Use of Computer Technology During Family-Centered Rounds: A Qualitative Study of Parent Perspectives

Physicians often use computer technologies to assist in work activities, including family-centered rounds (FCR), but little is known about the attitudes of families on the use of these technologies. We aimed to describe these perceptions on the presence and use of computer technologies during FCR.

We conducted observations of FCR from a parent's visual perspective to "see what they see." This was followed by in-depth interviews with the families of patients admitted to the hospitalist service at our institution to describe their experience with the use of computer technology by the medical team during FCR.

From the analysis of 31 individual interview transcripts, our research team identified the following 4 themes: (1) technology serves a purpose during FCR; (2) to view data in real time; (3) do not lose the human connection; and (4) transparency is valued. Thirty-eight observations showed broad use of computer technologies by the medical team. Devices were used to provide data that would educate the family; however, the devices were often placed between the medical team and family, creating a physical barrier.

Families recognized the benefit of computer technologies in the care of their child and would like greater sharing of information by the medical team. They insisted their child always be "placed first" and that the team be transparent with their use of technology. Computer technology may create possible obstructions and distractions to the medical team. As computer technologies become more commonplace in medicine, maintaining the essence of good patient-communication and family centered care is essential.