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Medical Team Communication on Family-Centered Rounds and Caregiver Outcomes
Reilly Dever1, Kathryn I Pollak2,3, Hadley W Reid4
1Department of Pediatrics, School of Medicine, University of Washington, Seattle, Washington.
Hospital Pediatrics
|July 5, 2026
Summary
Clinician communication during family-centered rounds (FCR) significantly impacts caregiver experience. Practices like active listening and partnership-building enhance caregiver participation, comfort, and understanding.
Area of Science:
- Healthcare communication
- Patient-centered care
- Medical education
Background:
- Family-centered rounds (FCR) aim to involve families but can lead to inequitable outcomes.
- Defining effective communication strategies is crucial for improving family engagement and experience during FCR.
Purpose of the Study:
- To examine the relationship between clinician communication during FCR and caregiver outcomes.
- To assess these associations in a diverse patient population.
Main Methods:
- Audio recordings of FCR were transcribed and coded for clinician communication behaviors.
- Caregiver participation was quantified, and caregiver-reported comfort and understanding were assessed via surveys.
- Statistical analyses, including negative binomial and logistic regression, were used to evaluate associations, adjusting for demographic factors.
Main Results:
- Caregiver participation increased with clinician use of reflection and supportive talk.
- Higher caregiver comfort was linked to clinician reflection, information exchange, respect, and partnership.
- Improved caregiver understanding correlated with clinician partnership-building, warmth, and partnership ratings.
Conclusions:
- Specific clinician communication practices, categorized as collaborative communication and emotional connection, are associated with positive caregiver outcomes.
- Rarely occurring clinician behaviors present opportunities for targeted interventions to enhance family experience and engagement during FCR.
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