Journal article
Novel use of communication technology to improve nurse-physician communication, teamwork, and care coordination during bedside rounds
Journal of communication in healthcare, Vol.11(1), pp.56-61
01/02/2018
DOI: 10.1080/17538068.2018.1431425
Abstract
Background: Inter-professional bedside rounding has been used to reduce communication deficits and improve patient outcomes. Our objective was to evaluate nurse and physician participation in inter-professional bedside rounds and perceptions of communication, teamwork, and care coordination, through a quality improvement (QI) intervention.
Method: A web-based survey was completed by attending and resident physicians and nurses working on the general medical wards of an academic-affiliated Veteran’s Health Administration Hospital (VHA). Responses were assessed using the chi-square statistic. Qualitative responses were grouped into themes for analysis to guide the intervention. A pre-existing electronic communication device was utilized in a novel way by resident physicians to facilitate nursing participation in bedside rounds. Perceptions of communication, teamwork, and care coordination between nurses and physicians prior to and after introduction of the electronic communication device were assessed. Direct observation was used to assess nursing presence during physician team rounds.
Results: Following the intervention, both nurses and physicians agreed more nurses were alerted by physicians when rounds began and better communication between nurses and physicians occurred. However, technological barriers limited sustainability. Nursing presence on rounds increased from a baseline of 16.5% to 36% post-intervention.
Conclusions: Implementation of a voice-activated, communication device on rounds facilitated improvement in perceptions of communication, teamwork, and care coordination, which may ultimately impact cultural change and patient outcomes.
Details
- Title: Subtitle
- Novel use of communication technology to improve nurse-physician communication, teamwork, and care coordination during bedside rounds
- Creators
- Alexis Wickersham - Department of Medicine, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USAKrista Johnson - Iowa City VA Healthcare System, Iowa City, IA, USA, Department of Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USAAparna Kamath - Department of Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA, Department of Medicine, Duke University School of Medicine, Durham, NC, USAPeter J Kaboli - Iowa City VA Healthcare System, Iowa City, IA, USA, Department of Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA, Comprehensive Access and Delivery Research and Evaluation (CADRE) Center at the Iowa City VA Healthcare System and VA Quality Scholars Fellowship Program, Iowa City, IA, USA
- Resource Type
- Journal article
- Publication Details
- Journal of communication in healthcare, Vol.11(1), pp.56-61
- DOI
- 10.1080/17538068.2018.1431425
- ISSN
- 1753-8068
- eISSN
- 1753-8076
- Grant note
- DOI: 10.13039/100000738, name: Department of Veterans Affairs; DOI: 10.13039/100007217, name: Veterans Health Administration; name: VA Chief Resident in Quality and Safety Fellowship Program; name: VA Quality Scholars Fellowship Program; DOI: 10.13039/100007217, name: Health Services Research and Development; name: Comprehensive Access and Delivery Research and Evaluation
- Language
- English
- Date published
- 01/02/2018
- Academic Unit
- Internal Medicine; Epidemiology
- Record Identifier
- 9984094707602771
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