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Implementing Family-Centered Rounds in Hospital Pediatric Settings: A Scoping Review

Andrew J Knighton1, Ellen J Bass2

  • 1Healthcare Delivery Institute, Intermountain Healthcare, Murray, Utah andrew.knighton@imail.org.

Hospital Pediatrics
|June 25, 2021
PubMed

Insights

Family-centered rounds (FCRs) are recommended but face barriers to nurse and family participation. More research is needed to define and measure FCR effectiveness in pediatric care.

Area of Science:

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

Background:

  • Joint policy statement in 2012 recommended family and nurse participation in rounds.
  • Family-centered rounds (FCRs) aim to integrate families into care.
  • Implementation of FCRs in pediatric inpatient settings is a growing focus.

Purpose of the Study:

  • Synthesize evidence on FCR implementation in pediatric settings.
  • Identify barriers to stakeholder acceptance and participation in FCRs.
  • Examine implementation strategies and their impact on outcomes.

Main Methods:

  • Systematic review of observational and experimental studies (2009-2020).
  • Searched PubMed, Medline, and Cochrane Database of Systematic Reviews.
  • Two independent reviewers screened studies and extracted data.

Main Results:

  • 53 studies included; FCRs show increasing acceptance but lagging participation.
  • Structural barriers hinder nurse and family attendance.
  • Limited high-quality evidence exists on FCR effectiveness for patient outcomes.
  • Lack of a consistent FCR definition impedes effect measurement.

Conclusions:

  • Standardized research methods are needed to improve FCR study quality and comparability.
  • Structural changes in care delivery may be necessary for successful FCR implementation.
  • Further research should focus on defining and measuring FCR impact.
Abstract

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