The Fairview University Medical Center, on the other hand also reflected the key principles of family care in their vision statement: “We recognize the family is the most important and constant factor in each infant’s life. Our goal is to establish a collaborative partnership between parents and the heath care team to promote communication, respect diversity and empower families (Moore, et al. , 2003). ” Based on the article, it seems that the only bases the authors of this article have to support the qualitative nature of his article are the case studies made on the eleven health care institutions included in the study.
Although this was a very good way to obtain data for their research that is qualitative in nature, the article should have included other articles that could have supported their topic- articles that could have presented the need for the different institutions to adopt a health care system that is patient- and family- centered, articles that show the difference [when it comes to the quality of health care systems] between those health institutions that have centered on the family and those who have not done this yet.
The fourth part of this critique would look into the literature review of the article. As mentioned in the previous paragraph, the particular article failed to incorporate other forms of written literature to support their research. Instead, they relied heavily on the case studies of the eleven institutions and how they coped with the changes they have undergone, the strengths and challenges of their systems. It is for this reason that this particular article was not able to efficiently link the problem of their research to what is already known.
This paper is supposed to be looking into the successes and the challenges of the change undergone by eleven health institutions, and yet the authors have not provided the basis by which a certain aspect could be considered as a challenge or as a success. On the other hand, although a detailed literature review was not present, it was still able to present bits of information that have provided its readers with a background and information on the topic being discussed (O’Reilley, 2007).
Fifth, this critique would look into the conceptual underpinnings presented in the paper, the paper’s conceptual framework. Key concepts have been defined properly, taking into consideration the four levels of the transformation in health care: The Experience Level, The Clinical Microsystem Level, The Organizational Level, and the Environment Level. These levels are appropriate for the problem. The experience level gives emphasis to respect as a very important aspect in providing health care for the patients. At the same time, the sharing of information should be spontaneous and continuous.
Pieces of information should support and encourage the patients and their families as they could contribute in gathering information regarding the patient as well as the family’s insight of care (Conway, et al. , 2006). Patients and their family should also participate in improving and redesigning the health care system from planning, implementing and assessing the change undergone by the different health institutions. They should be made aware that the design of the health care system should promote the inclusion of the family and their members in caring for the patients, giving them more access to care and decision making (Conway, et al.
, 2006). In the same way, the perspectives, voices, and opinions of the patients and their families are very important in the quality of improvement, planning, and policy and program development of the health institutions. They should be actively involved in patient safety, improving the design of facilities, ethics, research, etc. Likewise, patient and family programs should be included in schools that would help prepare health professionals and their administrative regions (Conway, et al. , 2006).
Lastly, the environment level gives emphasis to the incorporation of the opinions of patients and their families in the policy and program development in local, state, federal and international agencies. These agencies could help out in setting and developing incentives that could support and encourage family-centered health care systems. At the same time, they could be giving the right process by which schools would train the young health professionals that would experience working in this kind of system (Conway, et al. , 2006).