Interdisciplinary Team Rounding – Implementation of a Standardized Nurse-Led Rounding Technique to Improve Nurse Self-Efficacy and Patient Length of Stay

Presenter(s)

Tina Nguyen

Abstract or Description

In health care, interdisciplinary team collaboration is critical for ensuring the delivery of holistic, individualized, and quality patient-centered care. One capacity in which interdisciplinary healthcare teams can effectively communicate, coordinate, and collaborate on patient care in an acute care setting is through the practice of interdisciplinary rounds (IDRs). This healthcare quality improvement project focuses on implementing a standardized nurse-led interdisciplinary rounding technique in an academic tertiary care setting to address barriers hindering nurse participation in interdisciplinary rounds (IDRs). The intervention aims to enhance communication, collaboration, and decision-making, impacting nurse self-efficacy and patient length of stay. Using quantitative measures, surveys adapted from validated tools will assess nurse self-efficacy pre- and post-intervention, while patient length of stay data will be analyzed between pre- and post-implementation periods. The project targets a 50% and 75% increase in nurse participation in nurse-led IDRs within one and two months, respectively. Within three months, the goal is to reduce the average patient length of stay by 0.5 days, and within six months, by one day. The initiative aspires to achieve 90% nurse participation and physician support in nurse-led IDRs within six months. This project has the potential to advance healthcare knowledge and practice by emphasizing the importance of standardized rounding techniques and interdisciplinary collaboration. Successful implementation and dissemination may extend nurse-led IDRs to other patient care areas, improve team perceptions of collaboration, enhance nurse self-efficacy, increase nurse satisfaction, retention, and performance, decrease patient length of stay, and improve the quality of care delivery and patient outcomes.

Keywords: interdisciplinary rounds, nurse-led, rounding tool, self-efficacy, length of stay