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Published on: February 16, 2011

Experiences of Past Discrimination and Caregiver Communication During Family-Centered Rounds

Lauren E Wein¹, Rachel Donaldson¹, Katie Margolis¹

¹Duke University School of Medicine, Durham, North Carolina.

Hospital Pediatrics

|March 8, 2026

Summary

Experiences of discrimination in healthcare correlate with increased caregiver participation during family-centered rounds (FCR). This suggests heightened vigilance and supports trauma-informed communication strategies for clinicians.

Area of Science:

Health Services Research
Patient-Centered Care
Health Equity

Background:

Discrimination experiences can impact patient-provider interactions.
Family-centered rounds (FCR) are a key setting for communication in pediatric care.
Understanding caregiver engagement is crucial for effective healthcare delivery.

Purpose of the Study:

To examine the association between past discrimination and caregiver participatory behaviors during FCR.
To investigate how discrimination experiences influence communication dynamics in healthcare settings.

Main Methods:

A mixed-methods cross-sectional study involving Black and Latino(a/e) caregivers.
Audio-recorded FCR, caregiver surveys on demographics, interpersonal processes of care (IPC), and discrimination.
Caregiver discrimination experiences stratified into: none, in healthcare, outside healthcare.

Main Results:

Caregivers reporting discrimination in healthcare asked more questions and made more assertive statements during FCR.
Increased advocacy and seeking medical understanding behaviors were observed in caregivers with healthcare discrimination.
Lower interpersonal style ratings within IPC were noted for caregivers who experienced discrimination in healthcare.

Conclusions:

Discrimination within healthcare settings is linked to heightened caregiver participation during FCR.
These participatory behaviors may reflect increased vigilance, prompting the need for trauma-informed communication.
Findings underscore the importance of addressing discrimination to improve patient-provider communication.

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