Rappaport David I, Cellucci Michael F, Leffler Maureen G
Department of Pediatrics, Alfred I duPont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803, USA.
Clin Pediatr (Phila). 2010 Mar;49(3):228-34. doi: 10.1177/0009922809346568.
Many hospitals are adopting family-centered rounds (FCRs). Limited studies suggest that FCRs improve family and staff satisfaction. No study has investigated residents' opinions about FCRs. We sought to elicit house staff opinions regarding structure, teaching, and patient care with FCRs.
In fall 2006, FCRs were implemented at Alfred I duPont Hospital for Children, a freestanding children's hospital. Between March and June 2008, a cross-sectional study was mailed to pediatrics and medicine-pediatric residents.
Nearly all (89%) respondents supported FCRs somewhat (50%) or strongly (39%). House staff cited improved relationships with other providers, increased parent/family satisfaction, decreased need for plan clarification, and improved, "nondidactic" teaching. Concerns persisted about didactic teaching and efficiency. The most important factor associated with resident satisfaction was the attending physician.
Residents support the use of FCRs.Training for inpatient attending physicians should include facilitation of FCRs. Concerns about efficiency and didactic teaching should be considered when implementing FCRs.
许多医院正在采用以家庭为中心的查房（FCRs）。有限的研究表明，FCRs可提高家庭和工作人员的满意度。尚无研究调查住院医师对FCRs的看法。我们试图了解住院医师对FCRs在结构、教学和患者护理方面的意见。
2006年秋季，在一家独立的儿童医院——阿尔弗雷德·I·杜邦儿童医院实施了FCRs。2008年3月至6月，对儿科和儿内科住院医师进行了一项横断面研究调查。
几乎所有（89%）的受访者在某种程度上（50%）或强烈（39%）支持FCRs。住院医师提到与其他医疗人员的关系得到改善、家长/家庭满意度提高、减少了对治疗方案进行解释说明的需求，以及改进了“非说教式”教学。对说教式教学和效率的担忧依然存在。与住院医师满意度相关的最重要因素是主治医师。
住院医师支持采用FCRs。对住院主治医师的培训应包括FCRs的促进内容。在实施FCRs时应考虑对效率和说教式教学的担忧。
