Managing conflicts between different perspectives is critical to healthcare system redesign. This study compares the perspectives of different stakeholders involved in family-centered rounds (FCR) in a pediatric hospital. A survey was distributed to 134 participants involved in FCR. The objective of the survey was to evaluate stakeholder perceptions of the impact of system redesign strategies on family engagement in FCR. Results showed parents, nurses, physicians and medical students have different opinions about how to enhance family engagement in FCR. Recommendations for managing different perspectives in healthcare system redesign are discussed.
Get full access to this article
View all access options for this article.
References
1.
BirdJ.Cohen-ColeS. A. (1990). The three-function model of the medical interview. An educational device. Advances in Psychosomatic Medicine, 20, 65-88.
2.
BohrP. C.EvanoffB. A.WolfL. D. (1997). Implementing participatory ergonomics teams among health care workers. American Journal of Industrial Medicine, 32(3), 190-196.
3.
CarayonP.AlyousefB.XieA. (2012). Human factors and ergonomics in health care. In
SalvendyG. (Ed.), Handbook of Human Factors and Ergonomics (4th ed., pp. 1574-1595). Hoboken, NJ: John Wiley & Sons.
4.
CarayonP.DuBenskeL. L.McCabeB. C.ShawB.GainesM. E.KellyM. M.OrneJ.CoxE. D. (2011). Work system barriers and facilitators to family engagement in rounds in a pediatric hospital. In AlbolinoS.BagnaraS.BellandiT.LlanezaJ.Rosal-LopezG.TartagliaR. (Eds.), Healthcare Systems Ergonomics and Patient Safety 2011: Proceedings on the International Conference on Healthcare Systems Ergonomics and Patient Safety (HEPS 2011). Oviedo, Spain: CRC Press.
5.
CarayonP.HundtA. S.KarshB.-T.GursesA. P.AlvaradoC. J.SmithM. J.BrennanP. F. (2006). Work system design for patient safety: The SEIPS model. Quality and Safety in Health Care, 15(Supplement I), i50-i58.
6.
Committee on Hospital Care, & Institute for Patient- and Family-Centered Care. (2012). Patient- and family-centered care and the pediatrician’s role. Pediatrics, 129(2), 394-404.
7.
Committtee on Drugs, & Committee on Hospital Care. (2003). Prevention of medication errors in the pediatric inpatient setting. Pediatrics, 112(2), 431-436.
8.
DétienneF. (2006). Collaborative design: Managing task interdependencies and multiple perspectives. Interacting with Computers, 18(1), 1-20.
9.
EvanoffV. A.BohrP. C.WolfL. (1999). Effects of a participatory ergonomics team among hospital orderlies. American Journal of Industrial Medicine, 35(4), 358-365.
10.
Institute of Medicine Committee on Quality of Health Care in America. (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press.
11.
JohnsonB. H.AbrahamM.ConwayJ.SimmonsL.Edgman-LevitanS.SodomkaP.SchlucterJ.FordD. (2008). Partnering with Patients and Families to Design a Patient- and Family-Centered Health Care System: Recommendations and Promising Practices. Bethesda, MD: Institute for Family-Centered Care.
12.
KaushalR.BatesD. W.LandriganC.McKennaK. J.ClappM. D.FedericoF.GoldmannD. A. (2001). Medication errors and adverse drug events in pediatric inpatients. Journal of the American Medical Association, 285(16), 2114-2120.
13.
KellyM. M.XieA.CarayonP.DuBenskeL. L.CoxE. D. (2012). Strategies for enhancing family engagement during family-centered rounds. Paper presented at the Pediatric Academic Societies’ Annual Meeting.
14.
MooreC. (2003). The Mediation Process: Practical Strategies for Resolving Conflict. New York, NY: John WIley & Sons.
15.
RahimA. M. (2002). Toward a theory of managing organizational conflict. International Journal of Conflict Management, 13(3), 206-235.
16.
RahimA. M.BonomaT. V. (1979). Managing organizational conflict: A model for diagnosis and intervention. Psychological Reports, 44(3c), 1323-1344.
17.
SisterhenL. L.BlaszakR. T.WoodsM. B.SmithC. E. (2007). Defining family-centered rounds. Teaching and Learning in Medicine, 19(3), 319-322.
18.
WilsonJ. R. (1995). Ergonomics and participation. In
WilsonJ. R.CorlettE. N. (Eds.), Evaluation of Human Work: A Practical Ergonomics Methodology (2nd ed., pp. 1071-1096). London: Taylor & Francis.
