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Systematic review
Framework for patient, family-centred care within an Australian Community Hospital: development and description
  1. Thuy Frakking1,2,
  2. Suzanne Michaels3,
  3. Jane Orbell-Smith4,
  4. Lance Le Ray5
  1. 1Research Development Unit, Metro North Hospital and Health Service, Herston, Queensland, Australia
  2. 2School of Health and Rehabilitation Sciences, The University of Queensland, Saint Lucia, Queensland, Australia
  3. 3Engagement & Integration, Caboolture Hospital, Metro North Hospital and Health Service, Caboolture, Queensland, Australia
  4. 4Education & Training, Caboolture Hospital, Metro North Hospital and Health Service, Caboolture, Queensland, Australia
  5. 5Executive Management, Caboolture Hospital, Metro North Hospital and Health Service, Caboolture, Queensland, Australia
  1. Correspondence to Dr Thuy Frakking; thuy.frakking{at}health.qld.gov.au

Abstract

Objective To describe the development of a patient and family-centred care (PFCC) conceptual framework within a small community Australian Hospital.

Methods A scoping review of scientific and grey literature and community hospital stakeholder discussions were used to identify and design a conceptual framework for PFCC across five core pillars of leadership, engagement, service delivery, learning and environment.

Results 107 publications were identified and 76 were included for data extraction. A draft framework was constructed and modified following consultation with hospital stakeholders across a small Australian Community Hospital. The ‘Caring Together’ framework outlines three core layers: (1) the focus of our care is the experiences of our consumers and staff; (2) concepts of leadership, environment, service delivery, engagement and learning; and (3) the overarching fundamental values of being heard, respected, valued and supported by staff and consumers at all levels in an organisation.

Conclusions The conceptual Caring Together framework structures key PFCC concepts across organisational priority areas within an Australian healthcare setting and can be used to guide implementation of PFCC at other small hospital facilities. Changes to national and state healthcare funding may help facilitate improved hospital facility implementation of PFCC, and ultimately improve consumer healthcare satisfaction and clinical outcomes.

  • accreditation
  • efficiency, organizational
  • health policy
  • organisational culture
  • performance measures
http://creativecommons.org/licenses/by-nc/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/bmjoq-2019-000823

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    Footnotes

    • Contributors LLR and SM conceptualised the study. TF and JO-S planned the study. All authors contributed towards data collection throughout the study. TF and JO-S extracted and reviewed all articles associated with the scoping review. TF drafted the initial manuscript. All authors provided critical intellectual input into the final manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient and public involvement Health professionals and consumers participated in an online survey and focused groups. Our local PFCC governance committee, which consists of consumers, staff and executives, provided initial feedback and final endorsement of our PFCC ‘Caring Together’ framework. Patients were not invited to participate in the scoping review component of this study due to the technical nature of skills required.

    • Patient consent for publication Not required.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Data availability statement There are no data in this work.