Patient satisfaction is affected by physician communication styles and communication at the bedside. The investigators are conducting a randomized controlled trial involving both providers and families to determine if providers sitting down while talking with families, will improve one aspect of quality care delivered during an inpatient stay as measured by patient/family satisfaction. The investigators will additionally study the affects of the intervention on the following outcomes: family assessment of provider communication, readmission rates, and length of stay.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Providers will sit during inpatient family-centered walk rounds throughout the communication during rounds. The participating members of the care team (attending physician, resident and medical student) will remain seated while communicating with the patient and caregiver.
Providers will stand during inpatient family-centered walk rounds throughout the communication during rounds. The participating members of the care team (attending physician, resident and medical student) will remain standing while communicating with the patient and caregiver.
Boston Medical Center
Boston, Massachusetts, United States
Patient/family satisfaction
Questionnaire obtains basic provider information
Time frame: 4mo
Patient/family Satisfaction
Caregiver questionnaire obtains baseline information on caregiver and patients
Time frame: 4 mo
Patient/family satisfaction
PSQ-18: Assesses parental satisfaction with medical care
Time frame: 4 months
Length of stay
Chart review of length of inpatient hospitalization during intervention
Time frame: 4 months
Readmission rate
Chart review and parental contact regarding readmission for same reason of initial hospitalization
Time frame: 5 mo
Family discharge preparedness
Brief PREPARED instrument
Time frame: 4 mo
Follow-up appointment attendance
Chart review and communication with caregivers regarding keeping follow-up appointment
Time frame: 5 mo
Family assessment of doctor-patient communication skills
Crossley Communication Questionnaire
Time frame: 4 mo
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