1. Family-centered rounds: views of families, nurses, trainees, and attending physicians.
- Author
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Rappaport DI, Ketterer TA, Nilforoshan V, and Sharif I
- Subjects
- Delaware, Hospitals, Pediatric, Hospitals, Teaching, Humans, Job Satisfaction, Nurses psychology, Physicians psychology, Professional Autonomy, Time Factors, Attitude of Health Personnel, Patient Satisfaction statistics & numerical data, Patient-Centered Care methods, Pediatrics education, Professional-Family Relations, Teaching Rounds methods
- Abstract
Objective: To study the impact of family-centered rounds for general pediatrics inpatients., Methods: An observation tool and participant surveys was developed. The authors analyzed rounding time and rounds participants. Associations between family presence and participants' satisfaction were analyzed., Results: Data were collected on 295 patients and from 257 staff members. Average rounding time was reduced with increased family and nurse presence (8.7 minutes with both, 12.7 minutes without family, P = .0001). Families reported high satisfaction regardless of participants. Families present on rounds reported increased knowledge of team members' roles (54% vs 35%, P = .04). Attending physicians more often reported ease in managing rounds with families present. Senior residents perceived decreased autonomy with high family participation (11%) versus low family participation (70%; P = .02). Improved nurse satisfaction was associated with increased family and nurse participation., Conclusion: Family participation may shorten inpatient rounds. Families and staff were satisfied with family-centered rounds, though senior resident autonomy requires attention.
- Published
- 2012
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