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Poor communication within healthcare teams occurs commonly, contributing to inefficiency, medical errors, conflict, and other adverse outcomes. Interprofessional bedside rounds (IBR) are a promising model that brings two or more health professions together with patients and families as part of a consistent, team-based routine to share information and collaboratively arrive at a daily plan of care. The purpose of this systematic scoping review was to investigate the breadth and quality of IBR literature to identify and describe gaps and opportunities for future research. We followed an adapted Arksey and O'Malley Framework and PRISMA scoping review guidelines. PubMed, CINAHL, PsycINFO, and Embase were systematically searched for key IBR words and concepts through June 2020. Seventy-nine articles met inclusion criteria and underwent data abstraction. Study quality was assessed using the Mixed Methods Assessment Tool. Publications in this field have increased since 2014, and the majority of studies reported positive impacts of IBR implementation across an array of team, patient, and care quality/delivery outcomes. Despite the preponderance of positive findings, great heterogeneity, and a reliance on quantitative non-randomized study designs remain in the extant research. A growing number of interventions to improve safety, quality, and care experiences in hospital settings focus on redesigning daily inpatient rounds. Limited information on IBR characteristics and implementation strategies coupled with widespread variation in terminology, study quality, and design create challenges in assessing the effectiveness of models of rounds and optimal implementation strategies. This scoping review highlights the need for additional studies of rounding models, implementation strategies, and outcomes that facilitate comparative research.

Aim: This concept analysis aims to distinguish the concept of nurse empowerment as an individual professional process rather than a job-related process and to identify ways in which a clarified understanding of individual empowerment can impact the discipline.Background: The history of nursing as a gendered role has led to oppression in the profession as evidenced by lateral violence and attrition. Empowerment initiatives that focus on a nurse within an organization often provide false power.Design: Walker and Avant's method was used for this concept analysis. Data Source: Published literature from 1990 to 2019 was identified from electronic health profession-related databases, and current definitions and uses of empowerment were pulled from empirical works and electronic databases. Review Methods: A review of abstracts and full text from articles relating to nurse empowerment was performed, and empirical studies used to provide an understanding of the concept as used today. Results: True empowerment entails a nurse controlling her practice and career. Elements of individual empowerment can be pulled from existing work on structural and psychological empowerment. Conclusions: Analyzing nurse empowerment from an individual perspective allows us to move beyond the oppressive history of nursing and move the profession forward to impact our communities. K E Y W O R D S concept analysis, professional issues, workforce "What matters is that nurses determine for themselves how to handle their problems and how to improve their situation through meaningful dialog and engagement with nurse leaders concerning their work-life issues." 1 Concept analysis is the process of assessing fundamental components of a concept with the goal of clarifying its applications and giving it greater ability to convey meaning in different contexts. 2 Concept analysis allows us to understand the ways the concept is used in literature and science and how those uses dynamically change over time. The analysis should provide a basis for advancement, refinement, and specification of a concept and provide the foundation for the use of the concept in theory. Walker and Avant's 2 method was chosen for this concept analysis because the deliberate and concrete steps allow us to pinpoint specific uses of individual or professional empowerment and use an iterative process to reinforce the findings. The process dictates a total of eight steps: select a concept, establish aims of analysis, identify uses of the concept, determine defining attributes, identify a model case, identify borderline and illegitimate cases, identify antecedents and consequences, and define empirical referents. 2

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