Authors: Elisha Peregino, RN, MS, CRNP PNP-AC, HTPA; Mark Dias; Elias Rizk (Hershey, PA)
There are various studies addressing physician and nursing rounding improving care yet limited research on surgery service and nursing rounding. There are also limited studies looking at the involvement of Nurse Practitioners (NPs) on surgery services in facilitating multidisciplinary rounds. Physician and nursing rounding drastically improves care yet work flow on surgical services poses a challenge to scheduled daily nursing rounds.
This is a prospective single institution study analyzing rounding data with involvement of nursing in bedside rounds with being called or physically invited by the NSGY NP to bedside rounds for six months. Timing of rounds, time spent at the bedside and identification of nursing name/contact number at the patient's room were also collected to help better understand surgical team work flow.
Subjective nursing report on multiple units prior to data collection demonstrated that nursing was not consistently being involved in bedside rounds. Over 6 months, on average there was nursing presence 91% (n=564) of rounds. An average of 26% were called and 74% were physically contacted prior to rounds. Of the nurses that did not join, 89% were contacted prior to the initiation of bedside rounds. Overall, 40% of nurses did not have a contact name or phone number per unit protocol but were contacted and were physically present in rounds. Rounds averaged a little less than 5 minutes per patient.
NP involvement in daily multidisciplinary rounds increases the physical presence of bedside nursing. In turn, this positively impacts team rapport, communication and understanding of the daily patient care plan. Larger studies amongst other services lines are necessary to generalize to other populations and APP specialties.