A Quality Improvement Project to Increase Nurse Attendance on Pediatric Family Centered Rounds

被引：7

作者：

Aragona, Elena ^{[1
]}

Ponce-Rios, Jose ^{[2
]}

Garg, Priya ^{[1
]}

Aquino, Julia ^{[1
]}

Winer, Jeffrey C. ^{[3
]}

Schainker, Elisabeth ^{[1
]}

机构：

[1] Tufts Floating Hosp Children, Pediat Hosp Med, Boston, MA USA

[2] Phoenix Childrens Hosp, Pediat Emergency Med, Phoenix, AZ USA

[3] Wolfson Childrens Hosp, Sect Hosp Med, Jacksonville, FL USA

来源：

JOURNAL OF PEDIATRIC NURSING-NURSING CARE OF CHILDREN & FAMILIES | 2016年 / 31卷 / 01期

关键词：

Family centered rounds; Multidisciplinary rounds; INTENSIVE-CARE-UNIT; BEDSIDE ROUNDS; PATIENT-CARE; COLLABORATION; TEAM; COMMUNICATION; INTERVENTION; PHYSICIANS; IMPACT; WARDS;

D O I：

10.1016/j.pedn.2015.08.005

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Background: Family centered rounds (FCR) occur at the bedside and include the patient and their family when creating a daily medical care plan. Despite recommendations that family centered rounds (FCR) with nursing staff be standard practice, nurses were frequently absent from FCR at our institution. Objective: To increase nurse attendance on hospitalist FCR to 80% in three months. Secondary outcomes were to investigate the relationship between nurse-to-patient ratio and nurse attendance, and to assess for change in perception toward FCR. Methods: This resident driven interrupted time series study included a focus group to identify barriers to nurse attendance on FCR, four plan-do-study-act cycles, and surveys to assess for changes in perceptions toward FCR. Control charts, SHEWHARTrules, linear regression and chi squared analysis were used for data analysis. Results: Nurse attendance on FCR improved from 30% to 59%. There was no correlation between nurse-topatient ratio and nurse attendance on FCR. Surveys indicated increase in the perception that it is helpful to have a nurse present at FCR. Conclusions: A resident driven quality improvement project can increase nurse presence on FCR. (C) 2016 Elsevier Inc. All rights reserved.

引用

页码：E3 / E9

页数：7

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