Ahmed Ayesha, Chu Dorothy, Wang Susan
1 Steven and Alexandra Cohen Children's Medical Center, New Hyde Park, NY, USA.
Clin Pediatr (Phila). 2018 Jun;57(6):694-699. doi: 10.1177/0009922817733699. Epub 2017 Sep 27.
The 2010 Pediatric Research in Inpatient Settings survey stated that 44% of pediatric hospitals practiced family-centered rounds (FCRs). We aimed to study caregivers' opinions of FCRs and determine if there are demographic associations with these opinions. A cross-sectional survey of caregivers who attended FCRs was conducted at a tertiary-care general pediatrics unit. The survey contained Likert-type scale and qualitative questions. Fisher's exact test was used to test demographic associations. Only English proficient caregivers were included. Almost all (99%) caregivers liked being present during rounds, 19% felt that there were too many people present during rounds and 15% felt that medical jargon was used. Significant demographic associations were found including older caregivers being less comfortable asking questions as well as more neutral responses from African Americans and those with less education. Opportunity exists to customize FCRs and tailor rounding according to demographics, opening the door for future quality improvement projects.
2010年住院儿童研究调查显示，44%的儿科医院开展了以家庭为中心的查房（FCR）。我们旨在研究护理人员对FCR的看法，并确定这些看法是否存在人口统计学关联。在一家三级综合儿科病房对参加FCR的护理人员进行了横断面调查。该调查包含李克特量表和定性问题。采用Fisher精确检验来检验人口统计学关联。仅纳入英语熟练的护理人员。几乎所有（99%）护理人员喜欢在查房时在场，19%的人认为查房时在场的人太多，15%的人觉得使用了医学术语。发现了显著的人口统计学关联，包括年长的护理人员提问时不太自在，以及非裔美国人和受教育程度较低的人反应更为中立。有机会根据人口统计学定制FCR并调整查房方式，为未来的质量改进项目打开大门。
