Importance of rounding on patients Essay

RUNNING HEAD: IMPORTANCE OF ROUNDING

Increasing Patient Reporting as a Collaborative Effort

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Increasing Effective Patient Reporting as a Collaborative Effort

Introduction:

In order to increase effective reporting, communication is evident as a collaborative effort between the interdisciplinary team by rounding. Delegation is also a commutative effort by nursing, physicians and auxiliary staff. Both processes are very important to enhance patient safety and improve patient outcomes. Both interests should be implemented to increase staff retention rates also team building that is key to a successful flow in patient care.

Peer Review:

The goals to be discussed in the body of this paper relate to increasing patient safety goals in nursing. It is evident that communication is the key to decrease patient incidents. The first smart goal is to improve communications between physician, nursing and auxiliary staff by rounding. We will examine the pro and cons of standardizing this practice. We will review a pilot program by experts who are working in the field of study and a group of nurses who have implemented the program with statistics in relation to decrease patient events.

To offset how to implement nursing rounding we will examine a program that institutes multidisciplinary forum. This procedure ensures accuracy with orders and improvements noted in patient care. The program is researched by a physician over a year in the United Kingdom. The research was conducted in two regional hospital with experience participates, the article do not note which specialty was indicated in the pilot study.

The Second smart goal is to improve nursing delegation skills with auxiliary staff by increasing effective communication with team building. The purpose is to increase positive relations between nursing and patient care technicians by evaluating each specialty purpose to complete the job as a
team. The patient care technician works closely with nurses to complete patient centered task. In the facility I currently is employed the staff shortages plays a big role in burn out for bed side professionals, with this in mind it is very important staff maintain open dialogue to be effective decreasing stressor of burn out. In so many facilities patient care technicians has complain that there not getting enough assistance from nursing staff or with relaying messages about patient observations the nurses are not follow up, however nurses has complained that the patient care technicians are hiding and not completing task. I would like to examine why and close the gap to increase a positive working environment that will enhance patient care and decrease burn out and turn- over of staff.

Peer Review Article: 1
The first journal up for discussion is a Guide to Developing Nursing Grand Rounds, written by a group of practicing critical care nurses using evidence-based practice as focus. The focus was to implement the practice in other facilities. According to the article, the practice has been cited since 1960, although, little information has been published (1. pg. 57). Nursing ground rounds is a patient centered goal instituted to improve care with a holistic approach that involves the interdisciplinary team. Information states the project was designed to increase retention and obtain magnet status. Medical grounds rounds are physicians and management in attendance; however the bedside nurse is not involved. The studies provided information regarding improving nurse professionalism, by examining nursing care given and break this care into message that would be shared with other nurses and disseminated among

their peers (1, Pg. 56). This philosophy improved learning and critical thinking skills in coordination with the novice and the expert. A pilot program was instituted in an inner city medical center in Ohio critical care unit. The article mention the outcome was outstanding 99% of nurses were excited and involved with the change Nurse Communication improved by an increase in team building skills. The nurses piloted the program to the upper management team which then providing coverage for the attendees who were involved with the process.

Due to an outstanding participation and increase in nurse and family satisfaction the program was implemented in other areas. The second section to the 1st peer review to discuss is the Schwartz Center Rounds in the United Kingdom that was led by a doctor including one or two other staff involved in the patient’s carte spending 10-15 minutes presenting case studies describing their role, and issues that raised changes in the patient care and outcomes (2, pg. 118). This program effectiveness was evaluated by random surveys to conduct before and after the program was instituted from families and employees that were involved. The program out-comes increased so as well as patient family satisfactions. The program was so successful they were instituted in out- patient clinics. As stated, “ Our findings suggest that participants perceive UK Rounds as having personal benefit, influence on relationships with colleagues and in teams and wider effects on the organization”, (2., pg. 120).

Peer Review Article 2.
The second peer review article depicts the importance of correct communication when out sourcing responsibilities to lay staff as nurses. The article up for review, developing delegation Skills written by a group of registered nurses. The concept of this article is to improve communications between the delegator and designee. Nursing as noted in this article has the responsibility of the work of the designee if given the directive to do the work. If there is a break in communication patient safety can be compromised, so that it is imperative correct dialogue is continuously practice.

The article states, “Communication style influences teamwork and relationships. Engaging in direct, open and honest communication is a character of good teamwork”, (3. pg. 4). Scope of practice and clarity is very instrumental effective delegation. The team leader or manager should also have master skills in paring personalities together on units in order to be an effective team. There is no other way of putting so personalities do not mesh however, if there is a good manager insight over hindsight is key. Partnering is supported by a staffing schedule that is developed so as to consistently have care givers working together and by the method of patient assignments that ensures the same staff cares for the same group of patient for the their length of stay if permissible, (3., pg. 6). The nurses roll is to ensure safety for patients
inappropriate delegation can lead to disaster.

Creditable Website
I received two of my scholarly article from Chamberlain College of Nursing library assistance tool researching EBSCOhost / CINAHL. Both search tool reference updated information that is evidence based practice in the fields were discuss in content.

Expert Interview:

I am currently working in a facility that conduct rounding in intensive care units daily at ten, conducted by Dr. Expertly who is the head intensive’s. His core objective that can be problems is time management. In participation are the intensives, bedside nurses; physical therapist; occupational therapist; and pharmacy. According to Dr. Expertly patient care out-comes have increase drastically after implementing rounding. Effective communication as a shared team for one common patient center goal has developed since rounding is in effect. This is the third year at this facility rounding was instituted. Several other units besides the emergency room rounding are a mandatory practice at Frye Medical Center.

Summary
In closing dialogue is the important key in improving peer relationships and patient care. Rounding is a part of closing the miscommunication gap between nurses and other staff members. The way to be effective in delivering quality service to patient and their families is to continue to have open effective honest communication. Both smart goals presented are relevant to relationship building by open forum through communications.

Reference Page:

1. Armola, RR; Brandeburg J; Tucker, D., (Oct 30, 2010), “Nursing grand rounds. A guide to developing nursing grand rounds” , Critical Care Nurse (Crit Care Nurse), vol (5) pg. 55-62, PMID:20889513 NLM UID:8207799, http://web.ebscohost.com.proxy.devy.edu/ehost

2. Good, J., (March 2012) “Supporting hospital staff to provide compassionate care; Do Schwartz Center Rounds work in English Hospital?) JR SOC MED, Journal of the Royal Society of Medicine vol. (105) no. 3 117-22 ; http://web.ebscohost.com.proxy.devy.edu/ehost/delivery

3. Weydt, A., (May 31, 2010) “Developing Delegation Skills” OJIN: The Online Journal of Issues in nursing vol., 15, NO. 2, Manuscript 1. http://www.nursingworld.org/mainmenucategories/anamarketplace

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