Rx for PX Tip for October is Developing a Culture of Collaboration and Communication
Looking for ways to improve the overall experience you and your patient are engaging in?
One model that supports this is increased collaboration and rounding conducted by medical providers and the patient’s nurse – together! This month’s feature focuses on the benefits of patient-centered multidisciplinary physician/nurse rounding. Cohesive communication and collaboration between medical providers and the nursing staff is vital to providing the best patient care and ensures positive outcomes globally.
Efficient and effective communication among members of a healthcare team is invaluable for delivering quality patient care. With multidisciplinary rounds supported by clinicians and nursing staff, disciplines come together to provide informed and collaborative support in real-time, helping to determine priorities, establish daily goals, and plan for discharge together. In fact, many hospitals have achieved reduced patient days, central line days, and increased coordination of care through the use of this model.
This model of care has proven to be a valuable tool in improving the quality and patient experience that emphasizes safety and efficiency. Studies maintain that fragmented care occurs because of communication breakdown, where important patient information is not shared timely or adequately. To further express this point, Mercedes, et al. (2015), states that, “Ineffective communication amongst members of the healthcare team is caused by delays in communication, failure to communicate with the appropriate team member, provision of inaccurate or incomplete information, and matters left unresolved until the point of urgency.”
According to Ababat, Asis, Bonus, DePonte, and Pham (2014), the benefits to multidisciplinary rounding that includes physicians and the patient’s nursing team include increased timely communication and teamwork, reduced errors, increased patient safety, decreased adverse events, improvements in length of stay, decreased call volume, and improved patient/staff satisfaction.
Sharma and Klocke (2014) support the positive outcomes of patient-centered interprofessional rounds. Implementing this rounding process conducted by physicians and nurses yielded higher satisfaction with inpatient rounding, increased the perceived value of being a healthcare team member, improved interaction and communication, had a positive effect on workflow, and overall job satisfaction (Sharma & Klocke, 2014).
Key components for implementing this model include:
- Commitment to rounding based on mutual respect
- Provider and nursing staff engagement
- Structuring rounds as an essential part of care
- Developing and refining your aim for rounds
- Effective and efficient communication
- Engaging the patient and family
- Ensuring leadership involvement, when needed
Insider Tip: Sweta Chandra, M.D., has initiated the practice of rounding in partnership with fellow nurses on our telemetry unit. Dr. Chandra states, “Rounding with the team on the unit has been quite a success. The patients have benefitted from seeing this partnership… from having a second voice to advocate on their behalf, to ensuring that they can hear the plan of care in the moment, to addressing the patients concerns that I would not have known about proactively. I make it a point to let the team know that I am here and connect with them prior to going in the patient’s room. It saves time for all team members when we hear the same message – to and from the patient.”
The end goal: Developing a commitment to rounding in a collaborative nature supports development of a successful culture of collaboration and communication. Physicians and nurses are critical players in ensuring that patients’ quality of care and satisfaction are paramount to the patient experience.
Ababat, V., Asis, J., Bonus, M., DePonte, C., & Pham, D. (2014). Multidisciplinary rounds in various hospital settings. RN Journal. Retrieved from http://rnjournal.com/journal-of-nursing/multidisciplinary-rounds-in-varioushospital-settings
Dillard, B. (2008). Round Up Staff for Better Rounds. The Hospitalist. 2008 September;2008(9). Retrieved from: https://www.the-hospitalist.org/hospitalist/article/123584/round-staff-better-rounds
Mercedes, A., Fairman, P., Hogan, L., Thomas, R., & Slyer, JT. (2015). The effectiveness of structured multidisciplinary rounding in acute care units on length of hospital stay and satisfaction of patients and staff: a systematic review protocol. JBI Evidence Synthesis. August 2015, Volume :13 Number 8 , page 41 – 53. Retrieved from: https://www.nursingcenter.com/journalarticle?Article_ID=3468608&Journal_ID=3425880&Issue_ID=3468382
Sharma, U. & Klocke, D. (2014). Attitudes of nursing staff toward interprofessional in-patient centered rounding. Journal of Interprofessional Care, 28(5), 475-477