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Interprofessional Telerounds in a Pediatric Intensive Care Unit: A Quality Improvement Project
Emily Shawley1, Kimberly Whiteman2
1Emily Shawley is the Unit Director, pediatric intensive care unit, UPMC Children's Hospital of Pittsburgh, Pennsylvania.
Critical Care Nurse
|September 30, 2023
Summary
Secure telerounds in the pediatric intensive care unit (PICU) proved feasible and satisfactory for families, nurses, and physicians. This technology enables family-centered care when parents cannot be physically present.
Area of Science:
- Pediatric critical care medicine
- Health informatics
- Quality improvement science
Background:
- Family-centered rounds are standard in pediatrics, but parental presence in the pediatric intensive care unit (PICU) can be challenging.
- The COVID-19 pandemic necessitated the adoption of remote care solutions, including telerounds.
Purpose of the Study:
- To develop and evaluate a standardized, family-centered telerounding process for a pediatric intensive care unit.
- To assess the satisfaction of parents, nurses, and physicians with the implemented telerounding system.
Main Methods:
- Telerounds were offered to families unable to attend in-person rounds via a secure, unique link.
- Satisfaction surveys were administered to families, nurses, and physicians post-telerounding sessions.
Main Results:
- 16 families participated in 93 telerounding events.
- High satisfaction reported: families (9.9/10), nurses (8.8/10), and physicians (8.8/10).
Conclusions:
- A secure, standardized telerounding process is feasible in the PICU setting.
- Telerounds enhance family-centered care by including absent parents without significant staff burden.
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