Toward the inclusion of parents on pediatric critical care unit rounds*
Bibliographic record
Abstract
BACKGROUND: Inclusion of parents on interprofessional patient rounds is increasingly recognized as a parental right and as a marker of quality care in pediatric intensive care units. Creating policies and practices that welcome parents and their contributions into patient rounds has proven challenging in many settings. OBJECTIVE: To develop a detailed understanding of the physical, professional and interpersonal contexts of one pediatric intensive care unit in order to develop a feasible, relevant and sustainable approach to parental inclusion on rounds. DESIGN: Prospective qualitative and descriptive exploratory survey. SETTING: A pediatric Intensive care unit at a tertiary care children's hospital. SUBJECTS: Physicians, nurses and other health care professionals working in our pediatric intensive care unit and to all parents who had children admitted to the unit during a one month period. INTERVENTIONS: None. MEASUREMENT AND MAIN RESULTS: Surveys were distributed to physicians, nurses and other health care professionals working in our pediatric intensive care unit and to all parents who had children admitted to the unit during a 1-month period. In addition in-depth interviews were conducted with a subset of 13 healthcare providers. Descriptive statistics were used to report survey results. Transcripts of the interviews and the qualitative comments provided on the surveys were analyzed according to principles of interpretive description. Parents indicated a strong desire to participate in pediatric intensive care unit rounds, while healthcare providers varied in the extent to which they believed parents' participation would achieve the intended goals. Key considerations that need to be addressed for successful practice change to incorporate parents on rounds include: working on consistent and reliable communication, addressing the issues of confidentiality, time constraints, and teaching during rounds, and attention to the role of parents during rounds and health care professionals' facilitation of that role. CONCLUSION: The participants in this study believed that parents' participation on rounds is an important consideration. For inclusion of parents to be effective and sustainable, policy and practice change in this direction requires measures to recognize parents as important contributors to pediatric intensive care unit rounds while accounting for the complex responsibility of healthcare providers in the physical and social space of the pediatric intensive care unit.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.047 | 0.112 |
| Meta-epidemiology (narrow) | 0.000 | 0.001 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.006 | 0.004 |
| Scholarly communication | 0.005 | 0.004 |
| Open science | 0.002 | 0.008 |
| Research integrity | 0.002 | 0.004 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".