A quality improvement initiative to achieve high nursing presence during patient- and family-centered rounds. Hosp Pediatr 2014 Jan;4(1):1-5
Date
01/18/2014Pubmed ID
24435593DOI
10.1542/hpeds.2013-0055Scopus ID
2-s2.0-84908512750 (requires institutional sign-in at Scopus site) 28 CitationsAbstract
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 first 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 notified 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 identified 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.
Author List
Sharma A, Norton L, Gage S, Ren B, Quesnell A, Zimmanck K, Toth H, Weisgerber MAuthor
Heather Toth MD Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Family NursingHospitals, Pediatric
Humans
Nurse's Role
Nursing Staff, Hospital
Quality Improvement
Teaching Rounds
