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Beyond implementation: sustaining family-centered rounds.

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  • 1Kara Nichols is Manager, General Medicine I, St. Louis Children's Hospital, St. Louis, MO. Karen Crow is Former Coordinator Family Care Initiatives, St. Louis Children's Hospital, St. Louis, MO. Karen Balakas is Research Manager, St. Louis Children's Hospital, St. Louis, MO. She can be reached via e-mail at KaBalakas@bjc.org.

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Implementing family-centered rounds (FCRs) in pediatric care requires cultural shifts. Sustaining FCRs involves family feedback and consistent team education for better patient and family partnerships.

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Area of Science:

  • Pediatric Healthcare
  • Patient and Family Engagement
  • Healthcare Quality Improvement

Background:

  • Family-centered care is a standard approach that involves patients and families in healthcare decisions.
  • Family-centered rounds (FCRs) are crucial for pediatric patient care, promoting collaboration between families and healthcare teams.
  • Successful implementation and sustainability of FCRs necessitate a cultural shift towards consistent patient and family partnership.

Purpose of the Study:

  • To describe the challenges and strategies for implementing and sustaining family-centered rounds (FCRs) in a pediatric healthcare setting.
  • To highlight the importance of cultural change in fostering effective partnerships between healthcare teams, patients, and families.
  • To establish a standardized approach to FCRs that enhances care for pediatric patients and their families.

Main Methods:

  • Incorporated feedback and observations from family advisors into the FCR process.
  • Developed a consistent, standardized process for conducting FCRs.
  • Provided education to healthcare team members regarding expectations and participation in FCRs.

Main Results:

  • Initial implementation challenges were overcome through cultural adaptation and process refinement.
  • Sustained FCRs were achieved by integrating family perspectives and ensuring consistent team engagement.
  • A collaborative approach led to the establishment of a standard FCR model benefiting all stakeholders.

Conclusions:

  • Family-centered rounds (FCRs) are vital for delivering excellent pediatric care.
  • Sustaining FCRs requires ongoing evaluation, collaboration, and a commitment to patient and family partnership.
  • The developed standard approach to FCRs positively impacts patients, families, and the healthcare team.