The Family Centered Care Nursery (FCCN) team at Cape Fear Valley Medical Center provides care for over 4,000 newborns every year. This team is comprised of board-certified pediatricians, advanced practice providers, nurses, social workers, and lactation consultants. Additionally, a pediatric speech therapist, occupational therapist, and physical therapist are available on a consultative basis. Circumcisions are performed by our OB-GYN team. Daytime coverage is provided by our FCCN staff and nighttime support is provided by our Neonatal Intensive Care Unit (NICU) staff, allowing for around-the-clock coverage.
Our team is committed to providing excellent, evidence-based, family-centered care to every newborn during their nursery stay and to facilitating a smooth transition to outpatient care in the community. We are honored to be a part of such a special time in the lives of our newborns and their families!
What Is Family-Centered Care?
Family-centered care puts patients and families at the center of decisions. It rests on three principles: respect for values and preferences, collaboration between teams and families, and inclusion of families in planning and delivery. In practice, this means open information sharing, welcoming questions, and inviting families to engage at the bedside and beyond. These values guide our entire health system.
We define family broadly. Family may include parents, spouses, partners, children, siblings, extended relatives, close friends, caregivers, or any trusted support person identified by the patient. We honor diverse structures, cultural traditions, and spiritual practices, aligning care with what matters most to each person and their support network. When we say patient family, we mean the people you trust to support your wellbeing.
When families are engaged, quality and safety improve. Patients better understand their plans, experience fewer errors, and transition more smoothly. Families feel more confident and less stressed, with clear roles in recovery. Care teams gain richer context and stronger communication, which supports adherence, better outcomes, and fewer avoidable readmissions. This is why we champion family-centered care across all settings.
Core Concepts and Principles of Family Centered Care
Partnership and shared decision-making guide our approach. Clinicians contribute clinical expertise; patients and families share lived experience, preferences, and goals. Together, we make choices that reflect evidence and the patient’s values. We encourage family participation in rounds, welcome questions, and co-create goals that are realistic and meaningful.
Clear communication and transparency are essential. We provide timely, accurate information in plain language, review results, explain risks and benefits, and set expectations for next steps. We use teach-back to confirm understanding and make sure materials are easy to follow. When options are complex, we use shared decision tools so families fully understand each pathway.
Family-Centered Care for Newborns
From admission through discharge, we invite families into the process. On admission, we identify primary support persons and clarify involvement preferences. We review goals of care, outline milestones, and document who should receive updates. During the stay, families are encouraged to join bedside rounds, participate in care tasks when appropriate, and share information to inform decisions.
We provide evidence-based, family-centered care during each nursery stay and coordinate a smooth transition to outpatient care. Education, lactation support, and organized follow-up help families feel confident at home. We are honored to support families during this special time and uphold family-centered care at every step.
Coordinated Transitions of Family Centered Care
Coordination across the continuum sustains family-centered care. We communicate with primary care and specialists to ensure families know what to expect after leaving the hospital.
- Early discharge planning with clear roles and timelines
- Medication reconciliation and easy-to-read instructions
- Scheduling follow-up appointments before discharge
Access and Support for Diverse Families
We support diverse families with robust access services. Interpreters and translated materials are available for those with limited English proficiency. We tailor education to varying health literacy levels using plain language, visuals, and step-by-step guidance. We recognize chosen families and caregiving networks, documenting designated decision-makers and preferred contacts so everyone is informed and aligned.
Families can access a range of resources and services:
- Education at the bedside and via printed and digital materials
- Social work and case management for community and financial resources
- Chaplains and behavioral health services for emotional and spiritual care