Structured, nurse-led ward rounds to improve interprofessional communication and optimize care of vascular surgery patients: a best practice implementation project.
| Autor: | Neo NWS; Nursing Department, National University Heart Centre, Singapore.; Evidence-Based Nursing Unit, National University Hospital, Singapore.; Singapore National University Hospital, Centre for Evidence-Based Nursing: A JBI Centre of Excellence, Singapore., Li Y; Nursing Department, National University Heart Centre, Singapore., Salazar AB; Nursing Department, National University Heart Centre, Singapore., Gan JKL; Nursing Department, National University Heart Centre, Singapore., Ng JJ; Division of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic and Vascular Surgery, National University Heart Centre, Singapore., Tho PC; Evidence-Based Nursing Unit, National University Hospital, Singapore.; Singapore National University Hospital, Centre for Evidence-Based Nursing: A JBI Centre of Excellence, Singapore. |
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| Jazyk: | angličtina |
| Zdroj: | JBI evidence implementation [JBI Evid Implement] 2023 Dec 01; Vol. 21 (4), pp. 365-373. Date of Electronic Publication: 2023 Dec 01. |
| DOI: | 10.1097/XEB.0000000000000385 |
| Abstrakt: | Introduction: Ward rounds are crucial inpatient activities during which patients' conditions are discussed. Team-based models such as nurse-led ward rounds (NLWRs) have been conceptualized and trialled, with positive results. Methods: An evidence-based quality improvement pilot project to introduce NLWRs was implemented at a cardiovascular medical-surgical unit in a Singapore tertiary hospital. The JBI Evidence Implementation Framework was used to guide the project. The evidence-based NLWR format incorporated stakeholder feedback on NLWR frequency, preparation, coordination, and content. Baseline and 6-month post-implementation audits were carried out. Results: The 4 audit criteria improved from baseline, reaching 100% compliance for criteria 1, 2, and 3 associated with interprofessional communication and collaboration. An improvement from baseline (30% to 46.7%) was also observed for criterion 4 on patient involvement during medical ward rounds. Moreover, there were improvements in clinical outcome data such as patient hospitalization length, "best medical therapy" rates, and inpatient complications. A statistically significant improvement in nurses' confidence to lead discussions during medical rounds was also observed ( p = 0.026). Conclusions: This project promoted greater compliance with NLWR criteria through audit and feedback cycles and the contextualization of implementation strategies. A well-supported program that prepares nurses for interprofessional communication also improves nurses' confidence in team communication, bolstering their ability to provide high-quality patient care. (Copyright © 2023 JBI. Unauthorized reproduction of this article is prohibited.) |
| Databáze: | MEDLINE |
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