At Winter Haven Hospital, breakdowns in communication contribute to staff frustration, increased LOS, and lower than desired HCHAPS scores. In keeping with the first phase of the JHNEBP model, the project committee posed the question: Would implementation of bedside nurse-led Multidisciplinary Rounds (MDR) improve communication between members of the healthcare team, decrease patient’s length of stay, and increase patient satisfaction? As outlined in the second phase of the JHNEBP model a multidisciplinary committee conducted an evidence search, which revealed consistent, good to high quality evidence that other facilities experienced positive outcomes after instituting MDR. The committee determined that such an intervention was realistic…
4. What tests could be done to determine whether M.S. has osteoporosis? Which tests is recommended and why?…
The study data for the measure of performance compared to the SCoR9 and RCR29 requirement of quality improvement through governance frameworks, regular audit cycle, and/or peer-review process displayed an inconsistent approach in practice. Collective learning from radiology discrepancies, error, and MDT meetings is recommended to improve patient safety30, 31. To fulfil this requirement time needs allocating for the preparation of materials, images, and reports for discussion and feedback of inquiries31 that the results showed was lacking in the…
After observation of handling the care of Ms.R by Ms.W the need for a plan to promote interdisciplinary care/communication and the maximum utilization of it, would definitely be an important process that requires intervention. One of the steps that I, as the new nurse supervisor would implement, will be to set up a daily stand up meeting where all the disciplines are involved for at least 30-60 minutes where we discuss and go over all the patients and make notes on what the pane for their treatments are. Given the situation, an end of the day meeting would probably be more efficient where all the disciplines can address the issues that they had during the previous day and discuss into determining goals that would be available to work towards them by the beginning of the next day or with the new shift staff. This will be an almost immediate intervention and would start addressing the issues at the earliest most convenient time. During the meeting, it will be mandatory where the discipline in charge of their patient(s) will have to disclose the steps taken so far, goals to be achieved, interventions planned and the time frame they strive to and/or plan to achieve these goals. Since all the disciplines will be present in the meeting, it will be a good tool to utilize an opinion sharing and collegiality experience to help in suggesting, advising and offering an intervention that might be beneficial and result in positive outcomes for the patient(s) that will be discussed on. Another step that I will suggest implementing would be a documented form on each note that needs to be filled out daily where questions such as:…
The aim of this essay is to look at the significance of inter-professionally working within a multidisciplinary team in order to achieve the best patient-focused care. Within this essay the names and settings will not be disclosed in order to protect confidentiality (NMC 2008).…
The researchers stated that more in depth research is needed to evaluate the effects of structured nursing rounding interventions. Also that other strategy may need to be added besides just hourly rounding to decrease falls in acute care settings. Another area that needed to be added to advance this research is a better documentation system and health information technology to increase the reliability of the documentation and intervention (Tucker et al., 2011). Also a more in depth examination of what the hourly rounds entails need to be implemented to improve patient care. There are no generalizations…
Standardized Interdisciplinary Rounds (SIDRs) were implemented in many hospitals in the USA and abroad for decades to ensure patients safety. However, this practice is inconsistent on the Medical-Surgical Unit at HMC. The health care delivers this kind of performance when processes are not standardized.…
* Inform patients approximately 30 to 60 minutes prior to shift change of bedside rounding procedure…
Woodard, J. L. (2009). Effects of Rounding on Patient Satisfaction and Patient Safety on a Medical-Surgical Unit. Clinica Nurse Specialist, 200-206.…
The process for bedside reporting needs to be standardized. A pilot study was started on a medical/surgical unit at hospital X in 2011 before expanding to other…
Since there were so many articles on hourly rounding, picking through them to find ones that related to the direction I was going with my research was really difficult. The main question that came into my head when thinking about hourly rounding was, does it really make a difference in patient care or just patient satisfaction? Hourly rounding is used for an assortment of reasons. Anticipating patient’s needs before they have to ring the call bell, along with patient safety are key reasons for hourly rounding. The majority of the articles I found focused on patient satisfaction. Although patient satisfaction is a huge deal, the direction I wanted to go was more with patient safety.…
1. “Hourly rounding is a new, proactive approach to organizing nursing care that has garnered positive results; its focus on patient-centered care has led to notably improved patient satisfaction scores” (Ford, 2010, p. 188). Hourly rounding acts as a “proactive approach to anticipated needs” and “increases patient satisfaction, because patients perceive their needs are being met in a timely manner” (Ulanimo and Ligotti, 2011,p.1). The purpose of my evidenced based practice project was to examine evidence that supports the effectiveness of hourly rounding on patient satisfaction in hospitalized inpatient adults by answering the following PICOT question: For inpatient medical-surgical hospitalized patients over the age of 18, does the implementation of hourly nursing rounds versus having no hourly nursing rounds improve patient satisfaction…
References: Krepper, R., Vallejo, B., Smith, C., Lindy, C., Fullmer, C., Messimer, S., Xing, Y., & Myers, K. (2012). Evaluation of a standardized hourly rounding process (sharp). Journal for Healthcare Quality, 00(0), 1-7.…
As a new supervisor in the clinic I would use a couple of different tools to encourage the use of interdisciplinary care. The first step to promoting any change is education. I would educate my staff about the current resources and support that are available from within the clinic. It is possible that staff members aren’t utilizing support from within the clinic because they are not aware of them. Another step would be rounding to see staff members and asking them about and patients with special complications or issues and seeing if I could guide them to the proper referrals. If the in-clinic support is insufficient it is still important to seek outside resources to provide our patients with the resources they need. Also it is important as a supervisor that my staff felt like they could talk with me with confidentiality, comfortability, and without fear. I would have an open door policy to help my staff and guide them to giving their patients the best education and resources available to promote quality outcomes.…
Physicians, nurses, and other health care professionals ultimately work together with the common goal of serving an individual patient. Yet few have developed the essential team skills to help them work productively with their colleagues, analyzing outcomes and processes…