Other Titles
Rising Star Poster/Presentation
Abstract
Background: Family centered rounding (FCR) is a pediatric evidence-based practice intended to bring healthcare teams, patients, and families together at the bedside in a collaborative approach to care planning. FCR emphasizes communication and shared decision-making between healthcare teams and families, leading to improved patient outcomes. Despite well-documented benefits of FCR, challenges such as inconsistent nursing participation, variability in practices, and workflow disruptions hinder implementation and sustainability of FCR
Aim: This program evaluation was designed and conducted at an urban pediatric hospital to assess the processes, perceptions, and impact of FCR. The overall quality of FCR and the strengths and barriers to FCR practices were also assessed.
Methods: Guided by the Center for Disease Control and Prevention’s Program Evaluation Framework, stakeholders were identified, followed by structured interviews and FCR observations. An interview and observation template was created based on critical rounding elements described in current literature. Evaluation outcomes included the identification and thematization of perceived barriers and strategies to enhance FCR.
Outcomes: 81 rounding interactions were observed with 12 hospitalists. During the observation period, FCR occurred infrequently, with only 18% of patients. 12 hospitalists and 43 registered nurses (RNs) participated in interviews. Themes from hospitalists' perspectives included inconsistent FCR protocols based on patient acuity and RN availability. Themes from RNs included concerns about receiving adequate notice to coordinate for and participate in FCR. Both hospitalists and RNs identified benefits to FCR, which included improved communication, patient/family participation, and teamwork. Recommendations for improving FCR included clinician education regarding elements of FCR, addressing workflow issues such as RN coverage, and improving interdisciplinary attendance/participation in FCR.
Impact: FCR enhances communication and strengthens collaboration between healthcare teams and families, thus improving patient outcomes, making it an important part of patient-and family-centered care.
Notes
References:
1. Fernandes, A. K., Wilson, S., Nalin, A. P., Philip, A., Gruber, L., Kwizera, E., Sydelko, B. S., Forbis, S. G., & Lauden, S. (2021). Pediatric family-centered rounds and humanism: A systematic review and qualitative meta-analysis. Hospital Pediatrics, 11(6), 636–649. https://doi-org.libproxy.boisestate.edu/10.1542/hpeds.2020-000240
2. Kulesa, J. T., Tyris, J. N., McQuiston-Lane, K., Herstek., J., & Rush., M. L. (2023). Increasing nurse-physician family-centered rounds communication. A quality improvement pilot project. The Journal of Nursing Care Quality, 38(4),304-311. doi: 10.1097/NCQI.00000000000000701
3. Palka, C., Malakh, M., Hill, E., Baron, E., Fisher, J., Kohne, J., Michalski, A., Pehovic, R. A., Roberts, K. H., Townsend, S., Vittorino, R., & Wester, A. (2022). Family-centered rounds. Michigan Medicine, University of Michigan. https://www-ncbi-nlm-nih-gov.libproxy.boisestate.edu/books/NBK582289/
Sigma Membership
Mu Gamma at-Large
Type
Poster
Format Type
Text-based Document
Study Design/Type
Other
Research Approach
Other
Keywords:
Family Centered Rounding, Pediatric Patients, Evidence-based Practice
Recommended Citation
Schmidt, Kristy and Doyon, Katherine, "A Program Evaluation of Pediatric Family Centered Rounding" (2025). International Nursing Research Congress (INRC). 189.
https://www.sigmarepository.org/inrc/2025/posters_2025/189
Conference Name
36th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Seattle, Washington, USA
Conference Year
2025
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
Review Type
Invited Presentation
Acquisition
Proxy-submission
A Program Evaluation of Pediatric Family Centered Rounding
Seattle, Washington, USA
Background: Family centered rounding (FCR) is a pediatric evidence-based practice intended to bring healthcare teams, patients, and families together at the bedside in a collaborative approach to care planning. FCR emphasizes communication and shared decision-making between healthcare teams and families, leading to improved patient outcomes. Despite well-documented benefits of FCR, challenges such as inconsistent nursing participation, variability in practices, and workflow disruptions hinder implementation and sustainability of FCR
Aim: This program evaluation was designed and conducted at an urban pediatric hospital to assess the processes, perceptions, and impact of FCR. The overall quality of FCR and the strengths and barriers to FCR practices were also assessed.
Methods: Guided by the Center for Disease Control and Prevention’s Program Evaluation Framework, stakeholders were identified, followed by structured interviews and FCR observations. An interview and observation template was created based on critical rounding elements described in current literature. Evaluation outcomes included the identification and thematization of perceived barriers and strategies to enhance FCR.
Outcomes: 81 rounding interactions were observed with 12 hospitalists. During the observation period, FCR occurred infrequently, with only 18% of patients. 12 hospitalists and 43 registered nurses (RNs) participated in interviews. Themes from hospitalists' perspectives included inconsistent FCR protocols based on patient acuity and RN availability. Themes from RNs included concerns about receiving adequate notice to coordinate for and participate in FCR. Both hospitalists and RNs identified benefits to FCR, which included improved communication, patient/family participation, and teamwork. Recommendations for improving FCR included clinician education regarding elements of FCR, addressing workflow issues such as RN coverage, and improving interdisciplinary attendance/participation in FCR.
Impact: FCR enhances communication and strengthens collaboration between healthcare teams and families, thus improving patient outcomes, making it an important part of patient-and family-centered care.
Description
Family centered rounding (FCR) is a key practice in pediatric care that fosters collaboration, shared decision-making, and improved outcomes. Despite its benefits, challenges such as inconsistent nursing participation and practice variability hinder effectiveness. A program evaluation at a pediatric hospital assessed FCR, revealing barriers and facilitators. Findings highlight the need for standardized protocols and improved interdisciplinary participation to enhance FCR.