Engaging Families in Bedside Rounds to Promote Pediatric Patient Safety
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 340
- Locations
- 1
- Primary Endpoint
- Parent perceptions of hospital safety climate
Study Overview
Brief Summary
The goal of this study is to develop, implement, and evaluate the effectiveness of an intervention designed to facilitate family engagement during bedside rounds at a children's hospital. The intervention consists of a "checklist" of key behaviors associated with the delivery of quality family-centered rounds, as well as training in the use of the checklist tool. In a pre-post controlled design, two hospital services will be randomized to use the checklist while two others will be randomized to usual care. The intervention is expected to increase to the performance of key checklist behaviors, family engagement, and family perceptions of patient safety.
Detailed Description
Family engagement in children's healthcare encounters has been suggested as a means to improve safety. To engage families in care, the recommended practice is to conduct rounds at the child's bedside with the family present (family-centered rounds). Family-centered rounds strive to engage families in (1) a relationship with care providers, (2) exchange of information for decision making, and (3) deliberation about decisions. Bedside rounds represent a consistent venue to engage families in the care of hospitalized children, yet no studies have systematically identified and examined the barriers and facilitators of family engagement during rounds as a means to improve safety.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- — to 17 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Admitted as an inpatient on the pediatric hospitalist service, pulmonary service, or hematology/oncology service, during the study period.
Exclusion Criteria
- •Stigmatizing/sensitive reason for hospitalization (e.g., suspected non-accidental trauma or mental health concerns)
- •New cancer diagnosis
- •Parent(s) unable to speak or read English
- •Parent(s) unavailable to consent (absent or sleeping during recruitment visits)
- •Already participated in the study during a prior inpatient admission
Arms & Interventions
Family-centered rounds checklist
During the "post-intervention" period, health care team members on two pediatric inpatient services received the Family-centered Rounds Checklist tool, as well as training in how to use the checklist in the delivery of effective family-centered rounds
Intervention: Family-centered rounds checklist tool (Other)
Usual care
Two pediatric inpatient services were not provided the Family-centered rounds checklist tool, and delivered morning rounds in their usual manner. These services served as a control.
Outcomes
Primary Outcomes
Parent perceptions of hospital safety climate
Time Frame: Change between baseline (inpatient admission) and study completion (discharge from hospital, an average of 6 days)
Children's Hospital Safety Climate survey
Family engagement in rounds
Time Frame: Every family-centered morning round that occurred during the patient's hospital stay through study completion, an average of 6 days
Video data was collected for every morning round over the course of the patient's hospital stay. These videos were coded for measures of family engagement in rounds using established and validated coding systems (e.g. RIAS).
Secondary Outcomes
- Checklist item performance(Every family-centered morning round that occurred during the patient's hospital stay through study completion, an average of 6 days)