Intervention, individual, and contextual determinants to high adherence to structured family-centered rounds: a national multi-site mixed methods study

Andrew J Knighton; Ellen J Bass; Elease J McLaurin; Michele Anderson; Jennifer D Baird; Sharon Cray; Lauren Destino; Alisa Khan; Isabella Liss; Peggy Markle; Jennifer K O'Toole; Aarti Patel; Rajendu Srivastava; Christopher P Landrigan; Nancy D Spector; Shilpa J Patel

doi:10.1186/s43058-022-00322-1

Intervention, individual, and contextual determinants to high adherence to structured family-centered rounds: a national multi-site mixed methods study

Implement Sci Commun. 2022 Jul 16;3(1):74. doi: 10.1186/s43058-022-00322-1.

Authors

Andrew J Knighton¹, Ellen J Bass^{2

3}, Elease J McLaurin⁴, Michele Anderson⁵, Jennifer D Baird⁶, Sharon Cray⁷, Lauren Destino⁸, Alisa Khan⁹, Isabella Liss⁹, Peggy Markle¹⁰, Jennifer K O'Toole¹¹, Aarti Patel¹², Rajendu Srivastava^{13

14}, Christopher P Landrigan^{15

16

17

18}, Nancy D Spector^{19

20}, Shilpa J Patel²¹

Affiliations

¹ Healthcare Delivery Institute, Intermountain Healthcare, Murray, UT, USA. Andrew.knighton@imail.org.
² Department of Health Systems and Sciences Research, College of Nursing & Health Professions, Drexel University, Philadelphia, PA, USA.
³ Department of Information Science, College of Computing and Informatics, Drexel University, Philadelphia, PA, USA.
⁴ Health Systems & Sciences Research, College of Nursing & Health Professions, Drexel University, Philadelphia, PA, USA.
⁵ Lucile Packard Children's Hospital Stanford, Palo Alto, CA, USA.
⁶ Institute for Nursing and Interprofessional Research, Children's Hospital of Los Angeles, Los Angeles, CA, USA.
⁷ St. Christopher's Hospital for Children, Philadelphia, PA, USA.
⁸ Stanford University, Pediatric Hospital Medicine, Palo Alto, CA, USA.
⁹ Harvard Medical School, Boston Children's Hospital, Boston, MB, USA.
¹⁰ Walter Reed National Military Medical Center, Bethesda, MD, USA.
¹¹ Pediatrics and Internal Medicine, University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
¹² Rady Children's Hospital San Diego, University of California, San Diego, CA, USA.
¹³ Healthcare Delivery Institute, Intermountain Healthcare, Murray, UT, USA.
¹⁴ Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT, USA.
¹⁵ Division of General Pediatrics, Boston Children's Hospital, Boston, MB, USA.
¹⁶ Sleep and Patient Safety Program, Brigham and Women's Hospital, Boston, MB, USA.
¹⁷ William Berenberg Professor of Pediatrics, Harvard Medical School, Boston, MB, USA.
¹⁸ Boston Children's Hospital, Boston, MB, USA.
¹⁹ Executive Leadership in Academic Medicine (ELAM) Program, Drexel University College of Medicine, Philadelphia, PA, USA.
²⁰ Department of Pediatrics, Drexel University College of Medicine, Philadelphia, PA, USA.
²¹ Kapiolani Medical Center for Women & Children, University of Hawaii John A. Burns School of Medicine, Honolulu, HI, USA.

Abstract

Background: Effective communication in transitions between healthcare team members is associated with improved patient safety and experience through a clinically meaningful reduction in serious safety events. Family-centered rounds (FCR) can serve a critical role in interprofessional and patient-family communication. Despite widespread support, FCRs are not utilized consistently in many institutions. Structured FCR approaches may prove beneficial in increasing FCR use but should address organizational challenges. The purpose of this study was to identify intervention, individual, and contextual determinants of high adherence to common elements of structured FCR in pediatric inpatient units during the implementation phase of a large multi-site study implementing a structured FCR approach.

Methods: We performed an explanatory sequential mixed methods study from September 2019 to October 2020 to evaluate the variation in structured FCR adherence across 21 pediatric inpatient units. We analyzed 24 key informant interviews of supervising physician faculty, physician learners, nurses, site administrators, and project leaders at 3 sites using a qualitative content analysis paradigm to investigate site variation in FCR use. We classified implementation determinants based on the Consolidated Framework for Implementation Research.

Results: Provisional measurements of adherence demonstrated considerable variation in structured FCR use across sites at a median time of 5 months into the implementation. Consistent findings across all three sites included generally positive clinician beliefs regarding the use of FCR and structured rounding approaches, benefits to learner self-efficacy, and potential efficiency gains derived through greater rounds standardization, as well as persistent challenges with nurse engagement and interaction on rounds and coordination and use of resources for families with limited English proficiency.

Conclusions: Studies during implementation to identify determinants to high adherence can provide generalizable knowledge regarding implementation determinants that may be difficult to predict prior to implementation, guide adaptation during the implementation, and inform sustainment strategies.

Keywords: Barriers and facilitators; Consolidated Framework for Implementation Research (CFIR); I-PASS; Implementation; Mixed methods; Multi-disciplinary teams; Patient and family-centered rounds; Structured communication.

Abstract

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