INTERPROFESSIONAL BEDSIDE ROUNDS TO IMPROVE PATIENT PERCEPTION OF HEALTHCARE TEAM COMMUNICATION

1 online resource (75 pages) : PDF

2019

University of North Carolina at Charlotte

To improve patient outcomes, there is an increased emphasis on patient-centeredness and effective communication among the patient and healthcare team. Patients complete the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey once discharged from the hospital to measure perceptions of the hospital experience; including communication of the nurse and doctor. The purpose of this quality improvement project was to examine if implementing interprofessional bedside rounds (IBR) improved adult medical surgical patients’ perceptions of healthcare team communication, which was measured using HCAHPS scores. In addition, HCAHPS scores were used to assess the impact of hiring nurse practitioners (NP) and the Interprofessional Collaborative Competency Attainment Scale (ICCAS) was used to examine team members’ perceptions of collaboration abilities. ANOVA was used to detect significant changes in nurse and doctor HCAHPS communication scores from baseline in 2016, after NPs were hired in 2017, and post-IBR intervention in 2018. Average nurse scores improved from 2016 (79%) to 2017 (86%) to 2018 (90%) but these changes were not statistically significant (p= 0.310). Changes in average doctor scores were statistically significant (p=0.040) and scores improved from 2016 (69%) to 2017 (88%) and then slightly decreased in 2018 (85%). Scores on the ICCAS from pre- to post-IBR intervention were evaluated using t-tests and there was a 29% improvement (p=0.000). Findings support NPs and IBR as two strategies that can help improve patient perceptions of communication and healthcare team members’ perceptions of their collaboration abilities.

doctoral dissertations

Nursing

D.N.P.

IBR and Communication
IBR and HCAHPS
Improving Collaborative Abilites
Improving Patient Perception
Interprofessional Bedside Rounds
NP Role Communication

Health Services Research

Powers, Kelly
Gaston, Teresa

Floera, Sorin
Van Wallendael, Lori

Thesis (D.N.P.)--University of North Carolina at Charlotte, 2019.

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