Qualitative study of Black and Latino (a/e) caregiver participation on family-centered rounds.
Katie Margolis, Kathryn I Pollak, Laura Fish and 4 others
PMID 40694913WHAT IT FOUND
Black and Latino/a/e caregivers said they felt more comfortable participating in family-centered rounds when clinicians answered questions unhurriedly, used plain language, allowed interpretation, and respected their input.
Some said large teams, rushed communication, and racial distrust made them less likely to participate.
Key findings
01Caregivers were more comfortable participating when clinicians answered questions thoroughly, did not rush, and treated their opinions as valuable.
02In-person interpretation and a pace that let the interpreter clarify each statement helped Spanish-speaking caregivers participate.
03Some caregivers found large teams overwhelming, and clinicians said time pressure could hinder participation.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was purposive and small, with 14 caregivers and 7 clinicians at one site, so the themes are not meant to represent all Black and Latino/a/e families. No White caregivers were interviewed, so some described barriers may not be unique to Black and Latino/a/e families. Caregivers who volunteered may have had stronger views than those who did not participate. Caregivers were interviewed in the hospital, where they may have worried about providers hearing their answers. Only attending hospitalists were interviewed among clinicians, not bedside nurses or other team members who take part in rounds.
Declared interests
The authors declare no competing financial interests or personal relationships.
The easy way to misread this
Do not treat these themes as evidence that a communication training will improve caregiver participation. The study asked caregivers and clinicians to describe experiences; it did not test an intervention or measure outcomes.