Project PARIS- Parents and Residents in Session –               Teaching family-centered care in a training               ...
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Ihi storyboard 9 21-12


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Ihi storyboard 9 21-12

  1. 1. Project PARIS- Parents and Residents in Session – Teaching family-centered care in a training program Christine Low, L.C.S.W. 1, 2, Rachel A. Annunziato, Ph.D. 1,4, Melissa Rubes, B.A. 4, Eyal Shemesh, M.D.1, Dana Wyles, B.S.N., M.L.S.3, Joel Forman, M.D.1 Mount Sinai Medical Center, New York, Departments of Pediatrics1, Social Work Services2, and Child Life and Creative Arts Therapy3, and Fordham University, Department of Psychology4AIM: MEASUREMENT of IMPROVEMENT:The aims of this research were to (1) improve the Trainee’s knowledge of family centered care principlesknowledge and attitudes of medical trainees regarding Trainee’s attitude regarding family centered care practicesthe practice of patient and family centered care (PFCC), Family faculty experience of participation in teaching effortsand (2) to ascertain if there is an ideal time to offer PFCCeducation to medical trainees for maximal impact. RESULTS:STRATEGY for CHANGE: In phase 1 (2010-2011) 29 pediatric residents participated in training sessions with 7 family faculty members. Mean scoresAccreditation bodies (including The Joint Commission, on the Attitudes measure given to the residents showedthe Accreditation Council for Graduate Medical significant improvement after the session . Similarly,Education , Magnet and the American Academy of Knowledge scores also significantly improved.Pediatrics) have embraced the need to incorporatepatient and family centered principles into training In phase 2 (2011-2012) 52 medical students participated inmethodologies and hospital operations. Patient and training sessions with 5 family faculty members. Mean scoresfamily centered care has also has become a training on the Attitudes measure given to the medical studentsrequirement for pediatric residency programs in the showed significant improvement after the session but thereUnited States. The Department of Pediatrics at Mount was no significant improvement in the knowledge scores forSinai School of Medicine has embarked on a multi-year this group.strategic effort to improve the provision of familycentered care in inpatient and outpatient settings. The Attitude Mean ScoreParents and Residents in Session (PARIS) initiative was 30 P - Value < .01 (Significant)launched as part of this effort in October 2010 with input 25.84 P - Value < .01 (Significant) 25from physicians, psychologists , nursing, social work, and 22.71 22.15child life. Project PARIS calls for a supervised meeting 20 20.26between a family member of a previously hospitalized Pre Post 15child and a medical trainee. The meeting addresses theperspective of the family during the child’s hospital stay 10and encourages communication between family 5members and physicians when making healthcaredecisions. 0 Residents Students Knowledge Score: % CorrectCHANGES MADE: 100% 90%•8 family faculty volunteer to use their own familys 80%healthcare experiences to highlight core tenets of family 70% P - Value = .026 (Significant)centered care to medical trainees. 60% 52.4% P - Value = .699•Hospital staff write a manual outlining the session 50% (Not Significant) Pre Post 40% 38.1%content. 35.7% 32.5% 30%•The patient and family centered care coordinator trains 20%family faculty participants for 2 hours regarding the 10%purpose of the study and the session content. 0%•Family faculty discuss 10 standardized topics related to Residents Studentsfamily centered care, using the manualized approach, inone hour meetings with the trainees. LESSONS LEARNED:•Pre and Post session questionnaires are given toparticipant trainees. As patient and family centered care has been embraced as a•Trainees’ acceptance of patient centered care is preferred method of practice and as a requirement inevaluated via a Likert scale with 6 questions, with a range pediatric training programs project PARIS seems to be aof scores of 6-30. feasible and highly promising way to incorporate patient and• Pre and post evaluations scale scores compared using T family centered care practices into training curricula. Thistests. training methodology requires investment in the recruitment,•Family faculty experience is also captured using a 9 item training and coordination of family faculty but then can bequestionnaire designed for the study. easily incorporated into existing training rotations.