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Health care delivery, economics and global health care
Original research article
Cardiologist perceptions of family-centred rounds in cardiovascular clinical care
  1. Jonathan Ludmir1,
  2. Xinggang Liu2,
  3. Anuj Gupta1,
  4. Gautam V Ramani1,
  5. Stanley S Liu1,
  6. Sammy Zakaria3,
  7. Avelino C Verceles4,
  8. Nirav G Shah4,
  9. Michael T McCurdy4,
  10. Jennifer A Dammeyer5 and
  11. Giora Netzer2,4
  1. 1 Division of Cardiovascular Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA
  2. 2 Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland, USA
  3. 3 Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
  4. 4 Division of Pulmonary and Critical Care Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA
  5. 5 Critical Care Medicine Unit, University of Michigan Hospitals, Ann Arbor, Michigan, USA
  1. Correspondence to Dr Jonathan Ludmir; Jludmir{at}gmail.com

Abstract

Objective Few data exist regarding physician attitudes and implementation of family-centred rounds (FCR) in cardiovascular care. This study aimed to assess knowledge and attitudes among cardiologists and cardiology fellows regarding barriers and benefits of FCRs.

Methods An electronic, web-based questionnaire was nationally distributed to cardiology fellows and attending cardiologists.

Results In total, 118 subjects were surveyed, comprising cardiologists (n=64, 54%) and cardiology fellows (n=54, 46%). Overall, 61% of providers reported participating in FCRs and 64% felt family participation on rounds benefits the patient. Both fellows and cardiologists agreed that family rounds eased family anxiety (fellows, 63%; cardiologists, 56%; p=0.53), improved communication between the medical team and the patient and family (fellows, 78%; cardiologists, 61%; p=0.18) and improved patient safety (fellows, 59%; cardiologists, 47%; p=0.43). Attitudes regarding enhancement of trainee education were similar (fellows, 69%; cardiologists, 55%; p=0.19). Fellows and cardiologists felt that family increased the duration of rounds (fellows, 78%; cardiologists, 80%; p=0.18) and led to less efficient rounds (fellows, 54%; cardiologists, 58%; p=0.27).

Conclusion The majority of cardiologists and fellows believed that FCRs benefited families, communication and patient safety, but led to reduced efficiency and longer duration of rounds.

  • Perceptions
  • family
  • rounds

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0

https://doi.org/10.1136/openhrt-2018-000834

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    Footnotes

    • Contributors All the authors were actively involved in the planning, conduct and reporting of this original work.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Not required.

    • Ethics approval This study was granted exempt status by the Institutional Review Board of the University of Maryland, Baltimore.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Data sharing statement All data collected in our study which are not highlighted in our manuscript are available for review by contacting the corresponding author.