A quality improvement initiative to achieve high nursing presence during patient- and family-centered rounds

Anjali Sharma, Laura Norton, Sandra Gage, Bixiang Ren, Amanda Quesnell, Kim Zimmanck, Heather Toth, Michael Weisgerber

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Objectives: The objectives of this study were to: (1) identify local barriers to nursing presence on patient- and family-centered rounds (PFCR); and (2) increase nursing attendance during PFCR. Methods: An electronic survey needs assessment was administered to nursing staff on a single acute medical care unit to identify local barriers to nursing presence on PFCR. Daily tracking of nursing presence on rounds was then performed over a 7-month period. During this time period, 2 Plan-Do- Study Act cycles were conducted. The fi rst intervention was a workshop for nurses about PFCR. The second intervention was the development of a strategy to contact nurses by using a hands-free communication device so that nurses were notifi ed when rounds were starting on their patients. To evaluate the impact of our interventions, a p-chart was generated for the outcome of average daily nursing attendance (%) on PFCR per week over the 7-month period. Results: Two barriers identifi ed on the survey were: (1) nurses were uncertain if physicians valued their input during PFCR; and (2) nurses were unsure when the physician team would be conducting rounds on their patients. On the p-chart, the average percentage of nursing attendance before interventions was 47%. After the nursing workshop, no change in the mean nursing attendance on PFCR was noted. After initiation of the hands-free contact strategy, nursing attendance on PFCR rose to 80%. Conclusions: A nursing contact strategy using a hands-free device led to a sustained increase in nursing attendance during PFCR.

Original languageEnglish (US)
Pages (from-to)1-5
Number of pages5
JournalHospital Pediatrics
Volume4
Issue number1
DOIs
StatePublished - Jan 2014

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