Family-centered Multidisciplinary Rounds Enhance the Team Approach in Pediatrics

Rosen, Paul; Stenger, Elizabeth; Bochkoris, Matthew; Hannon, Michael J.; Kwoh, C. Kent

doi:10.1542/peds.2008-2238

Cited by 141 publications

(114 citation statements)

References 17 publications

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“…Empowerment and reinforcement 4,5,15,17,21,22 Obstacle High expectation of family 9,10,13 Negative opinion of medical staff 9,10,13,20 Strategy Leadership 14 Participation of family 17,19 Continuing support from staff 14,17,19,22 Communication Description Improving communication 3,10,15,18 Consideration for family 10,18,21 Sharing care plan 3,15,21 Obstacle Language barrier 4,7,11,15,19 Poor understanding 10,11,15,17 Handing out bad news 9,12 Strategy Using easy words 4,6,15,22 Interpreter training 19 Mediative participation of nurse 1,16,25 Understanding of culture …”

Section: 가족과 의료진의 협력mentioning

confidence: 99%

Family-Centered Care for Hospitalized Children: Concept Analysis

Jung¹,

Tak²

2017

Child Health Nurs Res

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Purpose: Involvement of families in rounds is one strategy to implement patient-and family-centered care to help families get clear information about their child, and be actively involved in decision making. The purpose of this paper was to identify the major concepts of family-centered rounds for hospitalized children. Methods: We searched five electronic databases for relevant articles and used Whittemore and Knafl' s integrative review methods to synthesize the literature. Articles published between June 2003 and January 2016 were reviewed and through full text screening 24 peer-reviewed articles were found that met the selection criteria for this review. This is an Open Access article distributed under the terms of the Creative Commons Attribution NonCommercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: 가족과 의료진의 협력mentioning

confidence: 99%

Family-Centered Care for Hospitalized Children: Concept Analysis

Jung¹,

Tak²

2017

Child Health Nurs Res

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“…In this way, having a clear understanding of membership can increase the likelihood that people with relevant knowledge will be included in discussions, a necessary first step to ensuring that those people have opportunities to speak up. As an example, there is evidence from the study of pediatric care that including patients' families and nurses-who are often excluded from physicians' rounds-provides meaningful benefits in the form of better diagnoses and care plan development because these individuals can contribute information not possessed by other team members that can be used in making care decisions [14,15].…”

Section: Expertise Usementioning

confidence: 99%

Teamwork in Health Care: Maximizing Collective Intelligence via Inclusive Collaboration and Open Communication

Mayo¹,

Woolley

2016

AMA Journal of Ethics

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Teams offer the potential to achieve more than any person could achieve working alone; yet, particularly in teams that span professional boundaries, it is critical to capitalize on the variety of knowledge, skills, and abilities available. This article reviews research from the field of organizational behavior to shed light on what makes for a collectively intelligent team. In doing so, we highlight the importance of moving beyond simply including smart people on a team to thinking about how those people can effectively coordinate and collaborate. In particular, we review the importance of two communication processes: ensuring that team members with relevant knowledge (1) speak up when one's expertise can be helpful and (2) influence the team's work so that the team does its collective best for the patient. The Promise and Challenge of Team-Based Cross-Disciplinary Collaboration in Health CareAcross health care, there is an increasing reliance on teams from a variety of specialties (e.g., nursing, physician specialties, physical therapy, social work) to care for patients. At the same time, medical error is estimated to be "the third most common cause of death in the US" [1], and teamwork failures (e.g., failures in communication) account for up to 70-80 percent of serious medical errors [2][3][4][5]. The shift to providing care in teams is well founded given the potential for improved performance that comes with teamwork [6], but, as demonstrated by these grave statistics, teamwork does not come without challenges. Consequently, there is a critical need for health care professionals, particularly those in leadership roles, to consider strategies for improving team-based approaches to providing quality patient care.Teams offer the promise to improve clinical care because they can aggregate, modify, combine, and apply a greater amount and variety of knowledge in order to make decisions, solve problems, generate ideas, and execute tasks more effectively and efficiently than any individual working alone [6]. Given this potential, a multidisciplinary team of health care professionals could ideally work together to determine diagnoses,

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“…In 1 study, staff satisfaction with team communication increased after PFCR was initiated. 7 The other study demonstrated that composite nursing satisfaction scores were higher on days when the family and nurse were present on PFCR. 8 At Children's Hospital of Wisconsin (CHW), the pediatric hospital medicine (PHM) service has been conducting bedside PFCR since 2005.…”

mentioning

confidence: 89%

A Quality Improvement Initiative to Achieve High Nursing Presence During Patient- and Family-Centered Rounds

Sharma

Norton

Gage

et al. 2014

Hospital Pediatrics

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KEY WORDS POTENTIAL CONFLICT OF INTEREST:The authors have indicated they have no potential confl icts of interest to disclose.A Quality Improvement Initiative to Achieve High Nursing Presence During Patient-and Family-Centered Rounds abstract OBJECTIVES: The objectives of this study were to: (1) identify local barriers to nursing presence on patient-and family-centered rounds (PFCR); and (2) increase nursing attendance during PFCR. METHODS:An electronic survey needs assessment was administered to nursing staff on a single acute medical care unit to identify local barriers to nursing presence on PFCR. Daily tracking of nursing presence on rounds was then performed over a 7-month period. During this time period, 2 Plan-DoStudy Act cycles were conducted. The fi rst intervention was a workshop for nurses about PFCR. The second intervention was the development of a strategy to contact nurses by using a hands-free communication device so that nurses were notifi ed when rounds were starting on their patients. To evaluate the impact of our interventions, a p-chart was generated for the outcome of average daily nursing attendance (%) on PFCR per week over the 7-month period. RESULTS:Two barriers identifi ed on the survey were: (1) nurses were uncertain if physicians valued their input during PFCR; and (2) nurses were unsure when the physician team would be conducting rounds on their patients. On the p-chart, the average percentage of nursing attendance before interventions was 47%. After the nursing workshop, no change in the mean nursing attendance on PFCR was noted. After initiation of the hands-free contact strategy, nursing attendance on PFCR rose to 80%. CONCLUSIONS:A nursing contact strategy using a hands-free device led to a sustained increase in nursing attendance during PFCR.Patient-and family-centered rounds (PFCR) have been identifi ed as an effective model for high-quality patient care. Research has shown that families are more satisfi ed when they are included on rounds and that patient care is optimal when both the patient and family are included in medical decision-making.

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Family-centered Multidisciplinary Rounds Enhance the Team Approach in Pediatrics

Cited by 141 publications

References 17 publications

Family-Centered Care for Hospitalized Children: Concept Analysis

Family-Centered Care for Hospitalized Children: Concept Analysis

Teamwork in Health Care: Maximizing Collective Intelligence via Inclusive Collaboration and Open Communication

A Quality Improvement Initiative to Achieve High Nursing Presence During Patient- and Family-Centered Rounds

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