Attitudes of nursing staff toward interprofessional in-patient-centered rounding.
Historically, medicine and nursing has had a hierarchical and patriarchal relationship, with physicians holding monopoly over knowledge-based practice of medical care, thus impeding interprofessional collaboration. Power gradient prevents nurses from demanding cooperative patient rounding. We surveyed attitudes of nursing staff at our tertiary care community hospital, before and after implementation of a patient-centered interprofessional (hospitalist-nurse) rounding process for patients. There was a substantial improvement in nursing staff satisfaction related to the improved communication (7%-54%, p < 0.001) and rounding (3%-49%, p < 0.001) by hospitalist providers. Patient-centered rounding also positively impacted nursing workflow (5%-56%, p < 0.001), nurses' perceptions of value as a team member (26%-56%, p = 0.018) and their job satisfaction (43%-59%, p = 0.010). Patient-centered rounding positively contributed to transforming the hospitalist-nurse hierarchical model to a team-based collaborative model, thus enhancing interprofessional relationships.
Department of Hospital Medicine, Mayo Clinic Health System, Franciscan Healthcare , La Crosse, WI , USA and.
Umesh
U
Sharma
David
D
Klocke
D001291:Attitude of Health Personnel; D005260:Female; D020445:Hospitalists; D006801:Humans; D033183:Interdisciplinary Communication; D007400:Interprofessional Relations; D008297:Male; D009741:Nursing Staff, Hospital / Q000523:psychology*; D010348:Patient Care Team / Q000458:organization & administration*; D018802:Patient-Centered Care; D010865:Pilot Projects; D011795:Surveys and Questionnaires; D056164:Teaching Rounds; D000078329:Workforce
Attitudes; hospital rounds; interprofessional care; interprofessional collaboration; nursing; patient-centered care