I can see how having the different disciplines available for family members would be beneficial, as most of the family complaints I’ve heard regarding recent hospital stays are about inconsistent messages from the various teams: Therapy tells the family one thing, the doctor says something else, the nurses sometimes don’t get all of the information, and the family wonders how safe their loved-one is in the facility if the primary care-givers aren’t updated.
I imagine that, as your poster stated, “opening the line of communication between the healthcare team and family/patient” would be very beneficial, as sometimes those group conversations are when the healthcare team discovers unmet needs that must be resolved prior to discharge and social services or other resources are brought in to consult and assist.
This reminds me of the interdisciplinary care planning we do at the bedside in the LTC/SNF. It allows other team members to ask questions and understand what the various departments need in order to help provide quality care for the resident or short-term skilled patient. It also, according to a study I read, helps to “reduce hospital readmission rates from 14.3% to 9% and improves patient satisfaction scores by 7.5%,” (Burdick, et al, 2017). The study mentioned that the satisfaction score improvement was specifically in regard to the patients feeling that they were included in making their health care decisions. These improvements are definitely positive outcomes for both the patient and facility.
Burdick, K., Kara, A., Ebright, P., & Meek, J. (2017). Bedside Interprofessional Rounding: The View From the Patient’s Side of the Bed. Journal of Patient Experience, 4(1), 22–27. http://doi.org/10.1177/2374373517692910
My poster focused mainly on implementing in disciplinary rounds within acute care settings however after reading your post, it occurred me to that LTC/SNF facilities would benefit from them as well. Before working in an acute care setting I spent approximately six years in LTC and rehab. There were several occasions, if bedside rounds would have been a requirement, issues with patients could have been addressed a lot quicker. I think its great your facility incorporates these rounds.
Quality of care, such an important aspect of nursing in the past, present and future. Family can be a vital component to provide that individual care for each patient. Rounding is not a part of the nursing function in the infusion department. Each outpatient infusion center does things differently, so this could be done in other centers depending on how it is set up. Having family involvement is so important. “The loved ones of a patient may not have a medical license or healthcare background, but their voice and presence matter in the hospital room” (Boyle, 2015, p.4.
Family still is involved in the outpatient infusion setting. Education on medication, what to expect, what to do if an allergic reaction occurs and so on. Families will express concerns; the nurses utilize the patient communication feature in the electronic medication record to notify the prescribing physician and office nurse of those concerns, so they are addressed.
Initially interdisciplinary bedside rounding appears to be targeted towards patient satisfaction which is increasingly important with HCAHPS scores driving facility motivations. Convincing providers to buy in to the benefits of interdisciplinary bedside round can be an uphill battle. Closer review shows how this practice can improve communication, collaboration, patient safety, etc. These improvements seem like no-brainers but changing old habits can be difficult. Did you find any methods of implementation which stuck out to you?
I currently work at Stormont Vail Hospital and this week we have welcomed Magnet in order to complete our survey. I had the honor of spending an hour long lunch with the surveyors and discuss ways in which our hospital and nurses are accomplishing certain things. Bedside rounding was actually one of the topics. Through discussion with the Magnet Surveyors and other employees from various departments, I learned that some facilities/units have already implemented bedside rounds. For example, our NICU currently completes them daily. If family members/parents are not present for the rounds, the doctor actually calls them during rounds to ensure they are still up to date with the patients plan of care. I thought this was such a neat idea. The NICU nurses noted significant push back as well by the physicians initially but after some time, they realized the full potential of the rounds. They even expressed the patients length of stays had decreased significantly and communication between families/caregivers was a success.
Interdisciplinary bedside rounding with patient involvement is an effective and efficient way of communicating for both the medical team and the patient. Patients and families ” prefer bedside rounds as long as they are conducted tactfully and sympathetically with reasonable attention to privacy and limited use of medical jargon” (Lichstein, P.R.,Atkinson, H.H., 2018). If I was a patient, I would prefer to be included in the decision making process as well.
Reference:
Lichstein, P.R.,Atkinson, H.H. (2018). Patient-centered bedside rounds and the clinical examination. Medical Clinics of North America, p509-519. Retrieved from: doi.org/10.1016/j.mcna.2017.12.012
Hi, Ashley.
I found this poster to be very informative!
