title: Impact of nurse integrated rounds on self-reported comprehension, attitudes, and practices of nurses and resident physicians in a pediatric intensive care unit.
abstract: OBJECTIVE
  To evaluate the impact of nurse integrated rounds (NIRs) on self-reported comprehension, attitudes, and practices of nurses and resident physicians (RPs) in a pediatric intensive care unit (PICU).
  
  
  METHODS
  A self-reported comprehension, attitude, and practice survey of RPs and nurses was done prior to (T0), 3 months (T3), and 15 months (T15) after initiation of NIRs in our PICU. Responses were graded on Likert-type scale from 1 to 5. The RPs, attending physicians, and nurses also ranked their overall perception of NIRs during these 3 survey time periods.
  
  
  RESULTS
  All 3 components of the surveys showed statistically significant improvement (P < .05) from the T0 to T3 and T15 in RPs and nurses. A complete or almost complete reversal of attitude was noted for most questions in the attitude section in both RPs and nurses when T15 was compared to T0. The overall perception that NIRs was good for patient care also showed significant improvement in the survey of nurses and physicians.
  
  
  CONCLUSIONS
  The NIRs are well accepted by nurses and physicians and are accompanied by self-reported improvements in comprehension, attitudes, and practices of nurses and RPs in the PICU.
authors.affiliation: Children's Hospital of New Jersey at Newark Beth Israel Medical Center, Newark, NJ, USA mkalyanaraman@barnabashealth.org.
authors.forename: Meena
authors.initials: M
authors.lastname: Kalyanaraman
authors.affiliation: Children's Hospital of New Jersey at Newark Beth Israel Medical Center, Newark, NJ, USA.
authors.forename: Derrick
authors.initials: D
authors.lastname: McQueen
authors.affiliation: Children's Hospital of New Jersey at Newark Beth Israel Medical Center, Newark, NJ, USA.
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Sykes
authors.affiliation: Children's Hospital of New Jersey at Newark Beth Israel Medical Center, Newark, NJ, USA.
authors.forename: Sushmita
authors.initials: S
authors.lastname: Mikkilineni
authors.affiliation: Children's Hospital of New Jersey at Newark Beth Israel Medical Center, Newark, NJ, USA.
authors.forename: Cheryle
authors.initials: C
authors.lastname: Aizley
authors.affiliation: Children's Hospital of New Jersey at Newark Beth Israel Medical Center, Newark, NJ, USA.
authors.forename: Mary Jean
authors.initials: MJ
authors.lastname: Kelly
authors.affiliation: Children's Hospital of New Jersey at Newark Beth Israel Medical Center, Newark, NJ, USA.
authors.forename: Maryellen
authors.initials: M
authors.lastname: Wiggins
mesh_terms: D032882:Comprehension; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D015278:Intensive Care Units, Pediatric; D007396:Internship and Residency; D008297:Male; D057184:Practice Patterns, Nurses' / Q000706:statistics & numerical data*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D057566:Self Report; D011795:Surveys and Questionnaires; D056164:Teaching Rounds; D000078329:Workforce
keywords: attitude; comprehension; nurse integrated rounds; perception; practice