Related Experiment Video
Updated: Aug 7, 2025
09:16
Use of a Video Scoring Anchor for Rapid Serial Assessment of Social Communication in Toddlers
Published on: March 14, 2018
10.3K
Beyond satisfaction: evaluating understanding in PICU family centered rounds.
April Edwell1, Sandrijn van Schaik1, Mansi Desai1
1Department of Pediatrics, University of California, San Francisco, CA, USA.
Journal of Communication in Healthcare
|March 13, 2023
Summary
Family Centered Rounds (FCR) improve satisfaction but not always understanding in the Pediatric Intensive Care Unit (PICU). Optimizing FCR can enhance family comprehension of their child's medical care and decision-making.
Area of Science:
- Pediatric Intensive Care
- Healthcare Communication
- Family-Centered Care
Background:
- Family Centered Rounds (FCR) are increasingly adopted in hospitals to enhance communication.
- While FCR boosts family satisfaction, its impact on understanding patient care remains debated.
- Understanding is crucial for shared decision-making, especially in high-stakes environments like the Pediatric Intensive Care Unit (PICU).
Purpose of the Study:
- To explore family experiences with FCR in the PICU.
- To examine how FCR influences family understanding of their child's medical condition, treatments, and prognosis.
- To identify factors affecting family comprehension during FCR.
Main Methods:
- Surveys and interviews were conducted with family members post-FCR in two PICUs.
- Family and physician surveys assessed satisfaction and understanding across illness, treatment, and prognosis.
- Thematic analysis of interview transcripts identified key themes influencing family experiences.
Main Results:
- High family satisfaction (82%) with FCR was reported.
- Significant discordance between families and physicians in understanding was observed, particularly regarding prognosis (concordance as low as 27%).
- Four themes emerged: Jargon, Feeling Part of the Team, Rounds as Overwhelming, and Competing Purposes of Rounds.
Conclusions:
- Family satisfaction with FCR is high, aligning with previous research.
- FCR can be optimized to improve family understanding of pediatric critical care.
- Addressing issues like medical jargon and competing priorities can enhance the effectiveness of FCR.
Related Concept Videos
01:21Methods of Documentation III: PIE
1.4K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.4K
01:13Patient-centered Care
2.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.1K
01:15Nursing Evaluation
3.4K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.4K
01:20Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
1.8K
Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
1.8K
01:29SBAR I: Understanding the Concept
4.6K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
4.6K
01:24Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.6K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
1.6K