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Monday, 19 September 2016
There are a lot of potential reasons that patient and nurse satisfaction can decrease. In order to target both of these a pilot study and rounding tool were designed to increase both of these quality indicators. Specifically, the use of nurse integrated rounds at a leading research facility in the pediatric intensive care unit. Understanding positive patient care outcomes that are derived from using this change and improving nurse satisfaction are two crucial components that solidify the foundation and support this change process.
Implementation: Implementing change within a healthcare organization takes a significant amount of consideration, thought and careful planning. First, participants were surveyed on the understanding, experience and knowledge. The data acquired from the pre-survey was used to support this initiative and its process development. Identifying the experience and the comfort level that nurses felt they had in advocating for the patients helped to tailor the program to the unit. During the implementation phase, a video was created to demonstrate the behaviors and desired styles that coincide with nurse integrated rounds. A useful rounds flow sheet was designed to direct nurses on what to communicate on rounds. Discussion: This tool proved to be very useful in providing data to the team. Leaders must possess the knowledge, skills and traits needed to implement the changes needed to improve care environments and patient outcomes. These traits ensure that the change will most likely be implemented without disregard to important components being missed. Through joint collaboration with an interdisciplinary care team successful implementation of nurse integrated rounds occurred. After the change is implemented an evaluation must occur in order to determine the effectiveness and the outcomes associated with the change.
Conclusion: The tool proved to be useful in creating a process within a leading pediatric intensive care unit as a means to target nurse involvement in bedside rounds. Further research and evidence based practice is suggested to continue to support the use of nurse integrated rounds in healthcare organizations.
Implementation: Implementing change within a healthcare organization takes a significant amount of consideration, thought and careful planning. First, participants were surveyed on the understanding, experience and knowledge. The data acquired from the pre-survey was used to support this initiative and its process development. Identifying the experience and the comfort level that nurses felt they had in advocating for the patients helped to tailor the program to the unit. During the implementation phase, a video was created to demonstrate the behaviors and desired styles that coincide with nurse integrated rounds. A useful rounds flow sheet was designed to direct nurses on what to communicate on rounds. Discussion: This tool proved to be very useful in providing data to the team. Leaders must possess the knowledge, skills and traits needed to implement the changes needed to improve care environments and patient outcomes. These traits ensure that the change will most likely be implemented without disregard to important components being missed. Through joint collaboration with an interdisciplinary care team successful implementation of nurse integrated rounds occurred. After the change is implemented an evaluation must occur in order to determine the effectiveness and the outcomes associated with the change.
Conclusion: The tool proved to be useful in creating a process within a leading pediatric intensive care unit as a means to target nurse involvement in bedside rounds. Further research and evidence based practice is suggested to continue to support the use of nurse integrated rounds in healthcare organizations.