Parents on Rounds: Joint Decision Making in Rounds in the Picu Result in Positive Outcomes and Increased Satisfaction

Assessment of parental presence during bedside pediatric intensive care unit rounds: Effect on duration, teaching, and privacy*

“…Conversely, they also found that the medical staff favored rounds away from the bedside for their educational opportunities (12). More recently, Jarvis et al (13) assessed the effect of family presence during rounds on patient care decision making, student and resident teaching, nursing practice, and parental satisfaction. The investigators reported a favorable response by both nursing staff and parents.…”

Family Presence on Rounds

“…These studies included 2 randomized controlled trial (RCTs), 22,23 1 quasi-experimental design, 5 12 observational studies (prospective observational), 3,16,17,24-31,32 1 qualitative descriptive, 18 1 mixedmethods research, 33 2 QI reports, 6,34 and 4 anecdotal notes. [35][36][37][38] Eight prospective observational studies were conducted in the PICU, 3,16,17,23,[25][26][27]33 1 in the neonatal ICU, 24 6 in pediatric medical units, 5,18,22,28,29,32 and 2 in an adult inpatient internal medicine ward. 30,31 Of the 2 QI reports, 6,34 one was a survey done in PICU, 34 and one was in pediatric medical-surgical units.…”

“…30,31 Of the 2 QI reports, 6,34 one was a survey done in PICU, 34 and one was in pediatric medical-surgical units. 6 Sixteen study results were obtained through surveys, 3,5,16,17,[22][23][24][25][26][27][28][29][30][31]33,34 Full copies of articles considered to meet the inclusion criteria were obtained for review and analysis.…”

“…33 The 15 studies conducted in PICU, 3,16,17,23,25-27,33 neonatal ICU, 24 and pediatric medical units 5,18,22,28,29,32 aimed at determining the practice, 5,26 defining the perceptions, 18,26,27,33 attitudes 27,28,30 and parental preferences 24 on parental and family presence on rounds and investigating its impact on parental/family, [16][17][18]23,25,28 and health care staff satisfaction, 3,5,17,26,28 factors associated with family satisfaction, 16 residents' and students' teaching, 3,16,25,31 length of rounds, 3,5,16 patient care, 25,31 privacy, 3,16 decision making, 25 communication, 29,31 and nursing practice. 25 The 2 RCTs 22-23 and a quasi-experimental study 5 intended to ascertain the differences in satisfaction and comfort between bedside case presentations and conference room presentations for parents 23 (standard rounds vs bedside rounds 22 ) of PICU patients' and residents' training.…”

“…The staff reported better understanding of the patient's medical plans, better ability to help families, and a greater sense of teamwork. Jarvis and colleagues 25 found that parents were very supportive of involvement in decision making for their child because they learned more about their child's history and health and had a greater opportunity to offer input (96%), ask questions, and be a part of the discussion. Nurses responded that family presence on medical rounds increased communication with families and increased sense of parent education.…”