TABLE 2.

Family-Centered Care PBPs Center Plans for Implementation of Each Practice

No PlanPlan OnlyActive ChangeIn Place Monitor
Vision and philosophy: the unit’s vision and philosophy address principles of family-centered care
 Vision and philosophy of care statements articulate the unit’s commitment to family-centered care.0416
 Family-centered vision and philosophy is consistently applied to unit policies, practices, and programs0632
Leadership: hospital and unit leadership promotes family-centered care principles
 Leadership promotes and models a family-centered vision and philosophy.0452
 Leadership creates opportunities to collaborate with families in policy and program development activities.0452
 Families participate in the hiring of key nursing and physician leadership personnel.7400
Unit culture: unit culture reflects a philosophy of inclusive ownership, teamwork, and a spirit of cooperation.
 Vision and philosophy of care statements are developed collaboratively by representatives of all disciplines working on the unit, and family representatives.0515
 Committees that develop programs and practices have members who represent all disciplines working on the unit, and family representatives.1442
 Accountability for patient and family outcomes is shared by all unit staff.0542
Multidisciplinary team approach: the foundation of the unit’s work is multidisciplinary collaboration
 An atmosphere of trust and respect between all health care disciplines and families is fostered.0452
 All staff and families are viewed as partners on the care team.0551
 Representatives from all disciplines, and families, have the opportunity to contribute to the plan of care.0452
 Representatives from all disciplines and family members have the opportunity to participate in rounds and other meetings concerning an infant’s care.0632
Experience of care: care processes are designed and followed with attention to the experience of the infant and the family
 Staff seek to understand the experience of care from the perspective of the infant and family.1451
 Individualized developmentally supportive care is provided to each infant.0335
 Care is coordinated and delivered in a holistic manner in which an infant’s physical, psychosocial, and developmental needs are addressed, and the infant is viewed within the context of its family and the community.0263
 There is a system in place to ensure consistency in care providers assigned to the infant and in the manner in which care is provided.2315
 Families are specifically asked to provide feedback on their experiences and their perceptions of their infants’ experience at intervals throughout their stay, and at the end of their stay in the NICU.0272
Family participation in care: families are supported to participate in the care of their infant/s to the level they desire.
 Families are viewed as integral members of the care team and as primary caregivers to their infants (not as visitors).0452
 Families are seen as the primary decision makers for their infants.2522
 Families are asked how they would like to participate in their infants’ care and are given the education, resources, and support to participate to the level they desire.0461
 Families have the opportunity to discuss and record observations of their infant.1433
 The unit welcomes families 24 hours a day, including during rounds and change of shift.0227
Environment: the physical environment reflects and supports a family centered approach to care.
 The unit entrance creates a positive first impression and promotes a welcoming atmosphere.2414
 Signage is worded positively and respectfully and is helpful in assisting families to find their way around the unit and hospital.2216
 Families have space designated in the clinical areas that offers privacy and the ability to participate in care.1514
 There are a variety of supportive spaces for families outside the clinical area that offer resources and educational opportunities, support activities, respite, privacy, nourishment, and space for breastfeeding or pumping.0515
 Planning committees or task forces for renovation or new construction projects include representatives from all disciplines working on the unit, and families.2414
Quality improvement: continuous quality improvement is supported and expected; quality plans include indicators relating to the promotion of family-centered care.
 Unit leaders promote and support a culture that strives for excellence and embraces and adapts to change.0344
 All staff are encouraged to generate ideas and develop plans for changes that improve the experience and outcomes for infants and families.0245
 Specific goals and outcome measurements relating to family-centered care are identified for each quality improvement project.1442
 There is a process for continuous evaluation and feedback to staff on efforts to improve the quality of care of infants and their work with families.0542
 Families are asked to give feedback about their experiences using a variety of formal and informal methods.0173
 Families serve on committees and other quality improvement projects and help to define key quality indicators.0533
Families as advisors: there are a variety of opportunities for families to serve as advisors.
 Families serve on family advisory boards.0506
 Families are included as members of family-centered steering committees.1613
 Families provide family-to-family support within the unit.0713
 Opportunities exist for families to serve on other hospital committees and task forces.6113
 Paid positions are established for former family member/s to serve as family consultants or family liaisons.4412
 Families serve as faculty and trainers in orientation and other education and training activities.3611
Staff support: expectations for family-centered practice are clear, and all staff are offered education, resources, and support to actualize family-centered change.
 Job descriptions and performance appraisals detail specific expectations for all staff to demonstrate behaviors and attitudes consistent with family-centered care.3314
 Ongoing training for family-centered care initiatives is offered.1262
 All staff have opportunities to reflect on their practice and openly discuss problems and challenges with supportive mentors.1442
 Efforts to deliver care within a family-centered approach are recognized and rewarded by unit and hospital leadership.0731