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Family Care Map: Sustaining family-centered care in Polytrauma Rehabilitation Centers

Family Care Map: Sustaining family-centered care in Polytrauma Rehabilitation Centers. James H. Ford II, PhD; Meg Wise, PhD; Dean Krahn, MD; Karen Anderson Oliver, PhD; Carmen Hall, RN, PhD; Nina Sayer, PhD, LP. Aim

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Family Care Map: Sustaining family-centered care in Polytrauma Rehabilitation Centers

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  1. Family Care Map: Sustaining family-centered care in PolytraumaRehabilitation Centers James H. Ford II, PhD; Meg Wise, PhD; Dean Krahn, MD; Karen Anderson Oliver, PhD; Carmen Hall, RN, PhD; Nina Sayer, PhD, LP

  2. Aim • Assess sustainability of Family Care Map, a family-centered approach to care for Veterans with polytrauma-related injuries, in 4 VA Polytrauma Rehabilitation Centers (PRCs). • Relevance • Approach to family involvement in care has varied across PRCs. • Studies indicate importance of strategies to reduce stress and address family caregiver requirements associated with providing care for polytrauma patients.

  3. Method • Mixed-methods approach: • Web-based survey followed by key informant interviews in person, by telephone, or in writing. • Staff surveys: • Standardized measures of sustainability, commitment to change, information, and participation during implementation. • Qualitative inquiry: • Assessed Family Care Map implementation and facilitators and barriers to sustainability.

  4. Results • Staff sustainability perceptions: • Significant positive correlation with affective commitment to change, participation, and information received the change process. • Family Care Map integration into standard practices: • Related to staff perceptions about sustainability. • Degree of use and integration varied among PRCs.

  5. Conclusion • Focus on family-centered care will require further evaluation of organization-, staff-, and innovation-level attributes that influence sustainability of changes designed to improve family-centered care.

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