Solt Shannon A, Stolfi Danielle, Ritter Victor Silva, Kihlstrom Margaret
Department of Pediatric Critical Care, University of North Carolina Medical Center at Chapel Hill, Chapel Hill, North Carolina, United States.
J Pediatr Intensive Care. 2022 Feb 3;13(4):330-336. doi: 10.1055/s-0042-1742673. eCollection 2024 Dec.
The purpose of this study was to evaluate if virtual family-centered rounds (VFCR) in a pediatric intensive care unit (PICU) would improve communication without significantly increasing rounding time. An observational study was conducted recording rounding times of patient encounters. Then, in March 2019, English-speaking families were offered the opportunity to round virtually. Families were required to have access to a device with video conferencing capabilities and were video conferenced into rounds via Skype. Participants completed an online satisfaction survey. Rounding times were not significantly different for families present on rounds compared with not present (10 minutes 49 seconds vs. 9 minutes 42 seconds; = 0.2). The average length of VFCR was 11 minutes 19 seconds; this was not statistically significant when compared with no family present ( = 0.5) or family present ( = 0.8). Majority of nurses (85%) and over half of physicians (53%) felt that VFCR were very helpful. One hundred percent of families and the majority of physicians and nurses felt that it positively impacted family communication. All families felt that VFCR improved their understanding of their child's medical condition, and the majority felt it improved their understanding of the treatment plan. VFCR positively impacts the communication in the PICU and can be used for families unable to be present for rounds without significantly increasing rounding times.
本研究的目的是评估儿科重症监护病房（PICU）中的虚拟家庭参与查房（VFCR）是否能在不显著增加查房时间的情况下改善沟通。进行了一项观察性研究，记录患者查房时间。然后，在2019年3月，为说英语的家庭提供了虚拟参与查房的机会。家庭需要能够使用具备视频会议功能的设备，并通过Skype视频接入查房。参与者完成了一项在线满意度调查。与未参与查房的家庭相比，参与查房的家庭的查房时间没有显著差异（10分49秒对9分42秒；P = 0.2）。VFCR的平均时长为11分19秒；与没有家庭参与（P = 0.5）或有家庭参与（P = 0.8）相比，这在统计学上没有显著差异。大多数护士（85%）和超过一半的医生（53%）认为VFCR非常有帮助。100%的家庭以及大多数医生和护士认为它对家庭沟通有积极影响。所有家庭都认为VFCR提高了他们对孩子病情的了解，大多数家庭认为它提高了他们对治疗方案的理解。VFCR对PICU中的沟通有积极影响，可用于无法亲自参与查房的家庭，且不会显著增加查房时间。
