Project PARIS: Parents And Residents In SessionPresentation Transcript
Project PARIS: Parents and Residents in Session Christine Low, LCSW Erika Bauml, MD Eyal Shemesh, MD Elizabeth Goodman, MD Joel Forman, MD Sophie Church, BA Rachel Annunziato, PhD Shinolia Brown, MPA Diane Rode, MPS, CCLS, LCAT
Patient & Family Centered Care
Implementation of this care philosophy at the Mount Sinai Kravis Chilren’s Hospital has included:
Advisory Council Quality & Safety Education Committees Initiatives
Family Advisory Pain CQI ASM lectures
Council Nutrition CQI Resident lectures FAC workgroup Staff Development
Admission packets Project PARIS
Project PARIS: Parents and Residents In Session
Family Faculty members who are parents of previously hospitalized children volunteer to present specific tenets of family-centered care (FCC) to physicians-in-training (residents).
Parents use their own experiences to discuss important aspects of FCC, for one hour, using a manual that we have developed for this purpose.
Residents’ knowledge and attitudes towards FCC are evaluated before and after the meeting, to gauge whether the meeting improved knowledge and / or attitude towards FCC.
We are also compiling a list of topics that are identified as important to include in those sessions, based on the feedback from parents and residents.
Importance of family meetings.
Key elements in gaining a family’s trust.
Key elements of clear communication in a traumatic setting.
Discussion about the possible impact of hospitalization on a child’s development and /or behavior.
Importance and benefits of patient and family centered rounds.
Barriers or challenges to providing PFCC.
Family Faculty Family Faculty are recommended by staff Effort is made to represent the diversity of the patients served They are vetted through our Patient and Family Centered Care Coordinator and then our Volunteer Department They receive additional training specific to the project
Respect for patients’ values, preferences and expressed needs
Coordination and integration of care
Information, communication and education
Emotional support and alleviation of fear and anxiety
Involvement of family and friends
Transition and continuity
Access to care
Project PARIS Data The study is ongoing. For the first 15 residents, the mean scores on the questionnaire that was designed to evaluate attitudes towards FCC (higher score = more acceptance of FCC) were: pre-session, 22.8; post-session, 26.47. This score increase demonstrates that the teaching session leads to greater acceptance of the centrality of the patient and family in providing care.
Always Events We are discussing: Family choice regarding presence at codes and significant procedures Optimal times/triggers for family meetings Patient/Family choice regarding participants in family meetings Family Faculty participation in residency education
Project PARIS – Moving Forward If our final results are that the sessions have indeed increased the residents’ acceptance of FCC, we plan to extend these modules to other trainees (i.e., medical students), and to integrate a parent training module into the developmental-behavioral pediatrics mandatory rotation in year 2 of residency training.
Project PARIS is supported by the Picker Institute, Inc ., an international non profit organization that supports research in the field of patient centered care and the Arnold P. Gold Foundation , a non profit organization dedicated to the advancement of humanism in medicine, perpetuating the tradition of the caring doctor.
Thank you to the parents and residents who participate