Making Family-Centered Care for Adults in the ICU a Reality.

Despite the value of family-centered care (FCC) in intensive care units (ICUs), this approach is rarely a reality in this context. This article aims to increase the likelihood that ICU-based care incorporates best practices for FCC. Consistent with this goal, this article begins by overviewing FCC and its merits and challenges in ICUs. It then offers a systemic framework for conceptualizing FCC in this challenging environment, as such a model can help guide the implementation of this invaluable approach. This systemic framework combined with previous guidelines for FCC in the ICU are used to inform the series of recommended best practices for FCC in the ICU that balance the needs and realities of patients, families, and the interprofessional healthcare team. These best practices reflect an integration of the existing literature and previously published guidelines as well as our experiences as healthcare providers, family members, and patients. We encourage healthcare leaders and interprofessional ICU healthcare teams to adopt these best practices and modify them for the specific healthcare needs of the patients they serve and their families.

Correction to: Parenting as a Mediator of Associations between Depression in Mothers and Children's Functioning: A Systematic Review and Meta-Analysis.

The original version of the article requires a correction to one of the sentences. Under the section 'Limitations', the last sentence 'Findings of no support for mediation was also deemed important as, for example, our findings suggest..' should read as below. Also important were where we found no support for moderation of the mediation model; for example, our findings suggest that parenting as a mediator of associations between depression and child functioning is concerning regardless of the ages of the children, for both sons and daughters, and for a broad range of aspects of children's functioning.

Parenting as a Mediator of Associations between Depression in Mothers and Children's Functioning: A Systematic Review and Meta-Analysis.

This paper responds to the need to understand mechanisms in the pathways of risk from depression in mothers to their children's functioning. We systematically reviewed evidence in support of one often-proposed mediational model: that problematic parenting at least partially explains associations between mothers' depression and children's adverse functioning. We further aimed to understand the conceptual and method-based moderators. Eligible studies had to be published in English in a peer-reviewed journal, include data on mothers' depression and parenting and child functioning, and have a study design whereby measurement of depression in mothers preceded the measurement of parenting, which preceded the measurement of child outcome. Overall, across the 40 papers (37 "studies") that met our inclusion criteria, we found a significant, albeit small effect (r = .016), for the mediational model as a whole. This effect size was robust to context (poverty and ethnicity), children's characteristics of age and gender, and parenting quality (positive or negative). The model was significant for multiple domains of child functioning, although effect sizes varied across domains. We also found support, with small effect sizes, for all three pathways in the mediational model and some support for moderation of those pathways. Overall, the findings provide empirical support for parenting (both positive and negative) as a mediator of associations between mothers' depression and a broad range of child functioning and suggest that interventions should target samples that represent the population in terms of poverty and ethnicity and children's gender, with priority going to interventions targeting the youngest children.

Validating parent and child forms of the Parent Perception Inventory.

Understanding parenting from both parent and child perspectives is critical to child clinical and developmental research. Similarities and differences between parents' and children's reports can be highly informative, but only if they derive from psychometrically sound measures that assess the same parenting constructs. We examined the psychometric properties of the child and parent forms of the Parenting Perception Inventory (Bruce et al., 2006), which measures perceptions of two higher-order dimensions: positive, warm, supportive parenting; and negative, harsh, critical parenting. Data from a four-wave, longitudinal study of community children and adolescents (n = 876, Mage = 9.5 at the beginning), and data from a study of children (n = 131, Mage = 9.35) of depressed and nondepressed mothers provided psychometric support for both measures. Factor analyses revealed the existence of two factors in both the child and parent forms, and showed strong congruence across the two forms. Other analyses examined longitudinal structure, item difficulty, item discriminations, and scale coverage of the child form. Parents' and children's perceptions of parenting were related to children's affect, emotionality, and depressive symptoms. Parents' perceptions of parenting were related to parents' depressive symptoms and to parenting self-efficacy. (PsycINFO Database Record