Pediatric Schwartz Rounds: Influencing Provider Insights and Emotional Connectedness 

Rina Meyer, MD; Wei-Hsin Lu, PhD; Stephen G. Post, PhD; Latha Chandran, MD, MPH

Address correspondence to Rina Meyer, MD, HSC T11 029 Stony Brook, NY 11794-8111. E-mail: rina.meyer@stonybrookmedicine.edu

FUNDING: No external funding.

CONFLICT OF INTEREST DISCLOSURES: The authors have indicated they have no potential conflicts of interest relevant to this article to disclose.

Hosp Pediatr e2021006366.

https://doi.org/10.1542/hpeds.2021-00636

BACKGROUND AND OBJECTIVES:

Schwartz Rounds (SR) is an interdisciplinary program that focuses on compassionate care by allowing the formation of an interprofessional community around the human and emotional testimonies of caregivers. The purpose of this study was to examine the impact of implementing departmental SR on pediatric care providers at a tertiary care children’s hospital in New York.

METHODS:

We applied the logic outcomes model for program evaluation to examine the impact of SR on pediatric providers. The standard evaluation form provided by the Schwartz Center was used to collect data after every SR. Descriptive statistics and qualitative data content analysis methods were used to analyze the evaluation data from the SR.

RESULTS:

A total of 820 standard evaluation forms were collected from 17 of the 23 SR sessions offered (response rate: 74.8%). Most participants felt that, during the SR sessions, challenging social and emotional aspects of patient care were discussed and that they gained better perspectives of their coworkers and their patients/families. They reported less isolation and more openness to express their feelings about patient care to their coworkers. The analysis of 299 written comments identified 5 themes: understanding other people’s perspectives, the importance of communication, empathy and compassion, awareness of personal biases, and maintaining boundaries.

CONCLUSIONS:

Schwartz Rounds can provide an effective venue for pediatric care providers to gain insights into coworker and patient/family perspectives and process emotional experiences while providing patient care in a variety of circumstances.