Extending the radius of family-centered care in the pediatric cardiac intensive care unit through virtual rounding.
Journal
Journal of the American Association of Nurse Practitioners
ISSN: 2327-6924
Titre abrégé: J Am Assoc Nurse Pract
Pays: United States
ID NLM: 101600770
Informations de publication
Date de publication:
18 May 2021
18 May 2021
Historique:
received:
12
12
2020
accepted:
29
03
2021
pubmed:
21
5
2021
medline:
6
1
2022
entrez:
20
5
2021
Statut:
epublish
Résumé
The arrival of COVID-19 brought urgent limitation of visitation in hospitals across the country. Family-centered care and its delivery rapidly changed and left the family behind-unable to actively participate in their loved one's care. A southeastern academic medical center pediatric cardiac intensive care unit (PCICU) needed to augment family-centered medical rounds when parents could not be at the bedside. No alternative to physical presence for daily medical rounds existed in the PCICU. A virtual rounding (VR) program was implemented allowing parents of patients admitted to PCICU to join medical rounds remotely through teleconferencing. Preintervention and postintervention rounding times, staff perceptions of the program, and parental satisfaction scores using the Pediatric Family Satisfaction in the Intensive Care Unit (pFS-ICU) tool were measured. This quality improvement project implemented a VR program offered to all families of patients in the PCICU. VR did not increase rounding times after implementation (p = .673). Staff satisfaction surveys revealed that staff felt the VR program did not prolong rounding times (p ≤ 0.001), workload impact perceptions improved after intervention (p = <0.001), and staff felt VR should be offered to families in PCICU (p ≤ 0.001). Only nine pFS-ICU surveys were completed giving the family a limited voice in the evaluation of this project. This project demonstrates that VR can be successfully implemented for family engagement without increased burden on staff.
Sections du résumé
BACKGROUND
BACKGROUND
The arrival of COVID-19 brought urgent limitation of visitation in hospitals across the country. Family-centered care and its delivery rapidly changed and left the family behind-unable to actively participate in their loved one's care.
LOCAL PROBLEM
OBJECTIVE
A southeastern academic medical center pediatric cardiac intensive care unit (PCICU) needed to augment family-centered medical rounds when parents could not be at the bedside. No alternative to physical presence for daily medical rounds existed in the PCICU.
METHODS
METHODS
A virtual rounding (VR) program was implemented allowing parents of patients admitted to PCICU to join medical rounds remotely through teleconferencing. Preintervention and postintervention rounding times, staff perceptions of the program, and parental satisfaction scores using the Pediatric Family Satisfaction in the Intensive Care Unit (pFS-ICU) tool were measured.
INTERVENTIONS
METHODS
This quality improvement project implemented a VR program offered to all families of patients in the PCICU.
RESULTS
RESULTS
VR did not increase rounding times after implementation (p = .673). Staff satisfaction surveys revealed that staff felt the VR program did not prolong rounding times (p ≤ 0.001), workload impact perceptions improved after intervention (p = <0.001), and staff felt VR should be offered to families in PCICU (p ≤ 0.001). Only nine pFS-ICU surveys were completed giving the family a limited voice in the evaluation of this project.
CONCLUSIONS
CONCLUSIONS
This project demonstrates that VR can be successfully implemented for family engagement without increased burden on staff.
Identifiants
pubmed: 34014892
doi: 10.1097/JXX.0000000000000610
pii: 01741002-202201000-00029
doi:
Types de publication
Journal Article
Langues
eng
Pagination
205-212Informations de copyright
Copyright © 2021 American Association of Nurse Practitioners.
Déclaration de conflit d'intérêts
Competing interests: The authors report no conflicts of interest.
Références
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