Gans, Reinold O B

Luttik, Marie Louise

Paans, Wolter

Woldring, Josien

English

Hanze UAS repository

The added value of family-centered rounds in the hospital settingJosien M. Woldring1, 2,  Marie Louise Luttik1, Wolter Paans1,3, Reinold O.B. Gans21Research Group Nursing Diagnostics, Professorship Family Care, School of Nursing, Hanze University of Applied Sciences, The Netherlands2Department of Internal Medicine, University Medical Center Groningen, University of Groningen, The Netherlands. 3Department of Critical Care, University Medical Centre Groningen, The NetherlandsBackground MethodsTo obtain an overview of all available information on the added value of FCRs, a systematic review of systematic reviews was conducted. The electronic databases PubMed, CINAHL, and PsycInfo were searched for English-written systematic reviews with a focus on FCRs. Of the 207 initial records, four systematic reviews were identified covering a total of 67 single studies, mainly performed in critical and pediatric care. ResultsReferencesAdded value for patiensBetter understanding of their situation by family membersAdded value for family membersImproved communication and interaction• A specific time of the day to meet with healthcare professionals• Share valuable and consistent information about a patient  • Ask questionsImproved situational understanding• FCRs as a roadmap for the patients’ situation, goals, and expectationsFamily members’ inclusion in the decision-making process• Opportunity to offer input about the patient• Advocate for the patient• Be part of the discussion Improved relationships between family members and healthcare providers• Family feel included and respected Assed value for healtcare professionalsImproved communication and interaction for healthcare professionalsShare valuable information and explain things clearly:a) decrease the need for plan clarifications later onb) reduce the number of meetings outside rounds Improved understanding of the patient and family (situation)Learned more about the patient’s history, health, and life goals:• Affecting the decision-making processImproved relationships between healthcare professionals, patients, and family members• Facilitate a sense of teamwork 1. Costa-Cordella S, Arevalo-Romero C, Parada FJ, Rossi A. Social support and cognition: A systematic review. Front Psychol. 2021;12:637060.2. Hagedoorn EI, Keers JC, Jaarsma T, van der Schans, C. P., Luttik MLA, Paans W. The association of collaboration between family caregivers and nurses in the hospital and their preparedness for caregiving at home. Geriatr Nurs. 2020;41(4)3. Ludmir J, Netzer G. Family-centered care in the intensive CareUnit-what does best practice tell us? Semin Respir Crit Care Med. 2019;40(5):648-654. 4. Walton V, Hogden A, Johnson J, Greenfield D. Ward rounds, participants, roles and perceptions: Literature review. Int J Health Care Qual Assur. 2016;29(4):364-379. Corresponding author: Josien Woldringj.m.woldring@pl.hanze.nlFCRs seem to improve satisfaction among patients, their family members, and healthcare professionals. However, current evidence is largely based on studies in the pediatric or critical care setting. Since family is the major source of support for patients and current healthcare more and more relies on the support of family, FCRs seem to be highly relevant for adult non-critical care patients as well.Future research is recommended to explore the contribution of FCRs in the hospital setting with adult non-critical care patients and their family members.All four systematic reviews reported an improvement in satisfaction among patients, family, and healthcare professionals, whereby satisfaction is linked to improved communication and interaction, improved situational understanding, inclusion of family in the decision-making process, and improved relationships within the care situation.Families are a major source of support to patients during hospitalization and during the process of recovery at home after discharge [1]. Research indicates that family involvement and the preparedness for the role of caregiving highly depend on the support that they receive from healthcare professionals in the hospital [2]. A strategy to work more patient- and family centered is to include family in (ward) rounds, in what are called ‘family-centered rounds’ (FCRs)[3]. FCRs in this context are defined as “multidisciplinary rounds at the bedside in which the patient and family are involved in creating the care plan and evaluating the process”[4].The aim of this study is to summarize the evidence regarding the added value of FCRs from the perspectives of patients, family, and healthcare professionals.Figure 1 Flow diagram for eligible article identification. Conclusions & RecommendationsFamily Care

The added value of family-centered rounds in the hospital setting

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The added value of family-centered rounds in the hospital setting

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