Dominance of Paternalism in Family-Centered Care in the Pediatric Intensive Care Unit (Picu): An Ethnographic Study Publisher Pubmed



Vasli P¹ ; Dehghannayeri N¹ ; Borimnezhad L² ; Vedadhir A³ Show Affiliations
Source: Comprehensive Child and Adolescent Nursing Published:2015

Abstract

This article examines the culture of family-centered care (FCC) in the pediatric intensive care unit (PICU) using focused ethnography. Data collection strategy was participant observation, fieldwork, and interviews with main actors of the PICU, namely supervisors, nurses, and parents. This study took place in one PICU in a hospital in Tehran, Iran. The results were in the main named as paternalism and were presented as five themes: non-possessed environment, separation of the children from their parents, non-interactive communication, limited participation, and affection and sympathy combined with superiority. In conclusion, the prevailing atmosphere in care was paternalistic as there was a huge gap between conceptually or theoretically accepted application of FCC in PICU and what is practically administrated. Bridging such a gap between theory and practice can be helpful in improving social, environment, and organizational culture for the children, their parents, and health care providers as well as their performance in the context of PICU. © 2015 Informa Healthcare USA, Inc. All rights reserved: reproduction in whole or part not permitted.