Parental Presence on Pediatric Intensive Care Unit Rounds
Abstract
Objective To comprehensively evaluate the effect of parental presence on pediatric intensive care unit rounds. Study design A prospective, observational and survey-based study comprised of (1) observation of rounds (2) "rounding event assessments" (brief surveys specific to 1 rounding event, completed by health care providers [HCPs] n = 375) (3) qualitative interviews with parents (36 who joined rounds and 16 who elected not to join), and (4) qualitative written surveys from HCPs (63 nurses, 39 doctors). Results Eighty-one percent of parents who chose to join rounds reported that participation increased their overall satisfaction with their child's care. In 57% of rounding events, at least 1 HCP learned new, pertinent information from the parents. However, in 32% of rounding events, at least 1 HCP believed parental presence limited discussion. Forty-seven percent of parents who participated in rounds and 88% of those who chose not to participate volunteered that participation has the potential to increase parental confusion and anxiety (P = .02). Conclusions Most parents and physicians agree that parents should be invited to participate on rounds. Parents report increased satisfaction from participation, and parents provide new information when on rounds. However, parental presence may limit discussion during rounds which may adversely affect patient care.
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FCR may increase family understanding and sharing in decision-making, and their sense of respect from the medical team.
“Despite the scarcity of accepted FCR measures, studies report that FCR may increase family understanding and sharing in decision-making, and their sense of respect from the medical team [22, 35, 38, 69, 70].”
From Family-Centered Care: Current Applications and Future Directions in Pediatric Health Care (2012) · cites this paper as [22]
FCR may increase providers' sense of teamwork.
“FCR may increase providers’ sense of teamwork, and from 45–90% of the time, generate new, previously unknown information from the family [22, 35, 38, 69, 70].”
From Family-Centered Care: Current Applications and Future Directions in Pediatric Health Care (2012) · cites this paper as [22]
FCR generates new, previously unknown information from the family from 45-90% of the time.
“FCR may increase providers’ sense of teamwork, and from 45–90% of the time, generate new, previously unknown information from the family [22, 35, 38, 69, 70].”
From Family-Centered Care: Current Applications and Future Directions in Pediatric Health Care (2012) · cites this paper as [22]
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(2009) · The Journal of Pediatrics · doi:10.1016/s0022-3476(09)00820-8
Moraes, É. S. (2022) · doi:10.47749/t/unicamp.2022.1374416
Understanding Parental Emotions
Odeh, R. M., Brigi, C., Walia, T., & Hashim, R. (2024) · International Journal of Dentistry · doi:10.1155/2024/5893717
Wong, P., Gamble, A. S., Chen, R. T., & Endacott, R. (2025) · JBI Evidence Synthesis · doi:10.11124/jbies-24-00154
Knighton, A. J., Bass, E. J., McLaurin, E. J., Anderson, M., Baird, J. D., Cray, S., Destino, L., Khan, A., Liss, I., Markle, P., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20329666
Development and Validation of a Family Caregiver Constraint Index
Tjia, J., Asiedu, E. A., Baek, J., Lapane, K. L., Ash, A. S., Flahive, J., DeSanto‐Madeya, S., & Yang, C. (2026) · JAMA Network Open · doi:10.1001/jamanetworkopen.2026.15350
Evaluating the Sustained Impact of a Virtual Rounding Queue Software on Family-Centered Rounding
Fleming, J., Pitt, M. B., Lunos, S., Hassan, M., Sartori, J., Rizvi, R. F., Scheurer, J. M., & Quade, A. (2026) · Hospital Pediatrics · doi:10.1542/hpeds.2025-009150
Resident Perspectives on Post-Rounds Communication With Families Using Diverse Languages
Lieberman, A., Russell, C. J., Huffman, L. C., & Castellanos, A. (2026) · Hospital Pediatrics · doi:10.1542/hpeds.2025-008845
Marston, M. T., Perez, M., & Ramelet, A. (2026) · Australian Critical Care · doi:10.1016/j.aucc.2026.101692
- Authors
- Cameron, M. A., Schleien, C. L., & Morris, M. C.
- Affiliations
- Morgan Stanley Children's Hospital (US)
- Corresponding author
- Morris, Marilyn C.
- Venue
- The Journal of Pediatrics
- Publisher
- Elsevier BV
- Published
- 2009-10
- Volume
- 155
- Issue
- 4
- Pages
- 522-528.e1
- ISSN
- 0022-3476 (ISSN-L)
- OpenAlex
- W2001800746
- Cited by
- 97
- References
- 10
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 5 · 2023: 5 · 2022: 9 · 2021: 4 · 2020: 3 · 2019: 8 · 2018: 3 · 2017: 12 · 2016: 7 · 2015: 7 · 2014: 6 · 2013: 9 · 2012: 5
- FWCI
- 8.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Radiological and Ultrasound Technology › Family and Patient Care in Intensive Care Units
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Ethics and Legal Issues in Pediatric Healthcare
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Keywords
- parental presence, pediatric intensive care unit, clinical rounds, parental involvement, parental satisfaction, parent-physician communication, parental anxiety, family involvement in care
- MeSH terms
- Adult, Attitude of Health Personnel, Child, Critical Care, Female, Humans, Male, Parents, Pediatrics, Physician-Patient Relations, Professional-Family Relations, Cohort Studies, Patient Satisfaction, Problem-Based Learning, Health Care Surveys
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