Family-centered Care
Conditions
Keywords
Family-centered, teaching, residents, family faculty
Brief summary
The study seeks to implement and test a novel approach to teach pediatric residents about patient and family-centered care (PFCC). The approach calls for a supervised meeting between a family member of a previously hospitalized child and a resident in the context of a pediatric residency rotation.
Detailed description
A specific patient and family centered care module will be implemented in the context of an existing training rotation. This module includes a meeting between resident physicians (trainees) and parents of previously hospitalized children (members of the Family Faculty in our institution), monitored by a senior faculty member. Patient and family centered care will be discussed using predefined, manual-driven guidance. This meeting is followed by a discussion with the faculty member to identify core components of family-centered care as exemplified in the parent interview.
Interventions
Family Faculty members agreed to participate in meetings with pediatric residents who agree to participate. Standardized meetings include discussions of the following: 1. Impact of hospitalization on the behavior and development of each participating parent's child. 2. Effective communication with a parent 3. How to gain trust 4. The family meeting: who participates, the agenda 5. Troubleshooting: how to deal with difficult situations (the parents will present a few instances, from their own experience, which they think might be challenging to the clinicians who treated their children). Other core components will be added (or existing ones deleted) based on participants' feedback. The meeting will be attended by two residents, a family council member, and a senior faculty who will serve as monitor. Following the meeting, the residents will have an opportunity to ask questions and offer comments about the experience in a dedicated feedback interview with a senior faculty member.
Sponsors
Study design
Eligibility
Inclusion criteria
* Residents in good standing in a pediatric residency at Mount Sinai Medical * Center who agree to participate in the study
Exclusion criteria
* Residents who did not agree to participate * Residents who have less than 3 months to complete their residency
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Resident's knowledge | The difference between values obtained at baseline (upon recruitment) and values obtained within 24 hours after completion of the interview | Residents' knowledge about family-centered care as measured by a questionnaire |
Secondary
| Measure | Time frame |
|---|---|
| Residents' attitude towards family-centered care as measured by a questionnaire | The difference between values obtained at baseline (upon recruitment) and values obtained within 24 hours after completion of the interview |
| Parents' acceptance of family-centered care as measured by a questionnaire | The difference between values obtained at baseline (upon recruitment) and values obtained within 24 hours after completion of the interview |
Countries
United States