Journal of Kerman University of Medical Sciences

Current Issue

By Issue

By Author

Author Index

Keyword Index

About Journal

Aims and Scope

JKMU Ethical Policies

Indexing and Abstracting

Related Links

FAQ

Peer Review Process

News

Metric

The Relationship Between Nurses' Perception of Family-Centered Care and the Quality of Nursing Care for Hospitalized Children

Document Type : Original Article

Authors

1 Student Research Committee, Urmia University of Medical Sciences, Urmia, Iran

2 Department of Emergency Nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran

3 Department of Pediatric Nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran

Abstract

Introduction: Family-centered care is a recognized approach in pediatric nursing, emphasizing collaboration between healthcare professionals and the families of hospitalized children. Evidence suggests that this approach can enhance the quality of care for pediatric patients. This study aimed to determine the relationship between nurses’ perceptions of family-centered care and the quality of nursing care provided to hospitalized children.
Methods: In this analytical cross-sectional study, 200 clinical nurses at BouAli Specialized Children’s Hospital in Ardabil, Iran, were recruited through census sampling in 2024. Data collection instruments included a socio-demographic questionnaire, the Family-Centered Care Perception Scale, and the Nursing Care Quality Scale. The collected data were analyzed using independent t-tests, one-way analysis of variance (ANOVA), Pearson’s correlation coefficient, and stepwise multiple regression. At a significance level of P<0.05, employing SPSS version 24.
Results: The findings indicated that 86% of nurses reported a good perception of family-centered care, while 86% reported a moderate level of nursing care quality. Multiple linear regression analysis identified total work experience, respect, and collaboration as significant predictors of nursing care quality. These variables explained 24% of the total variance in nursing care quality (R2=0.24, Adjusted R² = 0.23; F = 21.26, p < 0.001).
Conclusion: The study demonstrates that nurses’ positive perceptions of family-centered care are significantly associated with higher-quality nursing care for hospitalized children. Integrating family-centered care principles into nursing may improve care quality and parental satisfaction in pediatric settings.

Highlights

Sana Khalilzadeh Zia (PubMed)(Scholar)

Nazila Vosoghi (PubMed)(Scholar)

