Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Views of parents and health-care providers regarding parental presence at bedside rounds in a neonatal intensive care unit

Journal of Perinatology volume 34, pages 143–148 (2014)Cite this article

Subjects

Abstract

Objective:

To examine the views of parents and health-care providers regarding parental presence during neonatal intensive care rounds.

Study design:

Cross-sectional survey of parents whose children were admitted to a tertiary-care neonatal intensive care unit (n=81). Medical trainees (n=67) and nurses (n=28) were also surveyed.

Result:

The majority of parents reported that attending rounds reduced their anxiety and increased their confidence in the health-care team. Nurses were more likely than medical trainees to support parental presence at rounds (P=0.02). About three-quarters of medical trainees and nurses thought discussion is inhibited and 69% of trainees felt teaching is decreased when parents attend rounds.

Conclusion:

Most parents who attended rounds found the experience beneficial, but medical trainees’ views were mixed. The positive impact on parents, and the learning opportunities created in family-centered care and communication when parents are present on rounds, should be highlighted for trainees and other neonatal intensive care personnel.

This is a preview of subscription content, access via your institution

Access options

Buy this article

  • Purchase on Springer Link
  • Instant access to full article PDF
Buy now

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. American Academy of Pediatrics. Family-centered care and the pediatrician's role. Pediatrics 2003; 112: 691–696.

    Article  Google Scholar 

  2. Lewis C, Knopf D, Chastain-Lorber K, Ablin A, Zoger S, Matthay K et al. Patient, parent, and physician perspectives on pediatric oncology rounds. J Pediatr 1988; 112: 378–384.

    Article  CAS  Google Scholar 

  3. Aronson PL, Yau J, Helfaer MA, Morrison W . Impact of family presence during pediatric intensive care unit rounds on the family and medical team. Pediatrics 2009; 124: 1119–1125.

    Article  Google Scholar 

  4. Phipps LM, Bartke CN, Spear DA, Jones LF, Foerster CP, Killian ME et al. Assessment of parental presence during bedside pediatric intensive care unit rounds: effect on duration, teaching, and privacy. Pediatr Crit Care Med 2007; 8: 220–224.

    Article  Google Scholar 

  5. Cameron MA, Schleien CL, Morris MC . Parental presence on pediatric intensive care unit rounds. J Pediatr 2009; 155: 522–528.

    Article  Google Scholar 

  6. Knoderer H . Inclusion of parents in pediatric subspecialty team rounds: attitudes of the family and medical team. Acad Med 2009; 84: 1576–1581.

    Article  Google Scholar 

  7. Latta LC, Dick R, Parry C, Tamura GS . Parental responses to involvement in rounds on a pediatric inpatient unit at a teaching hospital: a qualitative study. Acad Med 2008; 83: 292–297.

    Article  Google Scholar 

  8. Kleiber C, Davenport T, Freyenberger B . Open bedside rounds for families with children in pediatric intensive care units. Am J Crit Care 2006; 15: 492–496.

    PubMed  Google Scholar 

  9. McPherson G, Jefferson R, Kissoon N, Kwong L, Rasmussen K . Towards the inclusion of parents on pediatric critical care unit rounds. Pediatr Crit Care Med 2011; 12: e255–e261.

    Article  Google Scholar 

  10. Rappaport DI, Cellucci MF, Leffler MG . Implementing family-centered rounds: Pediatric residents' perceptions. Clin Pediatr 2010; 49: 228–234.

    Article  Google Scholar 

  11. Kalloghlian A . Parental presence during bedside pediatric intensive care unit rounds. Pediatr Crit Care Med 2007; 8: 291–292.

    Article  Google Scholar 

  12. Cypress B . Family presence on rounds. Dimens Crit Care Nurs 2012; 31: 53–64.

    Article  Google Scholar 

  13. Dellagrammaticas HD, Lacovidou N . Presence of parents during ward rounds: Experience from a Greek NICU [Letter]. Arch Dis Child Fetal Neonatal Ed 2006; 91: F466–F467.

    Article  CAS  Google Scholar 

  14. Richardson D, Corcoran J, Escobar G, Lee S . SNAP-II and SNAPPE-II: Simplified newborn illness severity and mortality risk scores. J Pediatr 2001; 138: 92–100.

    Article  CAS  Google Scholar 

  15. Black NMP, Kelly MN, Black EW, Sessums CD, DiPietro MK, Novak MA . Family-centered rounds and medical student education: a qualitative examination of students' perceptions. Hosp Pediatr 2011; 1: 24–29.

    Article  Google Scholar 

  16. Rappaport DI, Ketterer TA, Nilforoshan V, Sharif I . Family-centered rounds: Views of families, nurses, trainees, and attending physicians. Clin Pediatr 2012; 51: 260–266.

    Article  Google Scholar 

  17. Sisterhen LL, Blaszak RT, Woods MB, Smith CE . Defining family-centered rounds. Teach Learn Med 2007; 19: 319–322.

    Article  Google Scholar 

Download references

Acknowledgements

We acknowledge the families and health-care providers at Kingston General Hospital who completed the surveys, and the Department of Pediatrics at Queen’s University (Kingston, Ontario) for providing financial support for the study.

Author information

Authors and Affiliations

  1. Department of Pediatrics, Queen’s University, Kingston, ON, Canada

    M J Grzyb, H Coo, L Rühland & K Dow

  2. Kingston General Hospital, Kingston, ON, Canada

    M J Grzyb & K Dow

Authors
  1. M J Grzyb
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. H Coo
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. L Rühland
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. K Dow
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to K Dow.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Grzyb, M., Coo, H., Rühland, L. et al. Views of parents and health-care providers regarding parental presence at bedside rounds in a neonatal intensive care unit. J Perinatol 34, 143–148 (2014). https://doi.org/10.1038/jp.2013.144

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/jp.2013.144

Keywords

This article is cited by

Search

Advanced search

Quick links