Background: Congenital heart disease requires complex care, placing mothers at risk of high burden and low self-efficacy. Family-centered care (FCC), emphasizing collaboration with healthcare providers, may alleviate these challenges. However, its predictive role in the Turkish context remains underexplored. Methods: This cross-sectional, descriptive correlational study included mothers of 131 children aged 0 to 2 years who were followed at a pediatric cardiac surgery unit. Data were collected using the FCC Scale, Zarit Caregiving Burden Scale, and Parental Self-Efficacy Scale. Analyses involved descriptive statistics, Pearson correlations, and multiple linear regression. Results: Lower FCC perceptions were strongly associated with higher caregiving burden and lower parental self-efficacy. For caregiving burden, Model 1 explained 58.7% of the variance (adjusted R 2 = 0.587; F (5, 82) = 25.718, P < .001). Significant predictors were extended family structure ( β = 0.235, P = .002) and lower FCC perception ( β = −0.744, P < .001). For parental self-efficacy, Model 2 explained 60.1% of the variance (adjusted R 2 = 0.601; F (10, 78) = 14.231, P < .001). Significant predictors were urban residence ( β = 0.189, P = .012), greater illness knowledge ( β = 0.184, P = .019), and higher FCC perception ( β = 0.643, P < .001). FCC emerged as the strongest predictor in both models. Conclusion: Mothers’ perceptions of FCC emerged as a key determinant of caregiving outcomes, demonstrating a protective role by reducing burden and enhancing self-efficacy. Implication for Practice: Integrating FCC into pediatric cardiology as a standard of care—through clear communication, tailored education, perioperative support, and telehealth for rural families—can promote maternal resilience, reduce caregiving stress, and improve child health outcomes.
Ay et al. (Tue,) studied this question.
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