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Families' Experiences With Pediatric Family-Centered Rounds: A Systematic Review
Kelly E Rea1, Priyanka Rao1, Elizabeth Hill1
1Department of Pediatrics, Michigan Medicine and.
Insights
Families desire participation in family-centered rounding (FCR) and report benefits like better understanding and reduced anxiety. However, research is needed to confirm if FCR increases satisfaction compared to standard rounds.
Area of Science:
- Pediatric Medicine
- Healthcare Quality Improvement
- Patient and Family Experience
Background:
- Family-centered rounding (FCR) is increasingly vital in pediatric care.
- Existing research often focuses on provider and health outcomes, with less emphasis on family perspectives.
- Understanding family experiences is crucial for optimizing FCR implementation.
Purpose of the Study:
- To systematically review and synthesize the literature on patient and family experiences with pediatric FCR.
- To identify reported benefits and challenges of FCR from the family's viewpoint.
Main Methods:
- Systematic literature review utilizing databases: PubMed, CINAHL, PsycINFO, Scopus, and Embase.
- Inclusion criteria: peer-reviewed English articles (2007-2017) on pediatric populations (0-21 years) measuring family experience with FCR.
- Data extraction included sample size, unit, measures, and results of family experience.
Main Results:
- Twenty-eight studies were included in the review.
- Families express a strong desire to participate in FCR.
- Reported family benefits include enhanced understanding of medical information, increased confidence in the healthcare team, and reduced parental anxiety.
Conclusions:
- Families generally perceive their FCR experiences positively.
- Further research is required to definitively compare FCR satisfaction with standard rounds.
- More investigation is needed into adolescent patient experiences and the communication needs of non-English-speaking families within FCR settings.
Context:
Family-centered rounding (FCR) is of increasing importance in pediatric medicine. Although researchers have begun to understand the effect of FCR on providers and systematic health care outcomes, we provide a systematic review of the literature regarding families' experiences with FCR.
Objective:
To systematically review patient and family experiences with pediatric FCR.
Data Sources:
Our data sources included PubMed, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, Scopus, and Embase.
Study Selection:
Inclusion criteria included publication in a peer-reviewed journal between January 2007 and February 2017, written in the English language, pediatric population (patients 0-21 years), and specific measurement of a families' experience with FCR.
Data Exraction:
Data extracted were sample size, participating medical unit, measures of family experience, and overall results of family experience.
Results:
Twenty-eight studies were included. It is unclear whether participation in FCR increases family satisfaction compared with standard rounds; however, families report a strong desire to participate in FCR. Family benefits of FCR included increased understanding of information and confidence in the medical team, as well as reduced parental anxiety.
Limitations:
There were only 2 studies in which researchers examined pediatric patients' experiences with FCR, and literature on the communication needs of non-English-speaking families was also limited.
Conclusions:
Overall, it is suggested that families positively perceive their experience with FCR, although more research is needed to determine if satisfaction is greater in FCR versus standard rounds as well as to better understand different perspectives of adolescent patients and non-English-speaking families.