Family Participation during Intensive Care Unit Rounds: Goals and Expectations of Parents and Health Care Providers in a Tertiary Pediatric Intensive Care Unit

被引:17
|
作者
Stickney, Carolyn A. [1 ]
Ziniel, Sonja I. [2 ,3 ,4 ]
Brett, Molly S. [5 ]
Truog, Robert D. [5 ,6 ]
机构
[1] Boston Childrens Hosp, Div Med Crit Care, Dept Med, Boston, MA 02115 USA
[2] Boston Childrens Hosp, Div Adolescent Med, Boston, MA 02115 USA
[3] Boston Childrens Hosp, Ctr Patient Safety & Qual Res, Program Patient Safety & Qual, Boston, MA 02115 USA
[4] Harvard Univ, Sch Med, Dept Pediat, Boston, MA 02115 USA
[5] Boston Childrens Hosp, Dept Anesthesiol Perioperat & Pain Med, Boston, MA 02115 USA
[6] Harvard Univ, Div Med Eth, Dept Global Hlth & Social Med, Sch Med, Boston, MA USA
来源
JOURNAL OF PEDIATRICS | 2014年 / 165卷 / 06期
关键词
BEDSIDE;
D O I
10.1016/j.jpeds.2014.08.001
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Objective To compare perceptions, goals, and expectations of health care providers and parents regarding parental participation in morning rounds and target specific areas of opportunity for educational interventions. Study design Semistructured interviews of parents and focus groups of health care providers to learn about their experiences in, goals for, and perceived barriers to successful parental participation in morning rounds. Qualitative methods were used to analyze interview and focus group transcripts. Results Parents (n = 21) and health care providers (n = 24) participated in interviews and focus groups, respectively. Analyses revealed key areas of agreement between providers and parents regarding goals for rounds when parents are present, including helping parents achieve an understanding of the child's current status and plan of care. Providers and parents disagreed, however, about the nature of opportunities to ask questions. Parents additionally reported a strong desire to provide expert advice about their children and expected transparency from their care team, while providers stated that parental presence sometimes hindered frank discussions and education. Conclusions Some agreement in goals for parent participation in morning rounds exists, although there are opportunities to calibrate expectations for both parents and health care providers. Solutions may involve a protocol for orienting parents to morning rounds, focusing on improving communication with parents outside of morning rounds, and the preservation of a forum for providers to have private discussions as a team.
引用
收藏
页码:1245 / +
页数:8
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