1. In an effort to improve the Hospital Consumer
Assessment of Healthcare Providers and Systems
(HCAHPS) scores of an inpatient unit in a Baltimore
hospital a literature review was conducted to learn
if incorporating multidisciplinary rounding at the
bedside would improve patient satisfaction in the
following areas:
• Nurse communication
• Physician communication
• Medication communication
• Pain management
• Discharge planning
The motive for change was based on a desire to
transition to a patient- and family-centered care
model in the hopes of improving communication
among the healthcare providers and between the
healthcare providers and the patients and their
families.
Introduction
Patient- and Family-Centered Care
The family systems theory views the family as a dynamic, interactive system, composed of multiple
interdependent parts that makes up a whole greater than the sum of the parts.
What is Family-Centered Rounding?
Family-centered rounding is multidisciplinary rounding that takes place at the
patient’s bedside. The patient and the patient’s family members are encouraged to
attend and participate in the proceedings. It provides an opportunity for all members
of the healthcare team to communicate with each other, the patient, and the family.
Family Systems Theory
Benefits of Family-Centered Rounding
Support for Family-Centered Rounding
Family-centered rounding is supported by several
organizations
• Institute of Medicine
• Institute for Patient-and Family-Centered
Care
• Robert Wood Johnson Foundation and
Institute for Healthcare Improvement’s
Transforming Care at the Bedside movement
• Creative Healthcare Management’s
Relationship-Based Care Model
• Planetree
The Quality of Family-Centered Rounding
Family-centered rounding is…
• An evidence-based practice
• Patient- and family-centered
• Timely
• Efficient
• Preserves dignity
• Listens and honors personal decision-making
• Uses information as a tool for empowerment
• Supports the family as caregivers
Ore Ezeigbo, BSN, RN
Notre Dame of Maryland University
Family-Centered Rounding in the Critical Care Setting
The Need for Family-Centered Rounding
Family-centered rounding is needed in the critical
care setting because…
• During hospitalizations families experience
o Depression
o Anxiety
o Sleep-deprivation
o Disorientation
• Power struggles between healthcare
providers and families may occur when a
negative perception of family presence on
the unit exists
• Families desire to have greater involvement
in the care of their hospitalized family
member
Family-centered rounding benefits the healthcare
team by
• Fostering teamwork among providers
• Improving staff satisfaction
• Empowering hospital staff
Family-centered rounding benefits patients and
families by
• Increasing family participation in healthcare
• Increasing understanding of health
conditions
• Decreasing incidences of hospital-acquired
infections
Family-centered rounding improves communication
between healthcare providers and patients and their
families