Latino Families’ Experiences With Family-Centered Rounds at an Academic Children’s Hospital

Seltz, L. Barry; Zimmer, Lorena Marquez; Ochoa-Nunez, Luis; Rustici, Matthew; Bryant, Lucinda L.; Fox, David

doi:10.1016/j.acap.2011.06.002

Cited by 71 publications

(59 citation statements)

References 33 publications

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“…장애물: 가족중심 순회 중 언어장벽이 있는 외국인이나 어려운 전문 용어에 직면하는 가족들이 있고 [5,16,18], 이들 중에는 부끄러움을 피 하기 위해 이해하는 척 고개를 끄덕이기도 하였다 [5]. 가족의 이해도가 감소하면 아동의 치료계획을 위해 논의 할 때 오해를 야기할 수 있으 며 [11,17], 가족에게 나쁜 소식 등을 전하기는 더욱 어렵다 [19].…”

Section: Noneunclassified

“…그러므로 의료진은 가족 에게 가능한 쉬운 단어를 사용하여 내용을 전달하고 [11,15,22,24], 언 어뿐만 아니라 문화의 차이를 이해하여 가족의 문화적 요구도 충분히 고려해야 하며, 필요시 통역사를 활용할 수 있다 [5,19,23]. 특히 중재자 로서의 간호사의 참여는 의사소통 측면의 효과를 극대화하여 가족의 이해를 도울 수 있다 [16,25].…”

Section: Noneunclassified

“…개념:투명하고 일관된 입원아동 돌봄을 위하여 지지적인 물리적 환 경의 조성과 가족과 의료진의 상호 협력이 요구된다 [5,11,16,26]. 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 …”

Section: 가족과 의료진의 협력mentioning

confidence: 99%

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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: Noneunclassified

Section: 가족과 의료진의 협력mentioning

confidence: 99%

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Family-Centered Care for Hospitalized Children: Concept Analysis

Jung¹,

Tak²

2017

Child Health Nurs Res

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“…Some parents may feel embarrassed to ask questions 33 or may be so upset that they are unable to remember simple practical questions. 17 Parents should be encouraged to write out or think of questions ahead of time.…”

Section: Pre-meetingmentioning

confidence: 99%

The Pediatric Inpatient Family Care Conference: A Proposed Structure Toward Shared Decision-Making

Fox

Brittan

Stille

2014

Hospital Pediatrics

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Over the past decade, there has been a steady increase in the medical complexity of patients on the pediatric inpatient service while at the same time, there are few data to show that families are satisfi ed with communication of complex issues. Family care conferences are defi ned as an opportunity outside of rounds to meet and discuss treatment decisions and options. They offer a potential pathway for psychosocial support and facilitated communication. The lack of consensus about the structure of these conferences impedes our ability to research patient, family, and provider outcomes related to communication. The goal of the present article was to describe a structure for family care conferences in the pediatric inpatient setting with a literature-based description of each phase of the conference. The theoretical framework for the structure is that patient and family engagement can improve communication and ultimately health care quality. This proposed model offers guidance to providers and researchers whose goal is to improve communication on the inpatient service. AUTHORS

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“…Even when professional interpreters were provided for familycentered rounds, the experiences and comprehension of families with limited English proficiency differed from those of English proficient families, highlighting the difficulties associated with implementing a single improvement initiative across multiple groups that have different preexisting processes. 48,49 In other arenas, investigators have recognized that many low-income and minority families interface with the health care system in ways that differ from other families. For example, Patterson et al 50 report on a QI intervention they developed to facilitate provision of overdue well-child services, including immunizations, developmental screening, and anticipatory guidance, at acute care visits, to improve services for families that might otherwise face financial and logistical barriers to coming in for nonurgent care.…”

Section: Understanding Context and Intended Mechanism Of Interventionmentioning

confidence: 99%

Partnering Health Disparities Research With Quality Improvement Science in Pediatrics

Lion

Raphael

2015

Pediatrics

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Disparities in pediatric health care quality are well described in the literature, yet practical approaches to decreasing them remain elusive. Quality improvement (QI) approaches are appealing for addressing disparities because they offer a set of strategies by which to target modifiable aspects of care delivery and a method for tailoring or changing an intervention over time based on data monitoring. However, few examples in the literature exist of QI interventions successfully decreasing disparities, particularly in pediatrics, due to well-described challenges in developing, implementing, and studying QI with vulnerable populations or in underresourced settings. In addition, QI interventions aimed at improving quality overall may not improve disparities, and in some cases, may worsen them if there is greater uptake or effectiveness of the intervention among the population with better outcomes at baseline. In this article, the authors review some of the challenges faced by researchers and frontline clinicians seeking to use QI to address health disparities and propose an agenda for moving the field forward. Specifically, they propose that those designing and implementing disparities-focused QI interventions reconsider comparator groups, use more rigorous evaluation methods, carefully consider the evidence for particular interventions and the context in which they were developed, directly engage the social determinants of health, and leverage community resources to build collaborative networks and engage community members. Ultimately, new partnerships between communities, providers serving vulnerable populations, and QI researchers will be required for QI interventions to achieve their potential related to health care disparity reduction.

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Latino Families’ Experiences With Family-Centered Rounds at an Academic Children’s Hospital

Cited by 71 publications

References 33 publications

Family-Centered Care for Hospitalized Children: Concept Analysis

Family-Centered Care for Hospitalized Children: Concept Analysis

The Pediatric Inpatient Family Care Conference: A Proposed Structure Toward Shared Decision-Making

Partnering Health Disparities Research With Quality Improvement Science in Pediatrics

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