Implementing family-centered rounds: pediatric residents' perceptions.
OBJECTIVE
Many hospitals are adopting family-centered rounds (FCRs). Limited studies suggest that FCRs improve family and staff satisfaction. No study has investigated residents' opinions about FCRs. We sought to elicit house staff opinions regarding structure, teaching, and patient care with FCRs.


METHODS
In fall 2006, FCRs were implemented at Alfred I duPont Hospital for Children, a freestanding children's hospital. Between March and June 2008, a cross-sectional study was mailed to pediatrics and medicine-pediatric residents.


RESULTS
Nearly all (89%) respondents supported FCRs somewhat (50%) or strongly (39%). House staff cited improved relationships with other providers, increased parent/family satisfaction, decreased need for plan clarification, and improved, "nondidactic" teaching. Concerns persisted about didactic teaching and efficiency. The most important factor associated with resident satisfaction was the attending physician.


CONCLUSIONS
Residents support the use of FCRs.Training for inpatient attending physicians should include facilitation of FCRs. Concerns about efficiency and didactic teaching should be considered when implementing FCRs.
Rappaport
David I
DI
Department of Pediatrics, Alfred I duPont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803, USA. drappapo@nemours.org
Cellucci
Michael F
MF
Leffler
Maureen G
MG
D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005260:Female; D006776:Hospitals, Pediatric; D006784:Hospitals, Teaching; D006801:Humans; D007396:Internship and Residency; D008297:Male; D018802:Patient-Centered Care / Q000379:methods*; D010549:Personal Satisfaction; D011368:Professional-Family Relations; D011369:Professional-Patient Relations; D011787:Quality of Health Care; D011795:Surveys and Questionnaires; D013663:Teaching / Q000379:methods; D055815:Young Adult