Literature DB >> 19336351

Family-centered multidisciplinary rounds enhance the team approach in pediatrics.

Paul Rosen1, Elizabeth Stenger, Matthew Bochkoris, Michael J Hannon, C Kent Kwoh.   

Abstract

OBJECTIVE: The objective of this study was to determine the impact of family-centered multidisciplinary rounds on an inpatient pediatric ward. We hoped to (1) gain a better understanding of the patient and family experience with family-centered multidisciplinary rounds, (2) measure hospital staff satisfaction with family-centered multidisciplinary rounds compared with conventional rounds, and (3) understand the time commitment for family-centered multidisciplinary rounds and conventional rounds.
METHODS: A quasi-experimental design was undertaken during a 2-week period. During the first week, the hospital staff conducted conventional rounds. Families were surveyed daily, and the staff were surveyed at the end of the week regarding their experiences. During the second week, newly admitted patients received family-centered multidisciplinary rounds at the bedside. Again, both families and staff were surveyed. Observers recorded the interactions between families and staff and measured the time required to conduct rounds.
RESULTS: A total of 27 patients were admitted during the 2-week study period. No significant differences were found in family satisfaction between conventional rounds and family-centered multidisciplinary rounds. A total of 53 surveys were collected from staff members. The staff reported better understanding of the patients' medical plans, better ability to help the families, and a greater sense of teamwork with family-centered multidisciplinary rounds compared with conventional rounds. It required an additional 2.7 minutes per patient during rounds for family-centered multidisciplinary rounds. With family-centered multidisciplinary rounds, the family affected the medical decision-making discussion in 90% of cases.
CONCLUSIONS: Family-centered multidisciplinary rounds is a method of conducting inpatient hospital rounds that fosters teamwork and empowers hospital staff. The patient and family are engaged in and are the focal point of the rounds. Staff members are able to hear everyone's perspective and give input. The impact on staff satisfaction and the family's ability to participate in their care is significant.

Entities:  

Mesh:

Year:  2009        PMID: 19336351     DOI: 10.1542/peds.2008-2238

Source DB:  PubMed          Journal:  Pediatrics        ISSN: 0031-4005            Impact factor:   7.124


  31 in total

1.  Family experiences and pediatric health services use associated with family-centered rounds.

Authors:  Dennis Z Kuo; Laura L Sisterhen; Ted E Sigrest; James M Biazo; Mary E Aitken; Christopher E Smith
Journal:  Pediatrics       Date:  2012-07-09       Impact factor: 7.124

2.  Parent and Provider Experience and Shared Understanding After a Family-Centered Nighttime Communication Intervention.

Authors:  Alisa Khan; Jennifer Baird; Jayne E Rogers; Stephannie L Furtak; Kathryn A Williams; Brenda Allair; Katherine P Litterer; Meesha Sharma; Alla Smith; Mark A Schuster; Christopher P Landrigan
Journal:  Acad Pediatr       Date:  2017-01-29       Impact factor: 3.107

3.  Shared Decision-Making During Inpatient Rounds: Opportunities for Improvement in Patient Engagement and Communication.

Authors:  Rebecca Blankenburg; Joan F Hilton; Patrick Yuan; Stephanie Rennke; Brad Monash; Stephanie M Harman; Debbie S Sakai; Poonam Hosamani; Adeena Khan; Ian Chua; Eric Huynh; Lisa Shieh; Lijia Xie
Journal:  J Hosp Med       Date:  2018-02-05       Impact factor: 2.960

4.  Leading educationally effective family-centered bedside rounds.

Authors:  Amonpreet K Sandhu; Harish J Amin; Kevin McLaughlin; Jocelyn Lockyer
Journal:  J Grad Med Educ       Date:  2013-12

5.  Pediatrics Residents' Perspectives on Family-Centered Rounds: A Qualitative Study at 2 Children's Hospitals.

Authors:  Vineeta Mittal; Evelina Krieger; Benjamin C Lee; Terry Kind; Timothy McCavit; Joyce Campbell; Mary C Ottolini; Glenn Flores
Journal:  J Grad Med Educ       Date:  2013-03

6.  Questioning Family-Centered Rounds: A Pediatric Resident's Challenge.

Authors:  Trisha K Paul
Journal:  J Grad Med Educ       Date:  2020-06

7.  What Adult Cancer Care Can Learn From Pediatrics.

Authors:  Sarah R Brand; Lucy Pickard; Jennifer W Mack; Leonard L Berry
Journal:  J Oncol Pract       Date:  2016-08-16       Impact factor: 3.840

8.  A Family-Centered Rounds Checklist, Family Engagement, and Patient Safety: A Randomized Trial.

Authors:  Elizabeth D Cox; Gwen C Jacobsohn; Victoria P Rajamanickam; Pascale Carayon; Michelle M Kelly; Tosha B Wetterneck; Paul J Rathouz; Roger L Brown
Journal:  Pediatrics       Date:  2017-05       Impact factor: 7.124

9.  A new approach to postpartum rounds: patient-centered collaborative care improves efficiency.

Authors:  Sally Segel; Jason Hashima; William Thomas Gregory; Alison Edelman; Hong Li; Jeanne-Marie Guise
Journal:  J Grad Med Educ       Date:  2010-03

10.  Relationships of the location and content of rounds to specialty, institution, patient-census, and team size.

Authors:  James R Priest; Sylvia Bereknyei; Kambria Hooper; Clarence H Braddock
Journal:  PLoS One       Date:  2010-06-21       Impact factor: 3.240

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