Family-Centered Care in Pediatric and Neonatal Intensive Care Units: A Systematic Review of Effects on Parental Satisfaction and Length of Stay

Background: Family-centered care (FCC) is essential in pediatric and neonatal intensive care units (PICUs), potentially increasing parent satisfaction and reducing length of hospital stay, but evidence of its effectiveness is inconsistent. Objective: To assess the effects of FCC interventions on parent satisfaction and length of hospital stay in PICUs. Methods: A systematic review was conducted, with 17 studies meeting the established inclusion criteria. The McMaster tool was used to assess the methodological quality of studies, along with an assessment of risk of bias. Results: The review identified a wide range of FCC interventions, including promoting parental involvement and strengthening partnerships with healthcare providers. Significant improvements in parent satisfaction were noted, particularly in interventions that highlighted cooperation between parents and providers. However, data relating to length of hospital stay were more variable. Conclusion: FCC initiatives demonstrate the potential to improve parental satisfaction in pediatric and neonatal ICUs. However, additional studies using robust designs and uniform outcome metrics are needed to improve the evidence base and gain a clearer understanding of their effects on clinical outcomes. Optimizing FCC practices could enhance the overall experience for patients and families in the ICU.