Defining Family-Centered Rounds

Sisterhen, Laura; Blaszak, Richard T.; Woods, Majka B.; Smith, Christopher E.

doi:10.1080/10401330701366812

Cited by 140 publications

(94 citation statements)

References 27 publications

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“…In 2004, the American College of Critical Care Medicine drafted patient-centered intensive care practice guidelines that strongly encourage family presence and participation in the ICU. 3 Family-centered rounds (FCR) involve planned, purposeful interactions between patients' families and the ICU team 4,5 and is associated with improved family satisfaction scores for some elements of ICU care. [6][7][8] Given the choice, 85% to 100% of families would prefer to be present during bedside rounds, 9 yet this practice has not been universally adopted.…”

mentioning

confidence: 99%

Perceptions of Family Participation in Intensive Care Unit Rounds and Telemedicine: A Qualitative Assessment

Stelson¹,

Carr²,

Golden³

et al. 2016

American Journal of Critical Care

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mentioning

confidence: 99%

Perceptions of Family Participation in Intensive Care Unit Rounds and Telemedicine: A Qualitative Assessment

Stelson¹,

Carr²,

Golden³

et al. 2016

American Journal of Critical Care

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“…The American Academy of Pediatrics' National Center for Medical Home Implementation Web site lists some residency training initiatives related to CYSHCN, 6 and the literature provides some reports of teaching initiatives such as home visits, 7 use of parents as faculty members, 8 and family-centered rounds. 9,10 However, the literature has little information on what pediatric residency programs teach about CYSHCN across rotations.…”

mentioning

confidence: 99%

Identifying What Pediatric Residents Are Taught About Children and Youth With Special Health Care Needs and the Medical Home

et al. 2010

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OBJECTIVE:To describe what and how pediatric residents in Massachusetts are taught about children and youth with special health care needs (CYSHCN) and the medical home. PARTICIPANTS AND METHODS:Faculty members and residents at Massachusetts' 5 pediatric residency programs were interviewed to identify current curricula and teaching methods related to care of CYSHCN. In addition, residents were surveyed to quantify these concepts. RESULTS:Thirty-one faculty members and 25 residents were interviewed. Most exposure to CYSHCN was reported to occur in inpatient settings. However, most formal teaching about CYSHCN was described as occurring in the ambulatory setting. Promising educational strategies included home and community visits, inclusion of CYSHCN in resident continuity panels, and simulation and role-playing. Overall, the programs had little training emphasis on the lives and needs of CYSHCN and their families outside the hospital setting. Twenty (80%) of the residents interviewed completed the written survey instrument. They noted a high degree of comfort in caring for CYSHCN in various settings and involving families in decision-making about their child's care but expressed less comfort in identifying community resources and collaborating with community agencies and schools. CONCLUSIONS:Programs offer a variety of successful educational and clinical experiences related to the medical home and CYSHCN. The results of our study indicate that residents and faculty members believe that residents would benefit from more formal training opportunities to learn directly from families and community representatives about caring for CYSHCN. Pediatrics 2010;126:S183-S189

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“…Families may become more anxious when witnessing discussions happening outside the patient's room. 1 Rounds in the room provide the team an opportunity for patient assessment, as well as teaching of physical fi ndings. A minority of patients were examined during rounds, supporting fi ndings from Brigham and Woman's Hospital.…”

Section: Locationmentioning

confidence: 99%

“…1 FCR provide the benefi t of including the family in decisionmaking for their child, improving satisfaction with care [2][3][4] and overall communication with the team. 5 FCR also provide the opportunity for the supervising physician to observe trainee professionalism and communication skills with the family and to role model these behaviors at the bedside.…”

Section: Introductionmentioning

confidence: 99%

A Time-Motion Study of Inpatient Rounds Using a Family-Centered Rounds Model

Bhansali

Birch

Campbell

et al. 2013

Hospital Pediatrics

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OBJECTIVE:Family-centered rounds (FCR) have become increasingly prevalent in pediatric hospital settings. The objective of our study was to describe time use and discrete events during pediatric inpatient rounds by using a FCR model. METHODS:We conducted a prospective observational study at Children's National Medical Center between September 2010 and February 2011. Investigators directly observed rounds on hospitalist and neurology services. Events were timed, and key features were recorded by using a Microsoft Access-based program. Associations with increased time spent during rounds were determined by using regression analyses. RESULTS:One hundred fi fty-nine rounding encounters were observed. Rounds lasted 7.9 minutes on average per patient. An average of 1.3 minutes was spent between patients during rounds. Eighty-six (54%) encounters occurred outside the patient's room, 3% of the time because of the family's request. Infectious isolation was associated with rounds occurring outside the room (P < .0001). Participation of the parent, location of rounds inside or outside the patient's room, most teaching behaviors, and interruptions were not signifi cantly associated with increased time spent during rounds. Teaching physical examination techniques by allowing multiple trainees to examine the patient was associated with increased rounding time (P = .02). CONCLUSIONS:The majority of rounds occurred outside the patient's room, yet rarely at the parent's request. Patients on infectious isolation were more likely to have rounds occur outside the patient's room. Neither parental participation nor most teaching behaviors were associated with increased time spent on rounds. These fi ndings will enrich the evidence base needed to establish FCR best practices.

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Defining Family-Centered Rounds

Cited by 140 publications

References 27 publications

Perceptions of Family Participation in Intensive Care Unit Rounds and Telemedicine: A Qualitative Assessment

Perceptions of Family Participation in Intensive Care Unit Rounds and Telemedicine: A Qualitative Assessment

Identifying What Pediatric Residents Are Taught About Children and Youth With Special Health Care Needs and the Medical Home

A Time-Motion Study of Inpatient Rounds Using a Family-Centered Rounds Model

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