Daily Theme: Collaborating for Family-Centered Care
In South Africa, families have deficient knowledge of early childhood development. Families are often not included in their child’s health care decisions. The new, school-based health center had no wellness visits, family-centered care model or health education in place prior to the intervention. The project aim was to increase family-centered care by 30% by engaging in open communication with parents and guardians of children under six at the school-based health center over 90 days.
Four iterative Plan-Do-Study-Act cycles tested change through team engagement, patient engagement, form utilization and wellness visit completion. The Bright Futures guidelines were chosen as comprehensive pediatric preventive care tools with supplemental resources promoting team and family engagement.
By the end of the 90-day project, team capacity, confidence and attitudes towards the project increased by 43.8%. Documentation of family concerns achieved the 50% goal and experience of care indicated feelings of respect and partnership. Anticipatory guidance documentation greatly surpassed the goal by 43.8% and 62.5% respectively. Fifteen percent of children received wellness visits, achieving the goal. Family-centered care and open communication were achieved through team engagement, anticipatory guidance instruction, and implementation of wellness visits.
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Lindsey Berson, DNP, APRN, FNP-C completed her MSN and DNP through Frontier Nursing University. She has been a family nurse practitioner for seven years. She is a member of Sigma Theta Tau International. She has served as a medical missionary in Guatemala and South Africa. Her U.S. practice has been focused in federally qualified health centers and with migrant populations. She is very passionate about care to families and underserved populations. She is excited to begin her next career teaching community health nursing. She is a proud wife and mother to two daughters. In her free time, she enjoys hiking with her family.