AI Article Synopsis

  • The pediatric intensive care unit (PICU) piloted the use of Zoom for hybrid clinical rounds to maintain social distancing during the COVID-19 pandemic.
  • Quantitative data showed that physical rounds took significantly less time compared to virtual rounds, while qualitative feedback highlighted advantages such as better multidisciplinary discussions, but also challenges like reduced engagement for bedside nurses and trainees.
  • Overall, HCWs found the hybrid model feasible, noting it helped limit physical contact but emphasized the need for improvements in team interactions and educational opportunities.

Article Abstract

With the evolving COVID-19 pandemic and the emphasis on social distancing to decrease the spread of SARS-CoV-2 among healthcare workers (HCWs), our pediatric intensive care unit (PICU) piloted the integration of Zoom meetings into clinical rounds. We aimed to explore the feasibility of these hybrid virtual and physical clinical rounds for PICU patients. Mixed quantitative and qualitative deductive thematic content analysis of narrative responses. PICU, single tertiary-care academic center. Multidisciplinary PICU HCWs. Integration of Zoom meeting into clinical daily PICU rounds. For the quantitative part, we gathered the details of daily PICU hybrid rounds in terms of times, number of HCWs, and type of files shared through Zoom. For the qualitative part, open-ended questions were used. The physical round took statistically significantly less time (34.68 ± 14.842 min) as compared with the Zoom round (72.45 ± 22.59 min), < 0.001. The most shared component in the virtual round was chest X-rays (93.5%). Thirty-one HCWs participated in focus group discussions and were included in the analysis. Some of the HCWs' perceived advantages of the hybrid rounds were enabling multidisciplinary discussions, fewer round interruptions, and practicality of virtual discussions. The perceived challenges were the difficulty of the bedside nurse attending the virtual round, decreased teaching opportunities for the trainees, and decreased interactions among the team members, especially if video streaming was not utilized. Multidisciplinary hybrid virtual and physical clinical rounds in the PICU were perceived as feasible by HCWs. The virtual rounds decreased the physical contact between the HCWs, which could decrease the possibility of SARS-CoV-2 spread among the treating team. Still, several components of the hybrid round should be optimized to facilitate the virtual team-members' interactions and enhance the teaching experience.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8417365PMC
http://dx.doi.org/10.3389/fped.2021.720203DOI Listing

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