title: Policy to practice: increased family presence and the impact on patient- and family-centered care adoption.
abstract: OBJECTIVE
  This quality improvement study introduced 24/7 family presence and measured its impact in 3 categories; perceptions, complaints, and patient experience scores. This article offers insight for leaders into the 1st phase of patient- and family-centered care (PFCC) adoption.
  
  
  BACKGROUND
  Family presence improves patient safety and satisfaction; however, 70% of US healthcare organizations maintain restrictive visitation policies.
  
  
  METHODS
  We surveyed nursing staff 6 months postinnovation to determine staff knowledge, implementation practices, and perceived challenges to implementation. We surveyed system leaders regarding PFCC transformation and trended formal complaints and patient experience scores after family presence innovation.
  
  
  RESULTS
  Findings provide insight for leaders into family presence policy adherence challenges experienced by staff. Leaders perceived significant transformation toward PFCC adoption postinnovation. Complaints increased postinnovation, and patient experience scores demonstrated positive trends.
  
  
  CONCLUSIONS
  We gained insight regarding challenges to policy adherence and identified next steps for leaders in the transformation toward PFCC adoption.
authors.affiliation: Author Affiliations: Strategic Services Associate (Dr Gasparini) and Vice President of Patient Care & System Chief Nurse Executive (Dr Fuchs), Duke University Health System; Laurel Chadwick Professor of Nursing and Former Dean (Dr Champagne), School of Nursing, Duke University; Assistant Professor of Pediatrics & Internal Medicine (Dr Stephany), Departments of Pediatrics & Internal Medicine, Duke University Hospital; and Associate Chief Nursing Officer (Dr Hudson), Duke Regional Hospital, Durham, North Carolina.
authors.forename: Robin
authors.initials: R
authors.lastname: Gasparini
authors.forename: Mary
authors.initials: M
authors.lastname: Champagne
authors.forename: Alyssa
authors.initials: A
authors.lastname: Stephany
authors.forename: John
authors.initials: J
authors.lastname: Hudson
authors.forename: Mary Ann
authors.initials: MA
authors.lastname: Fuchs
mesh_terms: D022143:Family Nursing / Q000458:organization & administration*; D005195:Family Relations; D006291:Health Policy; D006801:Humans; D024802:Nurse's Role; D009936:Organizational Innovation; D018802:Patient-Centered Care / Q000458:organization & administration*; D011368:Professional-Family Relations; D011785:Quality Assurance, Health Care; D014481:United States