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Implementing family-centered rounds: pediatric residents' perceptions.

David I Rappaport1, Michael F Cellucci, Maureen G Leffler

  • 1Department of Pediatrics, Alfred I duPont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803, USA. drappapo@nemours.org

Clinical Pediatrics
|February 19, 2010
PubMed
Summary
This summary is machine-generated.

Residents largely support family-centered rounds (FCRs), citing improved communication and teaching. Attending physician involvement is key to resident satisfaction with FCRs, though efficiency concerns remain.

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Area of Science:

  • Pediatric hospital medicine
  • Medical education
  • Patient-centered care

Background:

  • Family-centered rounds (FCRs) are increasingly adopted in hospitals.
  • Existing research indicates FCRs enhance family and staff satisfaction.
  • Resident perspectives on FCRs remain understudied.

Purpose of the Study:

  • To assess resident opinions on the structure, teaching, and patient care aspects of FCRs.
  • To understand house staff views on the implementation of FCRs in a children's hospital setting.

Main Methods:

  • A cross-sectional study surveyed pediatrics and medicine-pediatrics residents.
  • Data was collected via mail in Spring 2008 at a freestanding children's hospital.
  • The study focused on resident experiences with FCRs implemented in Fall 2006.

Main Results:

  • 89% of residents supported FCRs, with 39% strongly supporting them.
  • Residents reported improved provider relationships, increased family satisfaction, and better "nondidactic" teaching.
  • Attending physician presence was the most significant factor for resident satisfaction; concerns about efficiency and didactic teaching were noted.

Conclusions:

  • Residents demonstrate strong support for family-centered rounds.
  • Training for attending physicians should emphasize FCR facilitation.
  • Addressing resident concerns regarding efficiency and didactic teaching is crucial for successful FCR implementation.