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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...

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Autores principales: Rubin, Alexandra, Osborn, Rachel R., Nowicki, Madeline J., Surber, Kira, Rashty, Jamie L., Shefler, Alanna, Parent, Kelly S., Monroe, Kimberly K., Mychaliska, Kerry P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
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.
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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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