Keywords

Main Subjects

References
  1. Gomes P, Ribeiro S, Silva M, Cruchinho P, Nunes E, Nascimento C, et al. Cross-cultural validation of the Portuguese version of the quality of oncology nursing care scale. Cancers (Basel) 2024;16(5):859. doi:10.3390/cancers16050859
  2. Strobel NA, Chamberlain C, Campbell SK, Shields L, Bainbridge RG, Adams C, et al. Family-centred interventions for Indigenous early childhood well-being by primary healthcare services. Cochrane Database Syst Rev 2022;12(12):CD012463. doi:10.1002/14651858.CD012463. pub2
  3. Bjerregaard M, Axelin A, Carlsen ELM, Birk HO, Poulsen I, Palisz P, et al. Evaluation of a complex couplet care intervention in a neonatal intensive care unit: a mixed methods study protocol. Pediatr Investig 2024;8(2):139-48. doi:10.1002/ped4.12420
  4. Kocakabak C, van den Hoogen A, Rothfus M, Campbell- Yeo M, Kostenzer J, Axelin A, et al. Identifying outcomes and outcome measures in neonatal family-centered care trials: a systematic review. Pediatr Res 2025;97(1):56-66. doi:10.1038/s41390-024-03293-2
  5. Khalilzadeh Zia S, Aghamohammadi M, Moshfeghi S, Vosoghi N. Examining the relationship between nurses’ professional self-efficacy and parents’ perception of family-centered care. BMC Nurs 2025;24(1):485. doi:10.1186/s12912-025-03112-x
  6. Correia T, Martins MM, Barroso F, Pinho L, Longo J, Valentim O. The family’s contribution to patient safety. Nurs Rep 2023;13(2):634-43. doi:10.3390/nursrep13020056
  7. Wool J, Irving SY, Meghani SH, Ulrich CM. Parental decision-making in the pediatric intensive care unit: an integrative review. J Fam Nurs 2021;27(2):154-67. doi:10.1177/1074840720975869
  8. Juanamasta IG, Aungsuroch Y, Gunawan J. A concept analysis of quality nursing care. J Korean Acad Nurs 2021;51(4):430- 41. doi:10.4040/jkan.21075
  9. Bekmezci E, Su S. Patients’ and nurses’ perception of individualized care: a comparative study. Mediterranean Nursing and Midwifery 2023;3(2):98-105. doi:10.4274/ MNM.2023.23143
  10. Compton EK, Gildemeyer K, Reich RR, Mason TM. Perceptions of caring behaviours: a comparison of surgical oncology nurses and patients. J Clin Nurs 2019;28(9-10):1680-4. doi:10.1111/ jocn.14773
  11. Nabili A, Bastani F. Evaluate quality of nursing care from the viewpoint of elderly patients under hemodialysis in selected medical education centers of Iran University of Medical Sciences, 2018. Iran J Nurs Res 2020;15(3):10-21.
  12. Winqvist I, Näppä U, Häggström M. Quality of care during rural care transitions: a qualitative study on structural conditions. BMC Nurs 2023;22(1):262. doi:10.1186/s12912- 023-01423-5
  13. Abdollahi R, Heydari Z, Najafi I. The relationship between perceived organizational support and the quality of nursing care in the COVID-19 outbreak. J Health Care 2024;26(1):33- 42. doi:10.61186/jhc. 26.1.33
  14. Asgari Z, Pahlavanzadeh S, Alimohammadi N, Alijanpour S. Quality of holistic nursing care from critical care nurses’ point of view. J Crit Care Nurs 2019;12(1):9-14.
  15. Fatehi R, Motalebi SA, Azh N. Nurses’ and older adults’ viewpoints regarding quality of nursing care in the educational hospitals of Sanandaj city. J Urmia Nurs Midwifery Fac 2019;16(11):779-86.
  16. Serra N, Botti S, Guillari A, Simeone S, Latina R, Iacorossi L, et al. Workload, job satisfaction and quality of nursing care in Italy: a systematic review of native language articles. Healthcare (Basel) 2023;11(18):2573. doi:10.3390/ healthcare11182573
  17. Rostami S, Namaki Khameneh S, Keikhaei Dehdezi B, Haghighizadeh MH. The effect of family-centered empowerment on quality of life in children with hemophilia. Avicenna J Nurs Midwifery Care 2020;28(1):1-10. doi:10.30699/ajnmc.28.1.1
  18. Mahmoudzadeh M, Mohammadi MA, Moshfeghi S, Dadkhah B. Investigating the relationship between ethical care of nurses and the satisfaction of parents of children hospitalized in Ardabil children’s hospital 2024: a cross-sectional study. Avicenna J Nurs Midwifery Care 2025;33(1):72-81. doi:10.32592/ajnmc.33.1.72
  19. Zhang W, Huang X, Huang T. Individualized management of quality of care in orthopedic nurses based on sensitive indicators. Comput Math Methods Med 2023;2023:1950220. doi:10.1155/2023/1950220
  20. Shields L, Tanner A. Pilot study of a tool to investigate perceptions of family-centered care in different care settings. Pediatr Nurs 2004;30(3):189-97.
  21. Vasli P. Translation, cross-cultural adaptation, and psychometric testing of perception of family-centered care measurement questionnaires in the hospitalized children in Iran. J Pediatr Nurs 2018;43:e26-34. doi:10.1016/j. pedn.2018.08.004
  22. Moghri J, Ghanbarnezhad A, Moghri M, Rahimi Forooshani A, Akbari Sari A, Arab M. Validation of Farsi version of hospital survey on patient Safety culture questionnaire, using

confirmatory factor analysis method. J Hosp 2012;11(2):19- 30.

