Department of Pediatrics, Division of Pediatric Medicine, Children's Hospital of Eastern Ontario, 401 Smyth Road, Ottawa, ON, K1H 8L1, Canada.
Children's Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1, Canada.
BMC Pediatr. 2023 Jun 13;23(1):289. doi: 10.1186/s12887-023-04091-1.
Family-centered rounds (FCR) are fundamental to pediatric inpatient care. During the COVID-19 pandemic, we aimed to design and implement a virtual family-centered rounds (vFCR) process that allowed continuation of inpatient rounds while following physical distancing guidelines and preserving personal protective equipment (PPE).
A multidisciplinary team developed the vFCR process using a participatory design approach. From April through July 2020, quality improvement methods were used to iteratively evaluate and improve the process. Outcome measures included satisfaction, perceived effectiveness, and perceived usefulness of vFCR. Data were collected via questionnaire distributed to patients, families, staff and medical staff, and analyzed using descriptive statistics and content analysis. Virtual auditors monitored time per patient round and transition time between patients as balancing measures.
Seventy-four percent (51/69) of health care providers surveyed and 79% (26/33) of patients and families were satisfied or very satisfied with vFCR. Eighty eight percent (61/69) of health care providers and 88% (29/33) of patients and families felt vFCR were useful. Audits revealed an average vFCR duration of 8.4 min (SD = 3.9) for a single patient round and transition time between patients averaged 2.9 min (SD = 2.6).
Virtual family-centered rounds are an acceptable alternative to in-person FCR in a pandemic scenario, yielding high levels of stakeholder satisfaction and support. We believe vFCR are a useful method to support inpatient rounds, physical distancing, and preservation of PPE that may also be valuable beyond the pandemic. A rigorous process evaluation of vFCR is underway.
以家庭为中心的查房（FCR）是儿科住院患者护理的基础。在 COVID-19 大流行期间，我们旨在设计和实施虚拟以家庭为中心的查房（vFCR）流程，以便在遵循物理距离指南和保护个人防护设备（PPE）的同时继续进行住院查房。
一个多学科团队使用参与式设计方法开发了 vFCR 流程。在 2020 年 4 月至 7 月期间，使用质量改进方法对该流程进行了迭代评估和改进。评估指标包括 vFCR 的满意度、感知效果和感知有用性。通过问卷调查收集患者、家属、医护人员的数据，并使用描述性统计和内容分析进行分析。虚拟审核员监测每个患者轮次的时间和患者之间的转换时间，作为平衡措施。
74%（51/69）的医护人员和 79%（26/33）的患者和家属对 vFCR 感到满意或非常满意。88%（61/69）的医护人员和 88%（29/33）的患者和家属认为 vFCR 有用。审核显示，单次患者轮次的 vFCR 平均持续时间为 8.4 分钟（SD=3.9），患者之间的转换时间平均为 2.9 分钟（SD=2.6）。
在大流行情况下，虚拟以家庭为中心的查房是一种可接受的替代方式，可获得高水平的利益相关者满意度和支持。我们认为 vFCR 是一种支持住院查房、物理距离和保护 PPE 的有用方法，在大流行后也可能具有价值。正在对 vFCR 进行严格的流程评估。
