Desired Clinical Skills for Students to Achieve Confident (Can complete

Improving perceptions of communication, collaboration, and teamwork using structured nurse-surgeon bedside rounds BY ADRIENNE HARRIS, MSN, RN, ONC; ROSEMARY LANE, BSN, RN-BC; AND MELINDA HIGGINS, PhD Despite ongoing efforts “to reduce the number of adverse events in healthcare, sentinel events continue to occur. In 2020, an estimated 794 events were reported to the Joint Commission, 76 of which were related to treatment delays.1 Communication plays a contributory role in adverse safety events.2 Ineffective handoff communication between healthcare professionals can be harmful as information can be untimely, inaccurate, misinterpreted, and/or incomplete.3 In hospital settings including busy surgical units, the high frequency of handoffs coupled with potentially unstructured casual communication can confound the issue.3 Communication issues can also occur between healthcare professionals and patients.4 Electronic health records that are not updated, accurate, or readily accessible can also result in communication problems as nurse and healthcare provider (HCP) notes are not usually maintained in the same areas.5 Separating patient information can negatively impact communication since technology can distract from patient care.5 For example, if information is unavailable during patient rounding, HCPs may utilize alternative sources to gather information such as communicating with other members of the nursing team. At our mixed surgical unit, for example, HCPs would consult the nursing leadership or patients. These methods of communication circumvent an essential aspect of the interdisciplinary team: the clinical nurse. To address this communication gap, the adoption of interdisciplinary or interprofessional bedside rounds has been shown to improve communication in many medical units. This article discusses the impact of interdisciplinary bedside rounds in a mixed surgical unit, particularly on the communication, collaboration, and teamwork among nurses and surgeons. Literature review Interdisciplinary bedside rounds are reported to improve patient safety and quality of patient care.6 A review of the literature supports studies conducted in ICUs and medical units with a primary focus on medical management and hospital medicine. Using various methods and tools, prior studies have evaluated patient care outcomes and job satisfaction. Urisman and colleagues explored nurse and surgeon attitudes toward interprofessional collaboration with structured interdisciplinary rounds in an ICU.7 They evaluated the impact on quality outcomes, specifically concentrating on patient falls and self-extubation, and found a positive impact on collaboration based on reports from physicians and nurses.7 While this study suggested an improvement in quality outcomes, the results were not statistically significant.7 Henkin and colleagues implemented interprofessional bedside 56 l Nursing2022 l Volume 52, Number 2 rounds with four general medicine services, residents, and nurses on an inpatient medical unit.8 They evaluated the effects on teamwork and the number of physician pages.8 Henkin and colleagues found an increase in perceptions of teamwork as measured using the Safety Attitudes Questionnaire among nurses and residents.8 While volume outcomes were measured and showed an overall reduction post-round implementation, the results were not statistically significant.8 Next, Pritts and Hiller studied the communication and collaboration among nurses and hospital physicians utilizing the validated Collaborative Practice Scales, pre- and post-rounding implementation.9 In addition, nurse satisfaction was evaluated via the National Database of Nursing Quality Indicators. Patient satisfaction with teamwork was evaluated using the Press Ganey survey on the hospital unit.9 While Pritts and Hiller found no favorable impact on physician perception, the nurses responded with a higher perception of collaboration postimplementation and higher satisfaction scores.9 Higher Press Ganey results ” question : summarize this article 200 wors only

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