  1. Koy V, Yunibhand J, Angsuroch Y, Turale S. Development and psychometric testing of the Cambodian nursing care quality scale. Pac Rim Int J Nurs Res 2017;21(4):267-79.
  2. Tehranineshat B, Rivaz M, Kargar Dolatabadi E. Psychometric testing of the Persian version of the nursing care quality scale: a methodological study. Nurs Open 2023;10(9):6491-500. doi:10.1002/nop2.1900
  3. Lim SJ, Bang KS. The perceptions and performance of family-centered care among pediatric nurses at a children’s hospital in South Korea: a descriptive study. Child Health Nurs Res 2023;29(3):207-17. doi:10.4094/chnr.2023.29.3.207
  4. Vasli P. The practices of family-centered care for hospitalized children: comparison of Iranian mothers and nurses’ perceptions. Archiv Euromedica 2021;11(4):20-4. doi:10.35630/2199-885x/2021/11/4.5
  5. Gill FJ, Pascoe E, Monterosso L, Young J, Burr C, Tanner A, et al. Parent and staff perceptions of family-centered care in two Australian children’s hospitals. Eur J Pers Cent Healthc 2014;1(2):317-25.
  6. Aran A, Abazari F, Farokhzadian J, Azizzadeh Forouzi M. Comparing the perception of family-centered care from the perspectives of nursing staff and mothers of hospitalized children in children’s wards. Hayat 2018;24(1):48-58.
  7. Pirizadeh Avansar M, Moradi Y, Radfar M. Investigating the predicting power of emotional intelligence and moral intelligence on the quality of care in teaching hospitals of Urmia in 2023. Nurs Midwifery J 2024;22(2):114-24. doi:10.61186/unmf.22.2.114
  8. Gholami AH, Rangchian M, Bahrami F, Khalili A. Evaluation of quality of nursing care from patients’ point of view in Hamadan University of Medical Sciences. J Zabol Med Sch 2022;5(1):41-7. doi:10.18502/jzms.v5i1.10323
  9. Neves TM, Parreira P, Graveto J, Dos Santos de Freitas MJ, Rodrigues VJ. Nurse managers’ perceptions of nurse staffing and nursing care quality: A cross-sectional study. J Nurs Manag 2020;28(3):625-33. doi:10.1111/jonm.12966
  10. Bahari Z, Vosoghi N, Ramazanzadeh N, Moshfeghi S, Aghamohammadi M. Patient trust in nurses: exploring the relationship with care quality and communication skills in emergency departments. BMC Nurs 2024;23(1):595. doi:10.1186/s12912-024-02241-z
  11. Karaca A, Kaya L, Kaya G, Harmanci Seren AK. Psychometric properties of the quality nursing care scale-Turkish version: a methodological study. BMC Nurs 2022;21(1):370. doi:10.1186/s12912-022-01153-0
  12. Khaki S, Esmaeilpourzanjani S, Mashouf S. Nursing cares quality in nurses. Sci J Nurs Midwifery Paramed Fac 2018;3(4):1-14. doi:10.29252/sjnmp.3.4.1
  13. Abdian T, Rahimi Z, Shadfard Z, Dowlatkhah H, Mardaneh A. Effect of spiritual health in the quality of nursing care for patients with COVID-19. Bangladesh J Med Sci 2024;23(2):463-70. doi:10.3329/bjms.v23i2.72173
  14. Safari F, Mohammadpour A, Basiri Moghadam M, Namaei Qasemnia A. The relationship between moral distress and clinical care quality among nurses: an analytical cross-sectional study. BMC Nurs 2024;23(1):732. doi:10.1186/ s12912-024-02368-z
  15. Çoşkun Palaz S, Kayacan S. The relationship between the level of trust in nurses and nursing care quality perceptions of patients treated for COVID-19. Scand J Caring Sci 2023;37(2):364-72. doi:10.1111/scs.13114
  16. Komeili Sany H, Dashtbozorgi B, Haghighizadeh MH, Kord G. The effect of communication skills training on the quality of care and self-efficacy of nurses working in the emergency department. Iran J Psychiatric Nurs 2024;12(1):40-9. doi:10.22034/IJPN.12.1.40

 

 

Journal of Kerman University of Medical Sciences
Volume 33
Pages 1-7
Files
Share
How to cite
Statistics