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CS18
Parental Satisfaction Increases with Involvement in Bedside Rounds
By J.D. Jarvis, M. Woo, A. Moynihan, & D. Levin, Dartmouth Hitchcock Medical Center, Lebanon, NH
For further information, please contact: j.dean.jarvis@hitchcock.org
Purpose: To determine if rounds done with families at the bedside impacted patient care and increased satisfaction.
Background: Rounds have occurred outside of the patient’s space and out of family hearing for most of rounds history. We undertook a change in process to incorporate the family at eye level to bring them into the discussion since 1999. Many papers have been published showing families need information about their child’s treatment, prognosis and care ranks highest in “needs assessments”.
Methods: This is a prospective descriptive study without the use of a control group. A 16 multiple question survey was distributed to forty-one families both in the unit and after discharge to analyze whether being part of the rounds process increased their participation in their child’s care and increased their satisfaction. Anonymity was assured and verbal consent was received. None declined to fill out the survey. In addition we have been collecting discharge satisfaction survey comments for added information. Results were tabulated and comments were analyzed for content, but not subject to statistical analysis.
Evaluation and Results: Largely, parents were very supportive of involvement in decision-making for their child with the most common response (mean response of 4.8-4.96/5) around knowledge of their child’s history and health, opportunity to offer input, asking questions, and being part of the discussion.
Conclusion: Most family members were very supportive of rounds at the bedside and to being a larger part of the discussions regarding their child’s care.
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