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Effect of Educational Intervention on Nurses’ Attitude, Intention and Behaviour Towards Family-Centered Care in Pediatric Wards in Iran: A Randomized Control Trial Utilizing Prospect Theory

Frozan Rostami


Background: The concept, family-centered care (FCC), is used to describe the way families are involved in the health care of hospitalized children. In developing countries, most paediatric wards claim to be ‘family-centered’, which means that the wards adopt a philosophy where parents are acknowledged as being central to their children’s existence. Despite substantial investments in researchers, dissemination and advocacy, huge gap exist between what is known about effective health services and what is done in real world practice. There is no common agreement between health care workers on provision of FCC in Iran. Objectives: To identify the effect of educational intervention on Family-Centered Care model on attitude, intention and behaviour of pediatric nurses. Methods: Participants were randomly assigned to complete a questionnaire assessing paediatric nurses’ attitude towards providing FCC in Iran. Results: There is no significant relationship between socio-demographic characteristics and attitude towards provision of FCC for both intervention and control groups (p>0.05). The mean of behaviour in the intervention group (1.57 unit) increased and difference among pre- and post-tests in behaviour score in the intervention group was significant (P<0.05). Conclusion: The findings have important theoretical implication as theory of planned behaviour verified that nurses’ behaviours changed after educational intervention.


Family-centred care, attitude, intention, behaviour, paediatric nurses

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Shelton TL, Jeppson ES, Johnson BH. Family- centered care for children with special needs. Washington, DC: Associated For the Care of Children’s Health 1987.

Wehman T. Family centered early intervention services: Factors contributing to increased parent involvement and participation. Focus on Autism and Other Developmental Disabilitie 1998; 13(2): 80-86.

Beaston JE. Walk a mile in their shoes: Implementing family-centered care in serving children and families affected by autism spectrum disorders. Topics in Language Disorders 2008; 28(4): 309-32.

Henneman EA, Cardin S. Family-centered care: A practical approach to making it happen. Crit Care Nurse. December 2002; 22:12–16, 18–19.

Rostami F, et al. Effects of family-centered care on the satisfaction of parents of children hospitalized in pediatric wards in a pediatric ward in Chaloos. Electronic Physician Journal 2015; 7(2): 1078- 1084.

Cox ED, Schumacher JB, Young HN, et al. Medical student outcomes after family-centered bedside rounds. Acad Pediatr 2011; 11 (5): 403- 408.

Goodfellow LM. Can a journal club bridge the gap between research and practice? Nurse Educator. 2004; 29(3):107–110.

Matthew B, et al. Applying theory –driven approaches to understanding and modifying clinicians, behavior: What do we know? Psychiatric Service 2007; 58: 342–348.

Fishbein M, Ajzen I. Belief, attitude, intention, and behavior: An introduction to theory and research. Reading, MA: Addison-Wesley 1975.

Cooper S, Libby J. A review of educational issues in resuscitation training. J. Clin. Nursing 1997; 6: 5–10.

Ajzen I. The theory of planned behavior: reactions and reflections. Psychology & Health 2011; 26(9): 1113–1127.

Mac Kay LJ, Gregory D. Exploring family-centered care among pediatric oncology nurses. Journal of Pediatric Oncology Nursing 2011; 28(1): 43–52.

Shields L, Nixon J. Hospital care of children in four countries. Journal of Advanced Nursing 2004; 45(5): 475–486.

Ramezani1T, Hadian Shirazi1 Z, Sabet Sarvestani R, et al. Family-centered care in neonatal intensive care unit: A concept analysis. IJCBNM 2014; 2(4): 268-278.

HassanTehrani T, Haghighi M, Bazmamoun H. Effects of stress on mothers of hospitalized children in a hospital in Iran. Iran J Child Neurol 2012; 6(4):39-45.

Khosravan S, Mazlom B, Abdollahzade N, et al. Family participation in the nursing care of the hospitalized patients. Iran Red Cres Med J, 2014; 16(1):e12686.1-6.

Francis JJ, Eccles MP, Johnston M, et al. Constructing questionnaires based on the theory of planned behaviour 2004. Newcastle upon Tyne, UK: Centre for Health Services Research, University of Newcastle: 2–12.

Lam D, et al. Attitude of doctors and nurses to family presence during pediatric cardiopulmonary resuscitation. Journal of Pediatric 2007; 12: 253–259.

Fishbein M, Ajzen I. Predicting and changing behavior: The reasoned action approach. New York , NY: Psychologic Press 2010.

Pasyar N, Gholamzadeh S. Effect of education on nurses’ knowledge and performance regarding AIDS in Emergency Departments of Hospitals Affliated to Shiraz University of Medical Scienes (SUMS). Iranian Journal of Nursing Research 2009; 4(12-13): 81–90.

Beduz MA. The role of attitude, subjective norms, perceived behaviour control, and context in nurses’ behavioural intentions (PhD dissertation). Mc master University 2010.

Valizadeh F, Ghasemi SF. Medical staff attitude toward parents’ participation in the care of their hospitalized children. Hayat 2008; 14(1): 69–76.

Giles M, Connor S, McClenahan C, et al Attitudes to breastfeeding among adolescents. Journal of Human Nutrition and Dietetics 2014; 23: 285–293.

Cassista J, Payne-Gagnon J, Martel B, et al. Applying theory to understand intervention mapping approach. Nursing Research and Practice 2014; 8.

Armitage CJ, Conner M. Social cognitive determinants of blood donation. Journal of Applied Social Psychology 2001; 31(7): 1431–1457.

Godin G, Bélanger-Gravel A, Eccles M, et al Healthcare professionals’ intentions and behaviors: A systematic review of studies based on social cognitive theories. Implementation Science 2008; 3(36): 1–12.

Rivis A, Sheeran P. Descriptive norms as an additional predictor in the theory of planned behaviour: A meta-analysis. Current Psychology 2003; 22(3): 218–233.

Notani AS. Moderators of perceived behavioral control’s productiveness in the theory of planned behavior: A meta-analysis. Journal of Consumer Psychology 1998; 7: 247–271.

Dwyer T, Mosel Williams L. Nurses’ behaviour regarding CPR and the theories of reasoned action and planned behaviour. Resuscitation 2002; 52(1): 85–90.

Bernaix LW. Nurses’ attitudes, subjective norms, and behavioral intentions toward support of breastfeeding mothers. Journal of Human Lactation 2000; 16(3): 201–209.



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