Commentary on Shields L (2010) Models of care: questioning family-centred care. Journal of Clinical Nursing 19, 2629-2638.

摘要

We were delighted to read the recent paper by Shields (Shields 2010) because it draws attention to the way family-centred care (FCC) is commonly practised and identifies the requirement for nurses to find an evidence-base for that practice. We disagree, however, that FCC is almost impossible to implement and that it is time to question its continuation as a model of care. We suggest that FCC has its intellectual roots in several theoretical domains in addition to attachment theory. We argue that there is a gap between a theory which seeks to influence nursing practice so as to facilitate better health and developmental outcomes for children and current clinical practice which is focused on organisational goals and the fiscal bottom line.