title: A Quality Improvement Project to Increase Nurse Attendance on Pediatric Family Centered Rounds.
abstract: Family centered rounds (FCR) occur at the bedside and include the patient and their family when creating a daily medical care plan. Despite recommendations that family centered rounds (FCR) with nursing staff be standard practice, nurses were frequently absent from FCR at our institution.
  
  
  OBJECTIVE
  To increase nurse attendance on hospitalist FCR to 80% in three months. Secondary outcomes were to investigate the relationship between nurse-to-patient ratio and nurse attendance, and to assess for change in perception toward FCR.
  
  
  METHODS
  This resident driven interrupted time series study included a focus group to identify barriers to nurse attendance on FCR, four plan-do-study-act cycles, and surveys to assess for changes in perceptions toward FCR. Control charts, SHEWHART rules, linear regression and chi squared analysis were used for data analysis.
  
  
  RESULTS
  Nurse attendance on FCR improved from 30% to 59%. There was no correlation between nurse-to-patient ratio and nurse attendance on FCR. Surveys indicated increase in the perception that it is helpful to have a nurse present at FCR.
  
  
  CONCLUSIONS
  A resident driven quality improvement project can increase nurse presence on FCR.
authors.affiliation: Pediatric Hospital Medicine, Tufts Floating Hospital for Children, Boston, MA. Electronic address: earagona@tuftsmedicalcenter.org.
authors.forename: Elena
authors.initials: E
authors.lastname: Aragona
authors.affiliation: Pediatric Emergency Medicine, Phoenix Children's Hospital, Phoenix, AZ.
authors.forename: Jose
authors.initials: J
authors.lastname: Ponce-Rios
authors.affiliation: Pediatric Hospital Medicine, Tufts Floating Hospital for Children, Boston, MA.
authors.forename: Priya
authors.initials: P
authors.lastname: Garg
authors.affiliation: Pediatric Hospital Medicine, Tufts Floating Hospital for Children, Boston, MA.
authors.forename: Julia
authors.initials: J
authors.lastname: Aquino
authors.affiliation: Section of Hospital Medicine, Wolfson Children's Hospital, Jacksonville, FL.
authors.forename: Jeffrey C
authors.initials: JC
authors.lastname: Winer
authors.affiliation: Pediatric Hospital Medicine, Tufts Floating Hospital for Children, Boston, MA.
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Schainker
mesh_terms: D000046:Academic Medical Centers; D002648:Child; D002675:Child, Preschool; D005260:Female; D005431:Florida; D017144:Focus Groups; D006801:Humans; D008297:Male; D010347:Patient Care Planning / Q000458:organization & administration*; D018802:Patient-Centered Care / Q000458:organization & administration*; D010371:Pediatric Nursing / Q000706:statistics & numerical data*; D010372:Pediatrics; D011368:Professional-Family Relations; D058996:Quality Improvement; D056164:Teaching Rounds; D000078329:Workforce
keywords: Family centered rounds; Multidisciplinary rounds