{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T22:08:14Z","timestamp":1790287694084,"version":"4.1.0"},"reference-count":71,"publisher":"American Medical Association (AMA)","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"abstract":"<jats:sec id=\"ab-zoi240705-4\"><jats:title>Importance<\/jats:title><jats:p>Family-centered care recognizes families as central to child health and well-being and prioritizes clinician collaboration with families to ensure optimal pediatric care and outcomes. Clinician interpersonal sensitivity and communication skills are key to this approach.<\/jats:p><\/jats:sec><jats:sec id=\"ab-zoi240705-5\"><jats:title>Objective<\/jats:title><jats:p>To examine perceptions of and factors associated with family-centered care among clinicians working in pediatric and congenital heart care.<\/jats:p><\/jats:sec><jats:sec id=\"ab-zoi240705-6\"><jats:title>Design, Setting, and Participants<\/jats:title><jats:p>In this cross-sectional study, participants from diverse clinical disciplines (pediatric cardiology, cardiothoracic surgery, nursing, anesthesia, neonatology, intensive care, psychology, and others), completed an online survey between June 2020 and February 2021. Participants included physicians, surgeons, nurses, and allied and mental health professionals at an Australian quaternary pediatric hospital network. Statistical analysis was performed from August 2022 to June 2023.<\/jats:p><\/jats:sec><jats:sec id=\"ab-zoi240705-7\"><jats:title>Main Outcomes and Measures<\/jats:title><jats:p>Family-centered care across 4 domains (showing interpersonal sensitivity, treating people respectfully, providing general information, and communicating specific information) was measured using the validated Measure of Processes of Care for Service Providers. Clinician burnout (emotional exhaustion, depersonalization, and personal accomplishment), confidence responding to families\u2019 psychosocial needs, and psychological, clinical role, and sociodemographic factors were also assessed. Informed by theory, hierarchical linear regression was used to identify factors associated with family-centered care.<\/jats:p><\/jats:sec><jats:sec id=\"ab-zoi240705-8\"><jats:title>Results<\/jats:title><jats:p>There were 212 clinicians (177 women [84.3%]; 153 nurses [72.2%], 32 physicians [15.1%], 22 allied and mental health professionals [10.4%], 5 surgeons [2.3%]; 170 [80.2%] aged 20-49 years) who participated (55% response rate). Of the 4 family-centered care domains, scores for treating people respectfully were highest and associated with greater clinician confidence responding to families\u2019 psychosocial needs (effect size [\u03b2], 0.59 [95% CI, 0.46 to 0.72]; <jats:italic>P<\/jats:italic>\u2009&amp;amp;lt;\u2009.001), lower depersonalization (\u03b2, 0.04 [95% CI, \u22120.07 to \u22120.01]; <jats:italic>P<\/jats:italic>\u2009=\u2009.02), and a greater sense of personal accomplishment at work (\u03b2, 0.02 [95% CI, 0.01 to 0.04]; <jats:italic>P<\/jats:italic>\u2009=\u20090.04). Greater interpersonal sensitivity was associated with greater confidence responding to families\u2019 psychosocial needs (\u03b2, 0.80 [95% CI, 0.62 to 0.97]; <jats:italic>P<\/jats:italic>\u2009&amp;amp;lt;\u2009.001), a greater sense of personal accomplishment at work (\u03b2, 0.03 [95% CI, 0.01 to 0.05]; <jats:italic>P<\/jats:italic>\u2009=\u2009.04), and lower use of approach-based coping, such as problem-solving (\u03b2, 0.37 [95% CI, \u22120.71 to \u22120.02]; <jats:italic>P<\/jats:italic>\u2009=\u2009.04).<\/jats:p><\/jats:sec><jats:sec id=\"ab-zoi240705-9\"><jats:title>Conclusions and Relevance<\/jats:title><jats:p>In this cross-sectional study, burnout and confidence responding to families\u2019 psychosocial needs were associated with clinicians\u2019 perceptions of family-centered care. These findings suggest that targeted interventions to address these factors may benefit clinicians and also potentially strengthen the practice of family-centered care in pediatric and congenital heart settings.<\/jats:p><\/jats:sec>","DOI":"10.1001\/jamanetworkopen.2024.22104","type":"journal-article","created":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T15:32:45Z","timestamp":1721057565000},"page":"e2422104","source":"Crossref","is-referenced-by-count":12,"title":["Clinician Perceptions of Family-Centered Care in Pediatric and Congenital Heart Settings"],"prefix":"10.1001","volume":"7","author":[{"given":"Farah","family":"Akram","sequence":"first","affiliation":[{"name":"Heart Centre for Children, The Sydney Children\u2019s Hospitals Network, Sydney, Australia"},{"name":"Discipline of Paediatrics and Child Health, School of Clinical Medicine, UNSW Medicine and Health, UNSW Sydney, Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annabel 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Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadine A.","family":"Kasparian","sequence":"additional","affiliation":[{"name":"Heart and Mind Wellbeing Center, Heart Institute and the Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio"},{"name":"Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10","published-online":{"date-parts":[[2024,7,15]]},"reference":[{"issue":"8","key":"zoi240705r1","doi-asserted-by":"publisher","first-page":"1618","DOI":"10.1016\/j.apmr.2007.12.034","article-title":"Family-centered theory: origins, development, barriers, and supports to implementation in rehabilitation medicine.","volume":"89","author":"Bamm","year":"2008","journal-title":"Arch Phys Med 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