I can see how having the different disciplines available for family members would be beneficial, as most of the family complaints I’ve heard regarding recent hospital stays are about inconsistent messages from the various teams: Therapy tells the family one thing, the doctor says something else, the nurses sometimes don’t get all of the information, and the family wonders how safe their loved-one is in the facility if the primary care-givers aren’t updated.
I imagine that, as your poster stated, “opening the line of communication between the healthcare team and family/patient” would be very beneficial, as sometimes those group conversations are when the healthcare team discovers unmet needs that must be resolved prior to discharge and social services or other resources are brought in to consult and assist.
This reminds me of the interdisciplinary care planning we do at the bedside in the LTC/SNF. It allows other team members to ask questions and understand what the various departments need in order to help provide quality care for the resident or short-term skilled patient. It also, according to a study I read, helps to “reduce hospital readmission rates from 14.3% to 9% and improves patient satisfaction scores by 7.5%,” (Burdick, et al, 2017). The study mentioned that the satisfaction score improvement was specifically in regard to the patients feeling that they were included in making their health care decisions. These improvements are definitely positive outcomes for both the patient and facility.
Burdick, K., Kara, A., Ebright, P., & Meek, J. (2017). Bedside Interprofessional Rounding: The View From the Patient’s Side of the Bed. Journal of Patient Experience, 4(1), 22–27. http://doi.org/10.1177/2374373517692910
My poster focused mainly on implementing in disciplinary rounds within acute care settings however after reading your post, it occurred me to that LTC/SNF facilities would benefit from them as well. Before working in an acute care setting I spent approximately six years in LTC and rehab. There were several occasions, if bedside rounds would have been a requirement, issues with patients could have been addressed a lot quicker. I think its great your facility incorporates these rounds.
Quality of care, such an important aspect of nursing in the past, present and future. Family can be a vital component to provide that individual care for each patient. Rounding is not a part of the nursing function in the infusion department. Each outpatient infusion center does things differently, so this could be done in other centers depending on how it is set up. Having family involvement is so important. “The loved ones of a patient may not have a medical license or healthcare background, but their voice and presence matter in the hospital room” (Boyle, 2015, p.4.
Family still is involved in the outpatient infusion setting. Education on medication, what to expect, what to do if an allergic reaction occurs and so on. Families will express concerns; the nurses utilize the patient communication feature in the electronic medication record to notify the prescribing physician and office nurse of those concerns, so they are addressed.
Reference:
Boyle, B. (2015) “The critical role of family in patient experience. Patient Experience Journal: Vol. 2(2), 4-6. Retrieved from: http://pxjournal.org/cgi/viewcontent.cgi?article=1112&context=journal
Initially interdisciplinary bedside rounding appears to be targeted towards patient satisfaction which is increasingly important with HCAHPS scores driving facility motivations. Convincing providers to buy in to the benefits of interdisciplinary bedside round can be an uphill battle. Closer review shows how this practice can improve communication, collaboration, patient safety, etc. These improvements seem like no-brainers but changing old habits can be difficult. Did you find any methods of implementation which stuck out to you?
I currently work at Stormont Vail Hospital and this week we have welcomed Magnet in order to complete our survey. I had the honor of spending an hour long lunch with the surveyors and discuss ways in which our hospital and nurses are accomplishing certain things. Bedside rounding was actually one of the topics. Through discussion with the Magnet Surveyors and other employees from various departments, I learned that some facilities/units have already implemented bedside rounds. For example, our NICU currently completes them daily. If family members/parents are not present for the rounds, the doctor actually calls them during rounds to ensure they are still up to date with the patients plan of care. I thought this was such a neat idea. The NICU nurses noted significant push back as well by the physicians initially but after some time, they realized the full potential of the rounds. They even expressed the patients length of stays had decreased significantly and communication between families/caregivers was a success.
Interdisciplinary bedside rounding with patient involvement is an effective and efficient way of communicating for both the medical team and the patient. Patients and families ” prefer bedside rounds as long as they are conducted tactfully and sympathetically with reasonable attention to privacy and limited use of medical jargon” (Lichstein, P.R.,Atkinson, H.H., 2018). If I was a patient, I would prefer to be included in the decision making process as well.
Reference:
Lichstein, P.R.,Atkinson, H.H. (2018). Patient-centered bedside rounds and the clinical examination. Medical Clinics of North America, p509-519. Retrieved from: doi.org/10.1016/j.mcna.2017.12.012