Bridging the Gap

Module 1


The Impact of Patient and Family-Centered Care (PFCC) on Service Excellence and Care Outcomes


Patient and family-centered care (PFCC) is a multidimensional concept that involves the practice of caring for patients and their families in ways that are meaningful and valuable to the individual. Providing care that is respectful of, and responsive to the individual patient’s preferences, and ensuring the patient and family are involved in clinical decisions can significantly improve quality of care, patient satisfaction and reduce cost of care. Developing a PFCC culture requires a sustained and substantial commitment from healthcare organizations. An effective workplace culture stems from a common vision and values that are actualized through behavioral practices necessary to provide PFCC. The ability to provide quality care with high patient satisfaction is important to hospitals as it can impact their reimbursement. It is important to understand the research and rationale behind the move towards patient and family-centered care.


By the end of this module the learner will be able to:

  • Outline the differences between the medical and patient and family-centered care models.
  • Describe the benefits of the patient and family-centered care approach to care delivery.
  • Understand the theory and concepts related to implementing PFCC practice.
Content Outline
  1. Evidence to support a patient and family-centered healthcare care model
    1. Dissatisfaction with current healthcare delivery systems
      1. Medical model
      2. Disease oriented
      3. Fragmentation
      4. Costly
      5. Poor outcomes
      6. Low morale among healthcare workers
    2. Benefits of PFCC
      1. It is the right thing to do
      2. Increased patient engagement
      3. Improved quality outcomes
      4. Lowered costs
      5. Increased satisfaction with care
      6. Increased employee satisfaction

Theoretical and conceptual basis of PFCC practice

  1. Watson’s theory of Human Caring
  2. Patient and Family Centered Care Framework
  3. Donabedian’s Structure Process Outcome Model
Links to Differentiated Essential Competencies
  1. Member of the profession
    1. Assume responsibility and accountability for the quality of nursing care provided to patients families and communities
  2. Provider of Patient Centered Care
    1. Synthesize comprehensive assessment data to identify problems, formulate goals/outcomes, and develop plans of care for patients, families, populations, and communities using information from evidence-based practice and published research in collaboration with the above groups and the interdisciplinary health care team.
    2. Provide safe, compassionate, comprehensive nursing care to patients, families, populations, and communities through a broad array of health care services.
  3. Member of the Healthcare Team
    1. Coordinate, collaborate, and communicate with patients, families, populations, communities, and the interdisciplinary health care team to plan, deliver, and evaluate care.
Links to Texas Concept Based Curriculum

Concepts Psychosocial

  • Interpersonal Relationships

Concepts of Health Care Systems

  • Patient-centered care
  • Quality Improvement
  • Evidence-Based Practice

The Health Foundation (2015). Person-centered care made simple. Retrieved from

Watson’s theory of Human Caring/Caring Science. Retrieved from 6/watsons-theory-of-human-caring-core-concepts-and-evolution-to-caritas-processes-handout.pdf

The SHARE Approach: Five Essential Steps of Shared Decision Making. Retrieved from

Discussion Questions

Do you see yourself as having all the competencies needed to provide patient and family-centered care?

What challenges do you see in implementing patient and family-centered care?

What kinds of training will healthcare providers need to be able to provide high quality patient and family-centered care?