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Disparities in Family-Centered Rounds Participation by Caregiver's Preferred Language.

Josh Kurtz1, Preston Simmons1,2, Jeremy M Jones1

  • 1Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

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|December 2, 2025
PubMed
Summary
This summary is machine-generated.

Caregivers preferring a language other than English (LOE) join family-centered rounds (FCR) less often, primarily because they are not invited. Improving LOE caregiver FCR participation is key for equitable pediatric care.

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Area of Science:

  • Pediatric Healthcare Quality Improvement
  • Health Equity in Pediatrics
  • Cross-Cultural Communication in Healthcare

Background:

  • Limited data exist on family-centered rounds (FCR) participation for caregivers preferring a language other than English (LOE).
  • Understanding baseline FCR participation is crucial for quality improvement (QI) initiatives in pediatric care.
  • Ensuring equitable participation for all caregivers is a key goal in modern healthcare.

Purpose of the Study:

  • To characterize baseline FCR participation rates for LOE-preferring caregivers.
  • To identify reasons for non-participation among LOE-preferring caregivers.
  • To inform a QI initiative aimed at improving FCR inclusivity.

Main Methods:

  • Prospective data collection on caregiver presence and participation during FCR in General Pediatrics.
  • Analysis of 7586 rounding encounters from July 2023 to April 2024.
  • Logistic regression and statistical process control p-charts used to compare participation and visualize trends.

Main Results:

  • LOE-preferring caregivers (231 patients) were present at bedside as frequently as English-preferring caregivers (69.7% vs 70.3%).
  • However, LOE-preferring caregivers participated in FCR significantly less often (55.6% vs 88.1%, P>0.001).
  • The primary reason for non-participation was not being invited (82%).

Conclusions:

  • LOE-preferring caregivers have lower FCR participation despite equal bedside presence, mainly due to exclusion from invitations.
  • Significant variability in LOE-preferring caregiver participation was observed across time, care teams, and specific languages.
  • Targeted strategies to invite and include LOE-preferring caregivers in FCR are essential for achieving equitable pediatric care.