A review of Challenges Associated with the Implementation of Family-Centered Care in the NICUS of Developing Countries: Challenges and پرستاری Solutions

Background and Aim: Over the past two decades, the Family-Centered Care (FCC) approach has introduced a new framework for enhancing the quality of healthcare services, especially in Neonatal Intensive Care Units (NICUs). Through the active participation of families in decision-making and care planning, this approach not only strengthens the emotional bond between parents and newborns, but also improves clinical outcomes such as weight gain and reduces medical complications. The aim of this study is to determine the challenges of implementing FCC in the NICUs of developing countries and the role of nurses in addressing these challenges. Materials and methods: This research was designed as a review article, utilizing PRISMA guidelines for article search and selection. PubMed, Scopus, Web of Science, CINAHL, and Embase databases were used to identify relevant studies published between ۲۰۱۱ and ۲۰۲۴. Ultimately, ۴۵ articles from low- and middle-income countries were selected for final analysis. Results: The findings indicated that implementing FCC in developing countries faces numerous obstacles and challenges, including limited financial resources, shortages of trained personnel, inadequate healthcare infrastructure, and cultural differences. Studies conducted in these countries show that such limitations hinder the provision of appropriate services to families and their active involvement in neonatal care. Furthermore, the lack of specialized training for nurses and insufficient support from policymakers and hospital administrators pose additional barriers to effective implementation of this approach. Conclusion: To successfully implement FCC in NICUs of developing countries, it is essential to invest in nurse education and empowerment, strengthen managerial and policy support, and address cultural differences. Providing targeted training programs and establishing suitable infrastructure can help mitigate existing barriers, thereby ensuring better neonatal health outcomes and greater family satisfaction.

کلیدواژه ها:

Family Nursing ، Intensive Care Units ، Neonatal ، Developing Countries ، Nurses' Role ، Challenges ، Solutions