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Family-centered Multidisciplinary Rounds Enhance the Team Approach in Pediatrics
Abstract
OBJECTIVE. The objective of this study was to determine the impact of family-centered multidisciplinary rounds on an inpatient pediatric ward. We hoped to (1) gain a better understanding of the patient and family experience with family-centered multidisciplinary rounds, (2) measure hospital staff satisfaction with family-centered multidisciplinary rounds compared with conventional rounds, and (3) understand the time commitment for family-centered multidisciplinary rounds and conventional rounds. METHODS. A quasi-experimental design was undertaken during a 2-week period. During the first week, the hospital staff conducted conventional rounds. Families were surveyed daily, and the staff were surveyed at the end of the week regarding their experiences. During the second week, newly admitted patients received family-centered multidisciplinary rounds at the bedside. Again, both families and staff were surveyed. Observers recorded the interactions between families and staff and measured the time required to conduct rounds. RESULTS. A total of 27 patients were admitted during the 2-week study period. No significant differences were found in family satisfaction between conventional rounds and family-centered multidisciplinary rounds. A total of 53 surveys were collected from staff members. The staff reported better understanding of the patients' medical plans, better ability to help the families, and a greater sense of teamwork with family-centered multidisciplinary rounds compared with conventional rounds. It required an additional 2.7 minutes per patient during rounds for family-centered multidisciplinary rounds. With family-centered multidisciplinary rounds, the family affected the medical decision-making discussion in 90% of cases. CONCLUSIONS. Family-centered multidisciplinary rounds is a method of conducting inpatient hospital rounds that fosters teamwork and empowers hospital staff. The patient and family are engaged in and are the focal point of the rounds. Staff members are able to hear everyone's perspective and give input. The impact on staff satisfaction and the family's ability to participate in their care is significant.
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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 [70]
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 [70]
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 [70]
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References 19 · Cited by 158
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Metadata
- Authors
- Rosen, P., Stenger, E., Bochkoris, M., Hannon, M. J., & Kwoh, C. K.
- Affiliations
- University of Pittsburgh (US)
- Children's Hospital of Pittsburgh (US)
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2009-04-01
- Volume
- 123
- Issue
- 4
- Pages
- e603-e608
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W2053438899
- Cited by
- 158
- References
- 19
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 3 · 2023: 9 · 2022: 9 · 2021: 12 · 2020: 6 · 2019: 7 · 2018: 17 · 2017: 9 · 2016: 14 · 2015: 9 · 2014: 16 · 2013: 10 · 2012: 13
- FWCI
- 20.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Medical Center, University of Pittsburgh
- Topics
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Family and Patient Care in Intensive Care Units
- Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- family-centered care, multidisciplinary rounds, pediatric inpatient care, family involvement in medical decision-making, staff satisfaction, teamwork, family satisfaction
- MeSH terms
- Adolescent, Female, Hospitals, Pediatric, Hospitals, Teaching, Humans, Male, Medical Staff, Hospital, Patient Care Team, Pediatrics, Pennsylvania, Professional-Family Relations, Models, Organizational
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