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Related Experiment Video

Updated: Jan 11, 2026

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Implementing family-centred rounds in paediatrics: A formative study using normalisation process theory.

Javier Roberti1, Juan Pedro Alonso1, Natali Ini1

  • 1National Scientific and Technical Research Council (CONICET), Godoy Cruz 2290, Buenos Aires, Argentina; Institute for Clinical Effectiveness and Health Policy (IECS), Ravignani 2024, Buenos Aires, Argentina.

Journal of Pediatric Nursing
|November 18, 2025
PubMed
Summary
This summary is machine-generated.

Implementing a nurse-led Family Centered Rounds (FCRs) model shows promise for improving healthcare communication and collaboration. Addressing hierarchical cultures and ensuring organizational commitment are key to successful adoption of this family engagement strategy.

Keywords:
Critical careFamily-centred roundsImplementationNormalisation process theoryOpen rounds

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Area of Science:

  • Healthcare delivery innovation
  • Qualitative research methodology
  • Patient and family engagement

Background:

  • Communication and coordination challenges persist in pediatric care settings.
  • Enhancing family-centered care models is crucial for improving patient outcomes.
  • Nurse-led initiatives can potentially bridge gaps in interprofessional collaboration.

Purpose of the Study:

  • To explore the acceptability, appropriateness, and feasibility of a nurse-led Family Centered Rounds (FCRs) model.
  • To inform the design and adaptation of a pilot intervention for pediatric care.
  • To gather insights from healthcare professionals and parents regarding a new communication model.

Main Methods:

  • Formative qualitative study conducted in two hospitals in Argentina and Uruguay.
  • Semi-structured interviews with physicians and nurses, and focus groups with parents.
  • Analysis informed by Normalisation Process Theory, incorporating feedback on proposed models and tools like I-PASS.

Main Results:

  • Participants recognized communication issues and valued the potential of the nurse-led FCRs model for coordination and family engagement.
  • Barriers included misalignment with routines, time pressures, hierarchical cultures, and logistical challenges.
  • The I-PASS tool was positively received; parents appreciated guidance but raised concerns about documentation burden, leading to revisions.

Conclusions:

  • Nurse-led FCRs present a promising strategy for enhancing communication and collaboration in healthcare.
  • Successful implementation necessitates addressing existing hierarchies, securing organizational commitment, and integrating provider and parent perspectives.
  • Findings directly informed the adaptation of the model for subsequent pilot implementation.