{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:30:20Z","timestamp":1793493020211,"version":"4.5.0"},"reference-count":27,"publisher":"American Academy of Pediatrics (AAP)","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,11,1]]},"abstract":"\n OBJECTIVES<\/jats:title>\n For patients admitted to our hospital medicine resident services, we found that caregivers who were present at bedside and who preferred a language other than English (LOE) participated in family-centered rounds (FCRs) 53% of the time compared with 92% for English-preferring caregivers. We conducted a quality-improvement initiative with the aim of improving monthly FCR participation for LOE-preferring caregivers from 53% to 92%, regardless of preferred language.<\/jats:p>\n <\/jats:sec>\n \n METHODS<\/jats:title>\n We identified drivers of the FCR participation disparity and tested interventions in 3 plan-do-study-act (PDSA) cycles, including changing the rounding order (PDSA 1), sending biweekly emails to raise awareness about the disparity (PDSA 2), and scheduling rounding times with interpreters for LOE-preferring caregivers (PDSA 3). Our primary outcome measure was the percentage of LOE-preferring caregivers participating in FCRs, stratified by Spanish and non-Spanish LOEs. Nurse attendance, FCR participation by an English-preferring caregiver, and average rounds duration per patient were balancing measures. Measures were evaluated using statistical process control charts.<\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n We analyzed 17\u2009024 rounding encounters occurring from July 3, 2023, to May 30, 2025. Participation of LOE-preferring caregivers in FCRs increased from 53% to 81%. FCR participation improved for Spanish-preferring caregivers from 57% to 87% and for non-Spanish-LOE-preferring caregivers from 46% to 75%. There was no significant change in English-preferring caregiver FCR participation (92%), nurse FCR attendance (70%), or average rounds duration per patient (13\u00a0minutes).<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS<\/jats:title>\n Raising awareness of disparities in FCR participation and streamlining interpreter scheduling logistics was associated with improvement in FCR participation for LOE-preferring caregivers without adversely affecting English-preferring caregiver participation, rounds duration, or nurse participation.<\/jats:p>\n <\/jats:sec>","DOI":"10.1542\/hpeds.2025-009143","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:02:55Z","timestamp":1789603375000},"page":"e842-e851","source":"Crossref","is-referenced-by-count":0,"title":["Increasing Rounds Participation for Caregivers Who Prefer a Language Other Than 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