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Pediatric Family-Centered Rounds and Humanism: A Systematic Review and Qualitative Meta-analysis

Ashley K Fernandes1,2, Sheria Wilson3, Ansel P Nalin4

  • 1Department of Pediatrics, College of Medicine, The Ohio State University and Nationwide Children's Hospital, Columbus, Ohio; ashley.fernandes@nationwidechildrens.org.

Hospital Pediatrics
|May 22, 2021
PubMed

Insights

Pediatric family-centered rounds (FCRs) enhance humanistic care by improving empathy, communication, partnership, respect, and service. These rounds offer significant benefits, particularly for vulnerable patient populations.

Area of Science:

  • Medical Education
  • Patient-Centered Care
  • Humanism in Medicine

Background:

  • Pediatric family-centered rounds (FCRs) are known to improve staff satisfaction, teaching, and efficiency.
  • However, a systematic review examining the humanistic impact of FCRs has been lacking.

Purpose of the Study:

  • To determine if FCRs promote the core values of humanism in medicine.
  • To answer the question: "Do FCRs promote humanistic pediatric care?"

Main Methods:

  • Systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
  • Searched major databases (PubMed, Web of Science, CINAHL) for pediatric studies through January 1, 2020.
  • Assessed 1003 abstracts for 5 primary humanistic outcomes: empathy, communication, partnership, respect, and satisfaction/service.

Main Results:

  • Pediatric FCRs demonstrated improvement in all 5 humanistic outcome themes.
  • Benefits were enhanced by addressing provider-family barriers like health literacy.
  • Patients with limited English proficiency, disabilities, or in intensive care experienced additional advantages.

Conclusions:

  • Pediatric FCRs effectively promote humanistic outcomes, including empathy, partnership, respect, service, and communication.
  • Limitations included defining humanism, variable implementation, and inconsistent outcome reporting.
  • Future efforts should focus on highlighting FCR benefits, universal implementation, and adaptation to situations like pandemics.
Abstract

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