Family-Centered Rounds on Pediatric Wards: A PRIS Network Survey of US and Canadian Hospitalists

Mittal, Vineeta; Sigrest, Ted D.; Ottolini, Mary; Rauch, Daniel A.; Lin, Hua; Kit, Brian K.; Landrigan, Christopher P.; Flores, Glenn

doi:10.1542/peds.2009-2364

Cited by 142 publications

(134 citation statements)

References 14 publications

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“…13 A possible solution to address time-intensive care coordination needs for CMC include the formation of multidisciplinary teams that conduct family-centered rounds to allow all involved in the care of the complex child, including family, medical staff, and bedside nurses to be included in the decision-making. [17][18][19][20][21] Families are the pediatric patient's main source of support, and offer the health care team valuable information unique to their child which helps in decisionmaking and may positively affect health outcomes. 17 Through meticulous familycentered care coordination, the hospitalist may be able to spend more time at the bedside with the families and patients to make appropriate medical decisions regarding the care of the child.…”

Section: Discussionmentioning

confidence: 99%

“…First, the survey was sent to a Listserv made up of primarily pediatric hospitalists and we are unsure how representative the sample is of the pediatric hospitalist community across the country because 75% of respondents held an academic appointment (a similar demographic fi nding in a recent Pediatric R esearch in Inpatient Settings study survey 18 ). Second, the response rate was low (approximately 20%) and we cannot determine how many people actually received the survey.…”

Section: An Official Journal Of the American Academy Of Pediatricsmentioning

confidence: 99%

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Pediatric Hospitalists’ Perspectives on the Care of Children With Medical Complexity

Adame

Rocha

Louden

et al. 2011

Hospital Pediatrics

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OBJECTIVE: The aims of this study were to identify pediatric hospitalists' perceived views of (1) barriers to delivering care to children with medical complexity (CMC) and (2) their preferred model of inpatient health care delivery for CMC. SUBJECTS:American Academy of Pediatrics Section on Hospital Medicine (AAP-SOHM) Listserv subscribers. METHODS:We conducted a cross-sectional survey of subscribers of the AAP-SOHM Listserv using the survey instrument SurveyMonkey®. Our survey was coadministered with a survey on pediatric hospitalist career satisfaction. RESULTS:The most signifi cant barriers to delivering care to CMC were (1) time constraints (89%), (2) inadequate postdischarge resources (75%), and (3) lack of evidence-based guidelines (64%). Although most pediatric hospitalists in an inpatient service currently care for both CMC and non-CMC patients (91%), only 25% perceive this to be the optimal service model for CMC. The majority of hospitalists (56%) believe that CMC are better served by either an inpatient service dedicated to CMC (30%) or comanaged with an inpatient consult service for CMC (26%). CONCLUSIONS:Identifying the perceived barriers to delivering care to CMC can assist pediatric hospitalists to design studies determining if care delivery is affected by these barriers. Most hospitalists care for CMC on the same service as uncomplicated patients, yet over half perceive that a different model of care delivery would better serve the needs of CMC.

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Section: Discussionmentioning

confidence: 99%

Section: An Official Journal Of the American Academy Of Pediatricsmentioning

confidence: 99%

Pediatric Hospitalists’ Perspectives on the Care of Children With Medical Complexity

Adame

Rocha

Louden

et al. 2011

Hospital Pediatrics

View full text Add to dashboard Cite

show abstract

“…Survey questions were modeled after questions used in the Pediatric Research in the Inpatient Setting Network 2007 Pediatric Hospitalist Triennial Survey and a 2009 survey of PHM fellowship graduates. 3,6,8 Questions were modified to target current participants and additional questions on training background were added. The authors achieved consensus regarding survey questions through an iterative process involving discussion about each question, resulting in a final survey tool that included 45 questions of different types.…”

Section: Methodsmentioning

confidence: 99%

Current Roles and Perceived Needs of Pediatric Hospital Medicine Fellowship Graduates

Oshimura

Bauer

Shah

et al. 2016

Hospital Pediatrics

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OBJECTIVES: Pediatric hospitalists report the need for additional training in clinical and nonclinical domains. Pediatric hospital medicine (PHM) fellowships seek to provide this training and produce leaders in the field. Our objective is to describe current roles and perceived training needs of PHM fellowship graduates. METHODS: In 2014, all PHM fellowship graduates were asked to complete a Web-based survey. Survey questions addressed demographics, past training, current roles, and training needs in clinical care, research, education, and administration. Associations between fellowship experiences and outcomes were examined. RESULTS: Fifty-one of 61 eligible individuals completed the survey. Average duration as a pediatric hospitalist was 5 years. Ninety percent completed pediatric categorical residency, whereas 10% completed an Internal Medicine-Pediatrics Residency. Most respondents completed a 1- (38%) or 2-year (46%) fellowship program. Ninety-six percent of respondents currently work in academic environments. The perceived need for additional clinical training was low, except procedures (44%). Nearly all teach medical students and pediatric residents, reporting adequate training in variety of teaching strategies. The majority of respondents conduct research, most commonly quality improvement (QI; 67%) and education (52%). Two-thirds are first authors on at least 1 peer-reviewed article. Research training needs include QI methodology (44%), biostatistics (43%), and obtaining funding (54%). A considerable number of respondents have academic leadership positions. CONCLUSIONS: PHM fellowship graduates are academic hospitalists with diverse responsibilities. Despite a short average career span, many have achieved leadership roles and been academically productive. Future curriculum development should focus on procedures, QI, and research training.

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“…Initial studies were generated through surveys of members, through which variability in systemic organization and variation in the management of clinical conditions and systems-based issues across inpatient settings was identified and quantified. [6][7][8] In the 2000s, as PRIS grew as a network, the research capacity of individuals within the field also grew. An increasing number of hospitalists began dedicating their academic careers to pursuing rigorous methodological training and conducting pediatric hospital medicine research.…”

Section: Hospital Medicine Research: Growth and Developmentmentioning

confidence: 99%

Development of the pediatric research in inpatient settings (PRIS) network: Lessons learned

Srivastava

Landrigan

2012

Journal of Hospital Medicine

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Family-Centered Rounds on Pediatric Wards: A PRIS Network Survey of US and Canadian Hospitalists

Abstract: FCRs were the most-common rounding category among respondents. FCRs were not associated with a self-reported increase in rounding duration. Successful FCR implementation may require educating staff members and trainees about FCR benefits and addressing FCR barriers.

Cited by 142 publications

References 14 publications

Pediatric Hospitalists’ Perspectives on the Care of Children With Medical Complexity

Pediatric Hospitalists’ Perspectives on the Care of Children With Medical Complexity

Current Roles and Perceived Needs of Pediatric Hospital Medicine Fellowship Graduates

Development of the pediatric research in inpatient settings (PRIS) network: Lessons learned

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