Families’ Experiences With Pediatric Family-Centered Rounds: A Systematic Review

Rea, Kelly E.; Rao, Priyanka; Hill, Elizabeth; Saylor, Kate; Cousino, Melissa K.

doi:10.1542/peds.2017-1883

Cited by 71 publications

(53 citation statements)

References 44 publications

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“…HOC during pediatric hospitalization is an important and, thus far, inadequately addressed issue. Individual aspects of HOC, namely family-centered care (FCC) and FCR in pediatric [11,12] and/or in neonatal age and in a few specific subspecialty pediatric settings are available [13], but the overall understanding of the subject is still poor [14]. The problem is also complicated by the different possible perceptions/points of view on the measures adopted [7,8].…”

Section: Discussionmentioning

confidence: 99%

Humanization of care in pediatric wards: differences between perceptions of users and staff according to department type

Mandato¹,

Siano

Anseris

et al. 2020

Ital J Pediatr

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Background: As the quality and quantity of patient-centered care may be perceived differently by recipients and independent observers, assessment of humanization of pediatric care remains an elusive issue. Herein we aim to analyze differences between the degrees of verified existing vs. perceived humanization issues of a pediatric ward. Furthermore, we examine whether there is concurrence between the degrees of humanization perceived by users (parents/visitors) vs. staff members. Methods: The study was conducted in the pediatric wards of seven medical centers of the Campania region (Italy) categorized as general (n = 4), children's (n = 1), and university (n = 2) hospitals. The degree of existing humanization was assessed by a multidisciplinary focus group for each hospital through a pediatric care-oriented checklist specifically developed to individuate the most critical areas (i.e., those with scores < 2.5). The degree of perceived humanization was assessed through four indicators: well-being, social aspects, safety and security, and health promotion. Results: The focus groups showed that critical areas common to all centers were mainly concerned with welfare, mediation, translation, and interpretation services. Specific critical issues were care and organizational processes oriented to the respect and specificity of the person and care of the relationship with the patient. Perceived humanization questionnaires revealed a lack of recreational facilities and mediation and translation services. As for specific features investigated by both tools, it was found that mediation and interpretation services were lacking in all facilities while patient perceptions and observer ratings for space, comfort, and orientation concurred only in the general hospital evaluations. Conclusions: Future humanization interventions to ensure child-and family-friendly hospital care call for careful preliminary assessments, tailored to each pediatric ward category, which should consider possible differences between perceived and verified characteristics.

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Section: Discussionmentioning

confidence: 99%

Humanization of care in pediatric wards: differences between perceptions of users and staff according to department type

Mandato¹,

Siano

Anseris

et al. 2020

Ital J Pediatr

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show abstract

“…Effective communication with families is not a new problem in pediatrics, and the NICU is no exception [3,4,5]. Family-centered rounds have been revolutionary in parent communication in pediatrics [6]. They are successful in achieving rapport, information sharing, and shared decision-making; however, many parents with children in the NICU are unable to attend rounds due to obligations to their work or other children.…”

Section: Discussionmentioning

confidence: 99%

Errors in Clinician–Parent Communication during Neonatal Hospitalization

Idso

Basir

2019

Children

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Error in clinician–parent communication is not a new issue in pediatrics. It has been the impetus behind national initiatives, namely, family-centered rounds. While family-centered rounds have proven effective, their success is dependent on the family being present during rounds. This does not always occur during prolonged hospitalizations, particularly in the Neonatal Intensive Care Unit (NICU). Current communication methods with parents not present during rounds rely heavily on the provider’s prerogative and ability to multitask. Thus, errors in communication are commonplace and are largely accepted as inevitable. For the sake of the parents of a patient in the NICU, a high-fidelity communication system is urgently needed. NICUs must move beyond the telephone and use modern innovations in communication technology.

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“…Paediatrics is a course that can offer a rst impression of the profession to paediatric medical students, playing a crucial role in both training talent and changing the dire situation in children's health care services. Therefore, the mission of paediatrics is to attract talent, impart knowledge, develop competence and improve scenario coping to tackle the challenge posed by complex physical-psycho-social problems [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Effects on applying Micro-Film Case-Based Learning model in pediatrics education

Pan

Chen

Wei

et al. 2020

Preprint

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Background: In view of the harsh reality Chinese paediatricians face, the challenge of paediatric education is about instilling not only knowledge and clinical skills but also resilience and beliefs. The aim of the study is to explore a more effective method than the traditional lecture-based learning (LBL) model for optimizing educational outcomes by establishing an innovative, comprehensive, case-based learning (CBL) model combined with the micro-film technique (MF+CBL). This approach has four important components: interests (attraction), knowledge application, competency, and scenario coping skills. Methods: Experimental research was conducted via a controlled parallel group study. The total sample of 104 senior-year students (Chinese) majoring in clinical medicine was randomly divided into two groups. The experimental group was exposed to the MF+CBL model and the control group to the LBL model. Overall, the results were assessed after an 8-week course via a student self-assessment questionnaire, a satisfaction survey and the final examination.Results: The experimental group generally performed better than the control group on the student self-assessment (P＜0.05), satisfaction survey (P＜0.05), and final examination (80.02±3.77 vs 73.65±3.69, P = 0.000). The open question at the end of the questionnaire revealed that a small number of students did not favour the MF+CBL model due to its time- and energy-consuming features.Conclusions: Compared with LBL, the MF+CBL model was an innovative teaching method that promoted more comprehensive quality development. It represents an alternative model for optimizing the capacity of future paediatric doctors.

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Families’ Experiences With Pediatric Family-Centered Rounds: A Systematic Review

Cited by 71 publications

References 44 publications

Humanization of care in pediatric wards: differences between perceptions of users and staff according to department type

Humanization of care in pediatric wards: differences between perceptions of users and staff according to department type

Errors in Clinician–Parent Communication during Neonatal Hospitalization

Effects on applying Micro-Film Case-Based Learning model in pediatrics education

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