Families as Partners in a Co-designed Family Stress Screening/Response System
K. Ron-Li Liaw, MD, Director, KiDS of NYU Foundation Center for Child and Family Resilience, Hassenfeld Children's Hospital at NYU Langone
Beth Silber, MPA, Family Consultant, Hassenfeld Children's Hospital at NYU Langone
Summary: Hassenfeld Children’s Hospital of New York at NYU Langone Medical Center describes the process of collaborating with family partners to co-design a family stress screening and response system for the inpatient and intensive care settings. This improvement initiative demonstrated a significant increase in family stress screenings and patient satisfaction, and decrease in the length of stay.
Description: The hospitalization of a child can precipitate significant stress among caregivers and impact the long-term health of both the child and family caregivers. Pediatric ICU admissions are associated with higher levels of family distress, which may negatively affect patient and family engagement in care and longer term psychological wellbeing. Given a lack of evidence-based inpatient models for systematically identifying and addressing family stress, Hassenfeld Children’s Hospital’s interdisciplinary quality improvement team, which included teen and family advisors, aimed to co-design, test, implement, and spread the use of a universal family stress screening and response system for the children’s hospital.
• Develop strategies for integrating families as partners in designing, implementing, and evaluating quality improvement initiatives.
• Describe key elements and challenges in creating an interdisciplinary, effective, and sustainable family stress screening/response system.