Interdisciplinary rounding and its effect on communication and quality
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Elizabeth Dasher, DNP student, Jacksonville University; Ashlee Loewen, Clinical Assistant Professor of Nursing, Jacksonville University.
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Introduction: Communication is vital in healthcare. Ineffective communication has been often cited as one of the root causes of patient harm. Interdisciplinary rounding (IDR); a structured framework for communication between multiple disciplines, the patient, and family, has been shown to increase communication and thus improve quality outcomes.
Local Problem: The current communication and provider practices of individual assessments, as opposed to a team approach, contributed to poor communication and suboptimal quality outcomes within the project unit.
Methods: This quality improvement project utilized interdisciplinary rounding as an intervention to improve communication and quality outcomes.
Results: After three months of interdisciplinary rounding the following measures were evaluated; length of stay (LOS), urinary catheter days, central venous catheter days, Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) composite scores for communication with nurses, and communication with physicians. No significant difference (p = 0.21) in median LOS was found. Central venous and indwelling urinary catheter days during the project were below the NHSN predicted line days. HCAHPS did not improve during implementation. Participant survey results increased (4.04 vs.4.38) but did not reach statistical significance. Patient perception of teamwork had a positive trend during the project.
Conclusion: Findings from this project supported the use of interdisciplinary rounding to impact some outcomes within the project environment.
Type | DNP Capstone Project |
Acquisition | Self-submission |
Review Type | Faculty Approved: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Quality Improvement |
Research Approach | N/A |
Keywords | Interdisciplinary Rounding; Multidisciplinary Rounding; Acute Care; Team Rounding; Communication |
Grantor | Jacksonville University |
Advisor | Loewen, Ashlee |
Level | DNP |
Year | 2021 |
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