Effects of implementing family-centered rounds (FCRs) in a neonatal intensive care unit (NICU)

Voos, Kristin C.; Ross, Gail; Ward, Mary J.; Yohay, Anne-Lise; Osorio, Snezana Nena; Perlman, Jeffrey M.

doi:10.3109/14767058.2011.596960

Cited by 72 publications

(72 citation statements)

References 23 publications

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“…15 FCRs improve parental satisfaction, communication, and collaboration between fellows and nurse practitioners in the neonatal intensive care unit. 16 Consistent with these findings, residents in our study reported improved parental satisfaction secondary to enhanced communication and information sharing, resulting in improved parental understanding of their child's condition and better comprehension of providers' roles. Patient satisfaction is a critical outcome measure, and FCRs may be a powerful venue for future physicians to learn effective communication and information sharing.…”

Section: Fcrs Patient Satisfaction and Communicationsupporting

confidence: 78%

Pediatrics Residents' Perspectives on Family-Centered Rounds: A Qualitative Study at 2 Children's Hospitals

Mittal¹,

Krieger²,

Lee³

et al. 2013

Journal of Graduate Medical Education

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Background Many academic hospitals have incorporated family-centered rounds, yet little is known about pediatrics residents' perspectives on the educational impact of these rounds. Objective To identify pediatrics residents' knowledge, attitudes, and beliefs about family-centered rounds, including perceived benefits and barriers. Methods We conducted focus groups of residents exposed to family-centered rounds at 2 university-affiliated, freestanding children's hospitals. Focus group data were analyzed using grounded theory. Results A total of 24 residents participated in 4 focus groups. Residents reported that family-centered rounds enhance education by increasing patient encounters and improving physical exam skills, direct observation, real-time feedback, and attending role modeling; improve parent satisfaction, interpersonal and communication skills, and safety; and reduce length of stay. Physical constraints (large teams and small rooms), lack of uniform approaches to family-centered rounds, variable attending teaching styles, and specific conditions (child abuse, patients on isolation) were cited barriers. Conclusions Pediatrics residents report that well-conducted family-centered rounds improve their education and the quality of patient care, including parent satisfaction, communication with families, and patients' length of stay. Standardizing family-centered rounds and reducing attending variability in teaching style might further enhance residents' educational experiences.

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Section: Fcrs Patient Satisfaction and Communicationsupporting

confidence: 78%

Pediatrics Residents' Perspectives on Family-Centered Rounds: A Qualitative Study at 2 Children's Hospitals

Mittal¹,

Krieger²,

Lee³

et al. 2013

Journal of Graduate Medical Education

View full text Add to dashboard Cite

show abstract

“…Parents who spend more time with their infants have more opportunities for perceiving the signs of infants' discomfort and their other needs; consequently, they function better in comparison with nurses who are responsible for the care of multiple infants. [18] Parental satisfaction in a single-family room NICU was higher in comparison with the traditional open-bay NICU system. The single-family room environment seemed more conducive to the provision of FCC.…”

Section: Discussionmentioning

confidence: 99%

Parental Satisfaction of Traditional System of Neonatal Intensive Care Unit Services in a Public Sector Hospital in North India

et al. 2017

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Background. Traditional systems of neonatal intensive care unit (NICU) care predispose parents to increased levels of stress and anxiety due to parental separation from their infant. Parental satisfaction, an indicator of the quality of care, is significantly compromised during prolonged NICU stay. The research is limited in developing countries. Objectives. To assess the parental satisfaction with traditional systems of NICU care in a public sector hospital and to identify the areas that need improvement and can be worked upon. Methods. A semi-structured questionnaire was used to interview the parents of the neonates on the day of discharge. Fifteen questions were categorised into four domains, namely interpersonal relationships with staff, parents' involvement, staff competence and services offered by the health system. Parental satisfaction level was marked on a three-point Likert scale, 0 corresponding to highly dissatisfied, and 2 to completely satisfied for each of the 15 questions. Results. Out of 100 patients interviewed, communication was the chief determinant of their satisfaction. Parents expressed fair satisfaction levels with regard to the emotional support and encouragement received, but discontent at being unable to look after their own baby and breastfeed the baby. They were satisfied with the competence of the staff. Conclusion. The traditional system of NICU care was not satisfying for the parents in many aspects and changes in the form of familycentred care should be tried for greater parental satisfaction. S Afr J Child Health

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“…Empowerment and reinforcement 4,5,15,17,21,22 Obstacle High expectation of family 9,10,13 Negative opinion of medical staff 9,10,13,20 Strategy Leadership 14 Participation of family 17,19 Continuing support from staff 14,17,19,22 Communication Description Improving communication 3,10,15,18 Consideration for family 10,18,21 Sharing care plan 3,15,21 Obstacle Language barrier 4,7,11,15,19 Poor understanding 10,11,15,17 Handing out bad news 9,12 Strategy Using easy words 4,6,15,22 Interpreter training 19 Mediative participation of nurse 1,16,25 Understanding of culture …”

Section: 가족과 의료진의 협력mentioning

confidence: 99%

“…Rosen et al 21 Descriptive study 27 patients, 53 staff members Physician, senior resident, intern, medical student, nurses, care coordinator, social worker, and pharmacist, patient, family or legal guardian…”

Section: Nonementioning

confidence: 99%

Family-Centered Care for Hospitalized Children: Concept Analysis

Jung¹,

Tak²

2017

Child Health Nurs Res

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Purpose: Involvement of families in rounds is one strategy to implement patient-and family-centered care to help families get clear information about their child, and be actively involved in decision making. The purpose of this paper was to identify the major concepts of family-centered rounds for hospitalized children. Methods: We searched five electronic databases for relevant articles and used Whittemore and Knafl' s integrative review methods to synthesize the literature. Articles published between June 2003 and January 2016 were reviewed and through full text screening 24 peer-reviewed articles were found that met the selection criteria for this review. This is an Open Access article distributed under the terms of the Creative Commons Attribution NonCommercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Effects of implementing family-centered rounds (FCRs) in a neonatal intensive care unit (NICU)

Cited by 72 publications

References 23 publications

Pediatrics Residents' Perspectives on Family-Centered Rounds: A Qualitative Study at 2 Children's Hospitals

Pediatrics Residents' Perspectives on Family-Centered Rounds: A Qualitative Study at 2 Children's Hospitals

Parental Satisfaction of Traditional System of Neonatal Intensive Care Unit Services in a Public Sector Hospital in North India

Family-Centered Care for Hospitalized Children: Concept Analysis

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