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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Implementation of a Real-Time Virtual Rounding Queue on Neonatal Intensive Care Unit Rounding Practices: A Survey of

Elizabeth S Jarret1, Alexis Quade2, Johannah M Scheurer3

  • 1Children's Minnesota, 345 North Smith Ave. St. Paul, St. Paul, US.

JMIR Pediatrics and Parenting
|May 16, 2026
PubMed
Summary
This summary is machine-generated.

The Q-rounds software improved family-centered rounds (FCR) in the neonatal intensive care unit (NICU). Clinicians reported increased efficiency, nurse, and family presence, along with higher satisfaction.

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Area of Science:

  • Healthcare technology
  • Clinical informatics
  • Patient engagement

Background:

  • Family-centered rounds (FCR) are standard but difficult to coordinate.
  • A novel software, Q-rounds, was developed to improve FCR by providing real-time updates on provider rounding times.
  • Previous studies indicated Q-rounds increased nurse and family presence in the neonatal intensive care unit (NICU).

Purpose of the Study:

  • To assess clinicians' perceptions of Q-rounds' impact on NICU rounding practices.
  • To evaluate changes in rounding efficiency and clinician satisfaction.
  • To identify facilitators and barriers to Q-rounds implementation.

Main Methods:

  • Q-rounds was implemented in a children's hospital NICU.
  • A survey study collected data from providers and nurses pre- and post-implementation.
  • Quantitative and qualitative data analysis was performed.

Main Results:

  • Clinician perception of nurse presence increased from 46% to 75% (P<.001).
  • Family presence perception rose from 46% to 97% (P<.001).
  • Perceived efficiency increased (53% to 75%, P=0.006) and satisfaction improved (46% to 74%, P=0.003).

Conclusions:

  • The Q-rounds virtual rounding queue software enhances FCR.
  • It is associated with increased clinician-perceived efficiency and participation.
  • Improved satisfaction with rounds was observed among clinicians.