Assessing the quality of interdisciplinary rounds in the intensive care unit

Have, Elsbeth C. M. Ten; Hagedoorn, Mariët; Holman, Nicole D; Nap, Raoul E.; Sanderman, Robbert; Tulleken, Jaap

doi:10.1016/j.jcrc.2012.12.007

Cited by 22 publications

(23 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Mostly surveys based on self report questionnaires have been used to address the different perspectives 13,21,22. Within self report surveys many options exist, further complicating comparability of study results 15.…”

Section: Discussionmentioning

confidence: 99%

Understanding the impact of interprofessional collaboration on the quality of care: a case report from a small-scale resource limited health care environment

Busari¹,

Moll²,

Duits

2017

JMDH

View full text Add to dashboard Cite

BackgroundA critical assessment of current health care practices, as well as the training needs of various health care providers, is crucial for improving patient care. Several approaches have been proposed for defining these needs with attention on communication as a key competency for effective collaboration. Taking our cultural context, resource limitations, and small-scale setting into account, we researched the applicability of a mixed focus group approach for analysis of the communication between doctors and nurses, as well as the measures for improvement.Study objectiveAssessment of nurse-physician communication perception in patient care in a Caribbean setting.MethodsFocus group sessions consisting of nurses, interns, and medical specialists were conducted using an ethnographic approach, paying attention to existing communication, risk evaluation, and recommendations for improvement. Data derived from the focus group sessions were analyzed by thematic synthesis method with descriptive themes and development of analytic themes.ResultsThe initial focus group sessions produced an extensive list of key recommendations which could be clustered into three domains (standardization, sustainment, and collaboration). Further discussion of these domains in focus groups showed nurses’ and physicians’ domain perspectives and effects on patient care to be broadly similar. Risks related to lack of information, knowledge sharing, and professional respect were clearly described by the participants.ConclusionThe described mixed focus group session approach for effectively determining current interprofessional communication and key improvement areas seems suitable for our small-scale, limited resource setting. The impact of the cultural context should be further evaluated by a similar study in a different cultural context.

show abstract

Section: Discussionmentioning

confidence: 99%

Understanding the impact of interprofessional collaboration on the quality of care: a case report from a small-scale resource limited health care environment

Busari¹,

Moll²,

Duits

2017

JMDH

View full text Add to dashboard Cite

show abstract

“…The increasing complexity of critical care, with its many shared tasks and overlapping activities, demands effective ways of organising the related work meaning that the multidisciplinary team needs to communicate effectively to ensure seamless quality care. However, given the intensive nature of work in these units, the traditional ward round may sometimes seem too time consuming (Ten Have et al ., ). General ward rounds have been found to take anything from 90 to 420 minutes to conduct, with an average time spent on each patient of 8 minutes (Herring et al ., ).…”

mentioning

confidence: 99%

“…While it is our position that some aspects of the overall ritual are valuable, the process and its components need to be questioned as certain elements are being carried on regardless of the changes in society ‘that make the routine no longer necessary’ (Schmahl, , p.75). There are many ways to increase the effectiveness of the ward round, including checklists to ensure that all required elements are included (Herring et al ., ; Ten Have et al ., ); electronic and virtual meetings (Dube et al ., ); nurse only rounds (Aitken et al ., ; Catangui and Slark, ) and “hourly” or “intentional rounding” by nurses (Harrington et al ., , p.1). The latter hourly rounding, now popular in the UK (Snelling, ), appears to improve patient satisfaction and increase efficiency of nursing work (Harrington et al ., ), although the evidence base for this appears somewhat limited (Snelling, ).…”

mentioning

confidence: 99%

Re‐exploring the ritual of the ward round

Parissopoulos

Timmins

Daly

2013

Nursing in Critical Care

View full text Add to dashboard Cite

“…An effective rounding team requires a vested interest by the facilitator and participants and a commitment to the time it takes to execute this process. 7 The literature reports that formal opportunities for shared decision making and forums that foster communication and collaboration between nurses and their medical colleagues are mutually beneficial. 8 Studies have demonstrated that effective physician-nurse collaboration improves staff satisfaction and patient health outcomes through shared patient management decisions.…”

Section: See the Related Editorial On Page 471mentioning

confidence: 99%

Neonatal Respiratory Therapist-Led Rounds Can Improve Staff Satisfaction and Timeliness of Respiratory Interventions

Genet¹,

Firestone

Volsko³

2014

Respir Care

View full text Add to dashboard Cite

BACKGROUND: Interdisciplinary rounding is used to establish and communicate patient care goals and monitor progress toward goal attainment. This study describes staff satisfaction and process outcomes associated with respiratory therapist (RT)-led interdisciplinary rounds in the neonatal ICU. We hypothesized improved staff satisfaction, execution of orders within 30 min of order entry into the electronic medical record, and communication of accurate and complete data during rounds to the interdisciplinary team. METHODS: Nurses, RTs, nurse practitioners, residents, and attending physicians completed the 13-question survey eliciting demographic information and evaluating staff engagement and professional satisfaction. The survey was anonymous and confidential, and informed consent was implied. Process data were collected for a 10-d period at 2 intervals through direct observation of the rounding process and electronic medical record review. Descriptive statistics reported patient demographics, responses to job satisfaction and engagement survey questions, the number of patients who were visited in daily rounds, the number and type of orders given during rounds, and the number of respiratory orders that were addressed in multidisciplinary teaching rounds rather than during respiratory rounds. The chi-square test was used to determine differences in the proportion of inaccurate and incomplete data communicated during rounds between the 2 data collection periods. The Mann-Whitney U test was used to determine differences in the timeliness of electronic medical record order entry and time to order completion. RESULTS: A 94.8% survey response rate (n ‫؍‬ 55) was obtained. Seventy-six percent of participants reported improved communication. Sixty-nine percent of participants reported improved teamwork. Eighty-six percent of orders were implemented immediately after electronic medical record entry. Correct information was provided on 95% and 99.3% of patients (P < .066) and complete information on 93% and 96% of patients (P ‫؍‬ .41). CONCLUSIONS: Implementation of respiratory rounds improved staff satisfaction and the timeliness of completing respiratory orders. Spot monitoring at intermittent intervals verified process sustainability.

show abstract

Assessing the quality of interdisciplinary rounds in the intensive care unit

Abstract: The quality of IDRs in the ICU can be reliably assessed for patient plan of care and process with the IDR Assessment Scale.

Cited by 22 publications

References 25 publications

Understanding the impact of interprofessional collaboration on the quality of care: a case report from a small-scale resource limited health care environment

Understanding the impact of interprofessional collaboration on the quality of care: a case report from a small-scale resource limited health care environment

Re‐exploring the ritual of the ward round

Neonatal Respiratory Therapist-Led Rounds Can Improve Staff Satisfaction and Timeliness of Respiratory Interventions

Contact Info

Product

Resources

About