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Patient- and Family-centered Rounding: A Single-site Look into the Room
INTRODUCTION: The American Academy of Pediatrics recommends Patient- and Family-centered Rounds (PFCRs) to improve communication between the healthcare team and families while allowing the latter to participate in medical decision-making. PFCRs have a secondary goal of increasing rounds’ efficiency...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8225381/ https://www.ncbi.nlm.nih.gov/pubmed/34235350 http://dx.doi.org/10.1097/pq9.0000000000000421 |
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author | Rubin, Alexandra Osborn, Rachel R. Nowicki, Madeline J. Surber, Kira Rashty, Jamie L. Shefler, Alanna Parent, Kelly S. Monroe, Kimberly K. Mychaliska, Kerry P. |
author_facet | Rubin, Alexandra Osborn, Rachel R. Nowicki, Madeline J. Surber, Kira Rashty, Jamie L. Shefler, Alanna Parent, Kelly S. Monroe, Kimberly K. Mychaliska, Kerry P. |
author_sort | Rubin, Alexandra |
collection | PubMed |
description | INTRODUCTION: The American Academy of Pediatrics recommends Patient- and Family-centered Rounds (PFCRs) to improve communication between the healthcare team and families while allowing the latter to participate in medical decision-making. PFCRs have a secondary goal of increasing rounds’ efficiency and providing a positive learning environment for residents and students. There are many published best practices for PFCR. Our study provides an observational evaluation of PFCR in an academic tertiary medical center using a checklist created from such published best practices. METHODS: We created a standardized observation checklist based on published guidelines. Study members observed 200 individual rounding encounters using this instrument. All inpatient, nonsurgical rounding teams in the fall of 2014 were included and analyzed using descriptive statistics. RESULTS: The average rounding encounter included 9 team members, lasted 9 minutes and 24 seconds, with the medical team entering the patient room for 80.0% of encounters. Families were invited to participate in 60% of the encounters. Lay language was utilized in 62% of the encounters, although 99.5% of the encounters staff used medical terminology. Nursing was present in 64.5% of encounters but presented in only 13.5% of those encounters. The teaching-attending modeled patient interaction behaviors such as eye contact, nodding, and leaning forward in 31%–51% of encounters. CONCLUSIONS: Despite published best practices, medical teams at a large tertiary care center did not adhere to many components of published PCFR guidelines. Future studies should focus on family and physician experience to identify improvement strategies for rounds. |
format | Online Article Text |
id | pubmed-8225381 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-82253812021-07-06 Patient- and Family-centered Rounding: A Single-site Look into the Room Rubin, Alexandra Osborn, Rachel R. Nowicki, Madeline J. Surber, Kira Rashty, Jamie L. Shefler, Alanna Parent, Kelly S. Monroe, Kimberly K. Mychaliska, Kerry P. Pediatr Qual Saf Individual QI projects from single institutions INTRODUCTION: The American Academy of Pediatrics recommends Patient- and Family-centered Rounds (PFCRs) to improve communication between the healthcare team and families while allowing the latter to participate in medical decision-making. PFCRs have a secondary goal of increasing rounds’ efficiency and providing a positive learning environment for residents and students. There are many published best practices for PFCR. Our study provides an observational evaluation of PFCR in an academic tertiary medical center using a checklist created from such published best practices. METHODS: We created a standardized observation checklist based on published guidelines. Study members observed 200 individual rounding encounters using this instrument. All inpatient, nonsurgical rounding teams in the fall of 2014 were included and analyzed using descriptive statistics. RESULTS: The average rounding encounter included 9 team members, lasted 9 minutes and 24 seconds, with the medical team entering the patient room for 80.0% of encounters. Families were invited to participate in 60% of the encounters. Lay language was utilized in 62% of the encounters, although 99.5% of the encounters staff used medical terminology. Nursing was present in 64.5% of encounters but presented in only 13.5% of those encounters. The teaching-attending modeled patient interaction behaviors such as eye contact, nodding, and leaning forward in 31%–51% of encounters. CONCLUSIONS: Despite published best practices, medical teams at a large tertiary care center did not adhere to many components of published PCFR guidelines. Future studies should focus on family and physician experience to identify improvement strategies for rounds. Lippincott Williams & Wilkins 2021-06-23 /pmc/articles/PMC8225381/ /pubmed/34235350 http://dx.doi.org/10.1097/pq9.0000000000000421 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Individual QI projects from single institutions Rubin, Alexandra Osborn, Rachel R. Nowicki, Madeline J. Surber, Kira Rashty, Jamie L. Shefler, Alanna Parent, Kelly S. Monroe, Kimberly K. Mychaliska, Kerry P. Patient- and Family-centered Rounding: A Single-site Look into the Room |
title | Patient- and Family-centered Rounding: A Single-site Look into the Room |
title_full | Patient- and Family-centered Rounding: A Single-site Look into the Room |
title_fullStr | Patient- and Family-centered Rounding: A Single-site Look into the Room |
title_full_unstemmed | Patient- and Family-centered Rounding: A Single-site Look into the Room |
title_short | Patient- and Family-centered Rounding: A Single-site Look into the Room |
title_sort | patient- and family-centered rounding: a single-site look into the room |
topic | Individual QI projects from single institutions |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8225381/ https://www.ncbi.nlm.nih.gov/pubmed/34235350 http://dx.doi.org/10.1097/pq9.0000000000000421 |
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