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Family-centered multidisciplinary rounds enhance the team approach in pediatrics
Paul Rosen1, Elizabeth Stenger, Matthew Bochkoris
1Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15201, USA. paul.rosen@chp.edu
Insights
Family-centered multidisciplinary rounds enhanced staff teamwork and understanding of patient care plans, though family satisfaction showed no significant change. This approach empowers staff and engages families in decision-making with minimal extra time.
Area of Science:
- Pediatric healthcare delivery
- Clinical communication strategies
- Patient and family engagement
Background:
- Inpatient pediatric care traditionally involves conventional physician-led rounds.
- Limited research exists on the impact of family-centered multidisciplinary rounds in pediatric settings.
- Optimizing patient and family experiences alongside staff efficiency is crucial.
Purpose of the Study:
- To evaluate the impact of family-centered multidisciplinary rounds (FCMR) on patient/family experience and staff satisfaction in a pediatric ward.
- To compare staff satisfaction between FCMR and conventional rounds.
- To assess the time commitment associated with FCMR versus conventional rounds.
Main Methods:
- A quasi-experimental design comparing conventional rounds with FCMR over two weeks.
- Daily surveys for families and end-of-week surveys for staff.
- Observational data collection on interactions and time required for rounds.
Main Results:
- No significant difference in family satisfaction between conventional and FCMR.
- Staff reported improved understanding of medical plans, enhanced ability to assist families, and greater teamwork with FCMR.
- FCMR required an additional 2.7 minutes per patient, with families influencing medical decisions in 90% of cases.
Conclusions:
- Family-centered multidisciplinary rounds foster significant improvements in staff teamwork and empowerment.
- FCMR effectively engages patients and families as the focal point of inpatient care.
- This model enhances staff perspectives and family participation in care decisions.
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.
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