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Beyond satisfaction: evaluating understanding in PICU family centered rounds. | LitMetric

Beyond satisfaction: evaluating understanding in PICU family centered rounds.

J Commun Healthc

Department of Pediatrics, University of California, San Francisco, CA, USA.

Published: December 2022

AI Article Synopsis

  • - Families attending Family Centered Rounds (FCR) in Pediatric Intensive Care Units (PICUs) reported high satisfaction (82%), but often had difficulties understanding their child's prognosis, with only 27% concordance with doctors.
  • - The study used surveys and interviews to explore family experiences and understanding, revealing themes like medical jargon, feelings of teamwork, the overwhelming nature of rounds, and differing purposes of rounds.
  • - Despite overall satisfaction, the research suggests improvements are needed in FCR to enhance understanding of the child’s care among families, which is crucial for shared decision-making in complex situations.

Article Abstract

Background: Many hospitals have adopted Family Centered Rounds (FCR), as a means to optimize communication. While studies show FCR improves family satisfaction, research on the impact on family understanding of their child's care has been conflicting. Understanding is particularly important when families are asked to share in complex decision making, as occurs in the Pediatric Intensive Care Unit (PICU). This study explores families' experiences of FCR in the PICU and examines how FCR impacts their understanding of their child's care.

Methods: We conducted surveys and interviews of family members after they attended FCR in two PICUs. The survey assessed families' satisfaction with rounds and their understanding across three domains: the child's illness, treatments, and prognosis. Physicians completed a similar survey to examine concordance with families' understanding. In interviews we explored underlying factors. We identified themes from transcripts through thematic analysis.

Results: Twenty-five family members completed the survey and participated in interviews. The majority (82%) rated their satisfaction with FCR highly. Discordance between families and physicians in understanding was common, especially in the prognosis domain, with concordance rates as low as 27%. We identified four themes from interviews that shed light on families' experiences and the relationship between FCR and understanding: Jargon, Feeling Part of the Team, Rounds as Overwhelming and Competing Purposes of Rounds.

Conclusion: Families in our study had similar satisfaction with FCR as previously reported, yet our findings suggest that FCR can be optimized to achieve family understanding. Our findings provide insights into potential ways to accomplish this.

Download full-text PDF

Source
http://dx.doi.org/10.1080/17538068.2021.1996817DOI Listing

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