Health Research, Vol. 4, Issue 3, Sep  2020, Pages 8-25; DOI:

Analyzing the Concept of Family-centered Care in ICU: Rodgers Evolutionary Approach

Health Research, Vol. 4, Issue 3, Sep  2020, Pages 8-25.


Forough Rafiee 1 , Mohammad Taghipour 2 , Sima Hashemi 3*

1 Department of Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran

2 Young Researchers and Elites club, Science and Research Branch, Islamic Azad University, Tehran, Iran

3 Department of Nursing and Midwifery, Shoushtar Faculty of Medical Sciences, Shoushtar, Iran

Received: 8 April 2020; Accepted: 15 June 2020; Published: 12 July 2020

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Background and objective: Family centered care is an innovative approach to design, implement and evaluate the health care implemented through a reciprocal participation of providers of the carers, patients, and families. Recognizing and paying attention to the families who have a patient in an ICU is an essential part of nurses’ responsibilities. The present study is aimed at clarifying the concept of family centered care and shedding more light into its specifications, outcomes, and results in nursing. Methodology: The study was carried out using Rodgers Evolutionary concept analysis approach. Published papers between 1997 and 2018 on family centered care in nursing ICU patients were searched in ScienceDirect, Pub Med, Proquest, Google Scholar, Cochrane, IranMedex, Magiran, and SID. The keywords used in the search were “family centered care, ICU patients, barriers, and executive approaches” and the Farsi equivalents. Findings: The key points of family centered care were respecting family members, dynamic and flexible care, giving honest information to family for decision making, cooperating at all care levels of the medical system, proper planning to cooperate with patients and families, and giving family members in optimal patient care. Conclusion: Taking into account the critical condition of patients in ICUs, family centered care is one of the ways to give the family members a role in making decision about the cares provided to the patient. This leads to a higher satisfaction in the family members. Given the unique structure of ICUs, the executive barriers of family cntered care should be taken into account by the policy makers in nursing profession.


Concept Analysis, Family centered Care, Nursing, Rodgers Evolutionary Approach


© 2017 by the authors. Licensee International Technology and Science Press Limited. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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