Participation of Parents of Hospitalized Children in Medical Rounds: A Qualitative Study on Contributory Factors

Oort, Peter J.S. van; Maaskant, Jolanda; Smeulers, Marian; Oostrum, Nicky van; Vermeulen, Eric; Goudoever, Johannes B. van

doi:10.1016/j.pedn.2019.02.033

Cited by 13 publications

(12 citation statements)

References 25 publications

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“…25,57 Not all families are interested in the clinical details of their child's care or may find the rounding experience uncomfortable or intimidating in the presence of large groups. 26,29,31,41,45 To increase family engagement in the clinical decision-making process, researchers may need to organically reassess the best approaches to achieving this goal, with FCRs as 1 of several mechanisms available to help families accomplish this. If use of the rounding mechanism remains the most feasible approach, we recommend that more research is needed to make the design of rounds more family centered.…”

Section: Discussionmentioning

confidence: 99%

“…Studies were drawn from all regions of the United States, with 5 studies (9%) from Canada [23][24][25] and Europe. 26,27 Overall, 96% of studies were either observational (64%) or quasi-experimental (primarily quality improvement projects; 32%). The aggregate estimated sample count was 4000 (range: 2-1224) clinicians and 9500 (range: 5-3106) patients.…”

Section: Nature and Scope Of Studies Examining Implementation Of Fcrs By Scoping Review Aimmentioning

confidence: 99%

“…Families and patients 2,3,7,23,24,26,29,30,33,36,37,39-43,44,45,48,49,51,53,55,60-62 26 (67) Attending physicians 3,7,[24][25][26][27]36,37,39,40,48,51,53,56,59,60,62,63 18 (46)…”

Section: Individualmentioning

confidence: 99%

“…Nurses 3,7,23,24,26,27,36,37,39,44,47,48,51,54-56,60,63,68 19 (49) Trainees (physicians and/or students) 3,7,23,25,27,36,39,40,44-46,48,50,51,53,55,57-59,62 20 (51) Intervention Variability of rounds approach (eg, timing, roles, and/or content) 3,7,23,[25][26][27]29,36,40,43,[45][46][47][48]53,[55][56][57][58][59][60][61][62]64 24 (62) Duration and efficiency of rounds 3,7,23-25,27,29,36,37,39,40,45,46,49,53,55-62,64,65 25 (64) Sensitivity to the patient situation 3,7,23-25,27,37,39,40,43-46,49,50,58,62 17 (44) Family concerns about speaking and/or participating in rounds (eg, need for interpreter services or team size) 2,3,7,24,26,27,29,33,37,40,41,[43][44][45]48,49,53,…”

Section: Individualmentioning

confidence: 99%

“…Frequency of Explicitly Detailed FCR Elements in Studies (N = 36 Studies) -3,23-26,28-35,38-41,43,51-59,61,65,67-71 (100)Physician trainees and students[1][2][3][23][24][25][26][28][29][30][31][32][33]35,[38][39][40][41]43,[51][52][53][54][55][56][57][58][59]65,[67][68][69][70] (97)Nurse[1][2][3][23][24][25][26][28][29][30][31][32][33][34][35][38][39][40]…”

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confidence: 99%

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Implementing Family-Centered Rounds in Hospital Pediatric Settings: A Scoping Review

Knighton

Bass

2021

Hospital Pediatrics

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CONTEXT The American Academy of Pediatrics and Institute for Patient and Family-Centered Care issued a joint policy statement in 2012 recommending family and nurse participation in rounds as a standard practice. OBJECTIVE To synthesize available evidence on the state of the implementation of family-centered rounds (FCRs), including identified barriers to stakeholder acceptance and participation in FCRs in pediatric inpatient settings and implementation strategies to increase adherence and related outcomes. DATA SOURCES PubMed and Medline and the Cochrane Database of Systematic Reviews. STUDY SELECTION Observational and experimental studies from January 2009 to July 2020. DATA EXTRACTON Two reviewers independently screened each study to determine eligibility and extract data. Initial evidence quality was evaluated on the basis of study design. RESULTS A total of 53 studies were included in the final synthesis. FCRs are increasingly accepted by stakeholders, although participation lags. Structural barriers to nurse and family attendance persist. Limited high-quality evidence exists regarding the effectiveness of FCRs and related implementation strategies in improving patient outcomes. The lack of a clear, consistent definition of the elements that combine for a successful FCR encounter remains a significant barrier to measuring its effect. CONCLUSIONS Standardized research methods for improving the quality and comparability of FCR studies are needed to enhance the existing guidelines for FCR use. Structural changes in care delivery may be required to ensure the rounding process remains amenable to the needs of patients and their families.

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Section: Discussionmentioning

confidence: 99%

Section: Nature and Scope Of Studies Examining Implementation Of Fcrs By Scoping Review Aimmentioning

confidence: 99%

“…Families and patients 2,3,7,23,24,26,29,30,33,36,37,39-43,44,45,48,49,51,53,55,60-62 26 (67) Attending physicians 3,7,[24][25][26][27]36,37,39,40,48,51,53,56,59,60,62,63 18 (46)…”

Section: Individualmentioning

confidence: 99%

Section: Individualmentioning

confidence: 99%

mentioning

confidence: 99%

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Implementing Family-Centered Rounds in Hospital Pediatric Settings: A Scoping Review

Knighton

Bass

2021

Hospital Pediatrics

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SuperKid makes it easier: Effect of an intervention prepared with cognitive behavioral technique on reducing fear and pain of children during intravenous insertion

Tuncay¹,

Sarman²,

Budak³

2023

Journal of Pediatric Nursing

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The effect of parental participation in the care of hospitalized children on parent satisfaction and parent and child anxiety: Randomized controlled trial

Çamur

Karabudak

2020

Int J of Nursing Practice

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Background Child hospitalization is a stressful experience for both children and their parents. Parents should establish effective communication with healthcare professionals to be able to participate in the care of their children in the hospital environment. Aims and Objectives The purpose of the study was to determine the effect of parental participation in the care of hospitalized children on parent satisfaction and parent and child anxiety. Design The design used for this study was randomized controlled trial. Methods The study data were collected between 1 February and 31 May 2016. Frequency, percentage, paired t test, Mann–Whitney U and Wilcoxon were used to analyse the data. Results The study compared the parents' pretest and posttest scores on the anxiety and found that there was a statistically significant difference between the posttest scores of intervention and control groups. There was also a statistically significant difference parental participation and overall satisfaction subscales of the parent satisfaction as well as their total scores and mean scores. Comparison of the children's posttest scores on the anxiety inventory also found a statistically significant difference. Conclusion The study concluded that parental participation in the care of hospitalized children increases parent satisfaction with healthcare, and reduces anxiety of both parents and children.

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Participation of Parents of Hospitalized Children in Medical Rounds: A Qualitative Study on Contributory Factors

Cited by 13 publications

References 25 publications

Implementing Family-Centered Rounds in Hospital Pediatric Settings: A Scoping Review

Implementing Family-Centered Rounds in Hospital Pediatric Settings: A Scoping Review

SuperKid makes it easier: Effect of an intervention prepared with cognitive behavioral technique on reducing fear and pain of children during intravenous insertion

The effect of parental participation in the care of hospitalized children on parent satisfaction and parent and child anxiety: Randomized controlled trial

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