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Analysis of Health Care Delivery Models

The models that apply family-centered care principles can result in the creation of positive changes among patients. According to Mackenzie, Carey, Sanson and D’Este (2012), models aligned with the family-centered care (FCC) normally reduce anxiety among the family members and lead to improved communication. Thus, the following paper is an analysis of health care delivery models that relate to FCC.

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Calvert, Minford, Platt and Chatfield stated that “FCC is based on mutually beneficial partnerships between healthcare professionals, patients, and their families, founded on the pillars of dignity, respect, collaboration, participation and shared information”(p. 211). Patient and family-centered care can be enhanced by application of ImERSE (Improving Experience through Regular Shadowing Events) approach. Calvert et al. (2015) conducted a study to determine the effectiveness of the ImERSE model. The design of the model was based on family shadowing in which a group of health care professionals was involved in storytelling. It entailed liaising with undergraduate students to undertake the shadowing. The model was found to aid in the identification of the inconsistencies in care and hence the ability to create a care program that takes into consideration the needs of the patient and the family.

The concept that informs FCC is that care delivery should not be limited to the biological concept of getting sick; instead, it should include the family (Hast, DiGioia, Thompson & Wolf, 2013). Amador et al. (2015) conducted an evidence-based research that entailed teaching healthcare professionals the family-centered care strategies. The study participants included undergraduate nursing students and practicing healthcare professionals. The study established that in care delivery, narratives were found to reveal past care experiences, made the professionals more empathetic and drew caregivers and families closer and created a better environment for care delivery.

In many societies issues that relate to health involve the members of the family (Coyne, Amory, Kiernan & Gibson, 2014). The article was aimed at identifying family-centered interventions that improve the health conditions of people living with chronic diseases. Deek et al. (2016) carried a systematic review of published articles in the trusted databases such as CINAHL, PsychInfo, MEDLINE, and Scopus. The results showed that involvement of family in self-care has positive effects on patients suffering from chronic conditions. However, the benefits are influenced by various socio-cultural contexts.


Amador, D. D., Marques, F. R. B., Duarte, A. M., Balbino, F. S., Balieiro, M. M., & Mandetta, M. A. (2015). Use of narrative as an awareness strategy for a Family- Centered Care model. Revista Gaúcha de Enfermagem, 36(1), 98-103.

Calvert, W., Minford, J., Platt, C., & Chatfield, C. (2015). ImERSE (Improving Experience through Regular Shadowing Events). BMJ Quality Improvement Reports, 4(1), 206-284.

Coyne, I., Amory, A., Kiernan, G., & Gibson, F. (2014). Children’s participation in shared decision-making: Children, adolescents, parents and healthcare professionals’ perspectives and experiences. European Journal of Oncology Nursing, 18(3), 273-280.

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Deek H., Hamilton S., Brown N., Inglis S.C., Digiacomo M., Newton P.J., Noureddine S., MacDonald P.S. & Davidson P.M. (2016). Family-centered approaches to healthcare interventions in chronic diseases in adults: a quantitative systematic review. Journal of Advanced Nursing, 1(1), 1-21.

Hast, A. S., DiGioia, A. M., Thompson, D., & Wolf, G. (2013). Utilizing complexity science to drive practice change through Patient-and Family-Centered Care. Journal of Nursing Administration, 43(1), 44-49.

Mackenzie, L., Carey, M., Sanson, R., & D’Este, C. (2012). Perceptions of patient-centered cancer care during radiotherapy treatment: A cross sectional survey. Asia-Pacific Journal of Clinical Oncology, 1(8), 263–264.

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