Family-Centered Bedside Rounds: A New Approach to Patient Care and Teaching

Author:

Muething Stephen E.1,Kotagal Uma R.2,Schoettker Pamela J.2,del Rey Javier Gonzalez3,DeWitt Thomas G.1

Affiliation:

1. Department of General and Community Pediatrics

2. Center for Health Policy and Clinical Effectiveness

3. Pediatric Residency Program, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio

Abstract

The importance of patient-centered care and the role of families in decision-making are becoming more recognized. Starting with a single acute care unit, a multidisciplinary improvement team at Cincinnati Children's Hospital developed and implemented a new process that allows families to decide if they want to be part of attending-physician rounds. Family involvement seems to improve communication, shares decision-making, and offers new learning for residents and students. Despite initial concerns of staff members, family-centered rounds has been widely accepted and spread throughout the institution. Here we report our experiences as a potential model to improve family-centered care and teaching.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

Reference17 articles.

1. Institute of Medicine, Committee on Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press; 2001

2. American Academy of Pediatrics, Committee on Hospital Care. Family-centered care and the pediatrician's role. Pediatrics. 2003;112:691–696

3. Accreditation Council for Graduate Medical Education. Program requirements for residency education in pediatrics. Available at: www.acgme.org/acWebsite/downloads/RRC_progReq/320pr106.pdf. Accessed July 6, 2006

4. Kassity N, Lockridge T. Should parents participate in patient rounds in the NICU. MCN Am J Matern Child Nurs. 1999;24:64–65

5. Fletcher KE, Rankey DS, Stern DT. Bedside interactions from the other side of the bedrail. J Gen Intern Med. 2005;20:58–61

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