and 2 other(s)
Family centered rounds in the pediatric intensive care unit ; a literature study Ariënne Bogaert RN, Marjorie de Neef MsC EBP Pediatric intensive care Unit, Emma Children’s Hospital, Academic Medical Center Amsterdam, the Netherlands Background and aims: In the ward round, the treatment plan is evaluated and adjusted. Education to fellows and physician-assistants is an essential part of this. The ACCM and the AAP recommend that the parents participate in this rounds, Family Centered Rounds (FCR) . The aim of this literature study is to describe the impact of parental participation in ward rounds at the pediatric intensive care unit (PICU) from the perspective of the patient, the parents and the healthcare professionals. Methods: We searched PubMed and Cinahl for relevant studies between 2006 and 2017. Search terms were: pediatric intensive care unit, rounds, Family centered rounds, Shared decision making, Parental presence, Parent participation. All identified titles were independently reviewed for relevance by two investigators by using the Critical Appraisal Skills Programme and Cochrane (AB, MN). Results: We found 46 articles. After screening titles and abstracts 12 articles were selected for a critical review. FCR can contribute to more understanding and respect between parents and healthcare professionals and leads to higher satisfaction among parents. Parents feel more involved in decision-making and there is better communication between parents and healthcare professionals. Healthcare professionals often have incorrect assumptions, (e.g. higher stress level in the parents, less teaching opportunities and less efficient worktime). No research was found with regard to the patient’s experiences Conclusions: This literature study shows that FCRs improves communication between parents and healthcare professionals and ensures a better shared decision making in the PICU.
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