitalized children's mothers were significant statistically (t= 38.54, p=.0001). Also, five components of therapeutic play were significant statistically (p=.0001). Therapeutic play has unique benefits among health care intervention for children. These findings will help in building of the theoretical framework of therapeutic play and enhancing the quality of nursing care for hospitalized children. Therapeutic play program for hospitalized children according to child growth & development and physiologic status are recommended to be developed.