2 PICOT Question Brittney Arellana Grand Canyon University July 23,2023 Step 1:

2

PICOT Question

Brittney Arellana

Grand Canyon University

July 23,2023

Step 1: PICOT Question

The PICOT Question is “In healthcare settings, does the implementation of family-centered care practices compared to standard care practices with no family-centered care protocols result in improvements in patient satisfaction, adherence to treatment plans, reduced hospital readmissions and patient outcomes over six months?”

In this PICOT question, the target population (P) is the patients in healthcare settings. In addition, the proposed intervention (I) is the implementation of family-centered care practices such as family education, involvement in treatment planning, access to family support, and other family-centered interventions. Also, the comparison (C) group are patients receiving standard or conventional care without involvement of family-centered practices. The expected outcome (O) includes demonstrating a positive impact on patient/family satisfaction, enhanced adherence to treatment/interventions, reduced hospital readmissions, and increased patient satisfaction. Lastly, the time (T) component is six months, meaning the study will take six months to help establish the impact of the intervention.

Step 2: Identifying the PICOT Problem

The clinical problem arising from clinical care is reduced patient satisfaction, non-adherence to treatment plans, increased hospital readmissions, and poor patient outcomes. In providing optimal care, the absence of family-centered care in healthcare settings creates a situation where patients lack a comprehensive understanding of their treatment plan, raising their stress and anxiety levels due to the lack of a support system (Mohammadi et al., 2020). This negatively impacts the overall healthcare outcomes resulting in dissatisfaction with care. Family plays a crucial role during hospitalization since they provide emotional support and are also considered a crucial source of information for the patient and the family (Mohammadi et al., 2020). In this case, failure to involve the family in care can result in unsatisfactory intervention outcomes.

Step 3: Nursing Intervention

The proposed nursing intervention in the study is the implementation of a structured family-centered care approach. This intervention will involve family participation in treatment planning, conducting family education sessions, providing access to support services, and other forms of collaboration with the patient’s families. On the other hand, the comparison group in the study will receive standard/conventional care intervention with no emphasis or implementation of family-centered methods. The proposed timeframe for implementing the change process (intervention) will be six months to allow adequate time to thoroughly evaluate the impact family-centered care has on patient outcomes compared to standard care approaches.

Step 4: Clinical Problem Summary and Patient Outcomes

The clinical problem in the study is the lack of family-centered care in patient care in healthcare settings. Family is an influential factor in caring for a family member during hospitalization. For instance, family is regarded as a crucial information source and provides physical and emotional support to patients making them a vital component in patient care. In this case, a lack of family involvement in treatment planning and other patient care processes could lead to unsatisfactory health outcomes, as well as other challenges such as miscommunication, stress, and dissatisfaction with care (Mohammadi et al., 2020).

On the other hand, research has shown that family involvement in care is associated with improved patient outcomes, better comprehension of care, adherence to treatment, reduced stress and anxiety, and reduced hospital readmissions (kokorelias et al., 2019). By implementing family-centered care, healthcare professionals create a care environment that appreciates patients and families and respects their beliefs, perspectives, and preferences. This results in the maximization of the strengths all stakeholders in the care process possess toward positive care outcomes (kokorelias et al., 2019).

According to Franck & O’Brien (2019), family-centered care also helps create a supportive care environment leading to improved patient experience and satisfaction. In addition, a study by Park et al. (2018) shows that patient and family-centered care interventions are associated with reduced hospital admissions, length of stay, and readmissions. The intervention also increases the quality of life. Another outcome of family-centered care is reduced depression, anxiety and stress resulting in better patient outcomes and satisfaction (Park et al., 2018). Overall, engaging patients and their families in care through a family-centered care method could improve patient’s health outcomes by promoting adherence to treatment regimen, reducing readmissions and increasing satisfaction.

References

Franck, L. S., & O’Brien, K. (2019). The evolution of family-centered care: From supporting parent-delivered interventions to a model of family integrated care. Birth Defects Research, 111(15), 1044–1059. https://doi.org/10.1002/bdr2.1521

Kokorelias, K. M., Gignac, M. A. M., Naglie, G., & Cameron, J. I. (2019). Towards a universal model of family-centered care: a scoping review. BMC Health Services Research, 19(1), 564. https://doi.org/10.1186/s12913-019-4394-5

Mohammadi, N., Seyesfatemi, N., & Hashemi, S. (2020). Hindrances to the implementation of family-centered care approach: A grounded theory study. Latin American Society of Hypertension, 15(3), 170-176.

Park, M., Giap, T. T., 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. https://doi.org/10.1016/j.ijnurstu.2018.07.006