Benefits of collaborative patient care rounds in the intensive care unit
| Autor: | Kathryn M. Pendleton, Leah B. Chapman, Michael Petty, Kathleen E. Kopp, Kimberly Langer, Sonia J. Meiers, Jodi L.A. Hartwig |
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| Rok vydání: | 2021 |
| Předmět: |
Critical Care
media_common.quotation_subject Critical Care Nursing law.invention 03 medical and health sciences Presentation 0302 clinical medicine Consistency (negotiation) Documentation Nursing law Intensive care Humans Medicine Teaching Rounds media_common Patient Care Team 030504 nursing business.industry 030208 emergency & critical care medicine Intensive care unit Checklist Intensive Care Units Delirium Patient Care medicine.symptom 0305 other medical science business |
| Zdroj: | Intensive and Critical Care Nursing. 63:102974 |
| ISSN: | 0964-3397 |
| DOI: | 10.1016/j.iccn.2020.102974 |
| Popis: | Improving care of critically ill patients requires using an interprofessional care model and care standardisation.Determine whether collaborative patient care rounds in the intensive care unit increases practice consistency with respect to common considerations such as delirium prevention, device use, and indicated prophylaxis, among others. Secondary objective to assess whether collaborative interprofessional format improved nursing perceptions of collaboration.Single centre, pre- and post- intervention design. collaborative patient care rounding format implemented in three intensive care units in an academic tertiary care centre. format consisted of scripted nursing presentation, provider checklist of additional practice considerations, and daily priority goals documentation. measurements included nursing participation, consideration of selected practice items, daily goal verbalisation, and nursing perception of collaboration.Pre- and post-intervention measurements indicate gains in consideration of eight of thirteen bundle items (p 0.05), with the greatest gains seen in nurse-presented items. Increases were observed in verbalisation of daily goals (59.8% versus 89.1%, p 0.0001), nurse participation (83.9% versus 91.8%, p = 0.056), and nurse collaboration ratings (p 0.0001).This study describes implementation of collaborative patient care rounds with corresponding increases in consideration of selected practice items, verbalisation of daily goals, and perceptions of collaboration. |
| Databáze: | OpenAIRE |
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