Evidence map›Paper›PMID 36131598›Full record

ArticleJournal of hospital medicine2022

Family, nurse, and physician beliefs on family-centered rounds: A 21-site study.

Shilpa J Patel, Alisa Khan, Ellen J Bass, Dionne Graham, Jennifer Baird, Michele Anderson, Sharon Calaman, Sharon Cray, Lauren Destino, April Fegley and 13 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of hospital medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.1field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 15 institutions in 1 country.

Shilpa J PatelDepartment of Pediatrics, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA.ORCID 0000-0002-9024-2809
Alisa KhanDepartment of Pediatrics, Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-1641-1061
Ellen J BassDepartment of Information Science in the College of Computing and Informatics, Department of Health Systems and Sciences Research in the College of Nursing & Health Professions, School of Biomedical Engineering, Drexel University, Philadelphia, Pennsylvania, USA.
Dionne GrahamDepartment of General Pediatrics, Harvard Medical School, Boston, Massachusetts, USA.
Jennifer BairdInstitute for Nursing and Interprofessional Research, Children's Hospital Los Angeles, Los Angeles, California, USA.ORCID 0000-0002-8355-7984
Michele AndersonFamily-Centered Care Department, Lucile Packard Children's Hospital Stanford, Palo Alto, California, USA.ORCID 0000-0001-8367-3515
Sharon CalamanDivision of Pediatric Critical Care, Department of Pediatrics, NYU Grossman School of Medicine, NYU Langone Health/Hassenfeld Children's Hospital, New York City, New York, USA.
Sharon CrayDepartment of Pediatrics, St. Christopher's Hospital for Children, Philadelphia, Pennsylvania, USA.
Lauren DestinoDepartment of Pediatrics, Lucile Packard Children's Hospital Stanford/Stanford School of Medicine, Palo Alto, California, USA.
April FegleySociety of Hospital Medicine, Philadelphia, Pennsylvania, USA.
Jenna GoldsteinSociety of Hospital Medicine, Philadelphia, Pennsylvania, USA.
Tyler JohnsonDepartment of Pediatrics, Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID 0000-0003-2235-9391
Irene KocolasDepartment of Pediatrics, Primary Children's Hospital, Salt Lake City, University of Utah, Utah, USA.
Kheyandra D LewisDepartment of Pediatrics, St. Christopher's Hospital for Children, Philadelphia, Pennsylvania, USA.
Isabella LissDepartment of Pediatrics, Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA.
Peggy MarklePatient and Family-Centered I-PASS SCORE Family Advisory Council, Boston, Massachusetts, USA.
Jennifer K O'TooleDepartments of Pediatrics and Internal Medicine, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Glenn RosenbluthDepartment of Pediatrics, San Francisco School of Medicine, University of California, San Francisco, California, USA.
Raj SrivastavaDepartment of Pediatrics, Primary Children's Hospital, Salt Lake City, University of Utah, Utah, USA.
Tiffany VaraDivision of Pediatric Hospital Medicine, Kapiolani Medical Center for Women & Children, Hawaii Pacific Health, Honolulu, Hawaii, USA.
Christopher P LandriganDepartment of Pediatrics, Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID 0000-0001-8386-4100
Nancy D SpectorDepartment of Pediatrics, St. Christopher's Hospital for Children, Philadelphia, Pennsylvania, USA.
Andrew J KnightonHealthcare Delivery Institute, Intermountain Healthcare, Murray, Utah, USA.
Boston Children's Hospital · USIntermountain Healthcare · USLucile Packard Children's Hospital · USSt. Christopher's Hospital for Children · USBrigham and Women's Hospital · USChildren's Hospital of Los Angeles · USCincinnati Children's Hospital Medical Center · USDrexel University · USKapiolani Medical Center for Women and Children · USNew York University · USPrimary Children's Hospital · USSchool District of Philadelphia · USUniversity of California, San Francisco · USUniversity of Hawaiʻi at Mānoa · USWalter Reed National Military Medical Center · US

Funding

Patient-Centered Outcomes Research Institute DI-2017C3-9232 Principal Investigator: Dr. Christopher Landrigan
6 · The paper itself

Abstract

backgroundVariation exists in family-centered rounds (FCR).

objectiveWe sought to understand patient/family and clinician FCR beliefs/attitudes and practices to support implementation efforts. DESIGNS, SETTINGS AND

participantsPatients/families and clinicians at 21 geographically diverse US community/academic pediatric teaching hospitals participated in a prospective cohort dissemination and implementation study.

interventionWe inquired about rounding beliefs/attitudes, practices, and demographics using a 26-question survey coproduced with family/nurse/attending-physician collaborators, informed by prior research and the Consolidated Framework for Implementation Research. MAIN OUTCOME AND MEASURES: Out of 2578 individuals, 1647 (64%) responded to the survey; of these, 1313 respondents participated in FCR and were included in analyses (616 patients/families, 243 nurses, 285 resident physicians, and 169 attending physicians). Beliefs/attitudes regarding the importance of FCR elements varied by role, with resident physicians rating the importance of several FCR elements lower than others. For example, on adjusted multivariable analysis, attending physicians (odds ratio [OR] 3.0, 95% confidence interval [95% CI] 1.2-7.8) and nurses (OR 3.1, 95% CI 1.3-7.4) were much more likely than resident physicians to report family participation on rounds as very/extremely important. Clinician support for key FCR elements was higher than self-reported practice (e.g., 88% believed family participation was important on rounds; 68% reported it often/always occurred). In practice, key elements of FCR were reported to often/always occur only 23%-70% of the time.

resultSupport for nurse and family participation in FCR is high among clinicians but varies by role. Physicians, particularly resident physicians, endorse several FCR elements as less important than nurses and patients/families. The gap between attitudes and practice and between clinician types suggests that attitudinal, structural, and cultural barriers impede FCR.

Indexed as

PhysiciansTeaching RoundsChildFamilyHumansMedical Staff, HospitalProfessional-Family RelationsProspective Studies

Identifiers

PMID36131598
PMCPMC10087029
OpenAlexW4296624181

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.