TABLE 5

Perceived Benefits of and Barriers to FCRs, According to Study Participants (N = 265)

Proportion, %
Perceived benefit
    Increased patient/family involvement in care78
    Role modeling for trainees74
    Improved patient/family understanding of discharge goals throughout stay74
    Effective team communication72
    Efficient discharge/unit workflow52
    Efficient time management for physicians51
    Confidential patient care discussion22
    Othera6
Perceived barrier
    Rounding team size prohibitive44
    Trainee fear of loss of families' respect if trainee does not seem knowledgeable in front of family37
    Room size prohibitive36
    Longer duration of rounds because of more parental questions34
    Inefficient rounds because of inability to perform full examinations for all patients and need to return later to complete full assessments34
    Confidentiality33
    Lack of interest because of poor buy-in by other physicians32
    Negative impact on physician workflow28
    Negative impact on nursing/unit workflow28
    Lack of interest because of poor buy-in by other hospital staff members18
    Otherb15
  • a Includes decreased medical errors, increased patient satisfaction, improved decision-making capability because family is involved, direct clinical observation of residents and students, improved nurse and physician collaboration and education, risk management benefits, and order-writing at the time of rounding.

  • b Includes language barriers, physician fear of loss of control, family not present, isolation needs prohibitive, need to truncate teaching, and nurse too busy.