Abstract: Efficient, accurate, and timely communication is required for quality health care and
is strongly linked to health care staff job satisfaction. Developing ways to improve communication
is key to increasing quality of care, and interdisciplinary care teams allow for improved
communication among health care professionals. This study examines the patient- and familycentered
use of structured interdisciplinary bedside rounds (SIBR) on an acute care for the
elderly (ACE) unit in a 555-bed metropolitan community hospital. This mixed methods study
surveyed 24 nurses, therapists, patient care assistants, and social workers to measure perceptions
of teamwork, communication, understanding of the plan for the day, safety, efficiency, and
job satisfaction. A similar survey was administered to a control group of 38 of the same staff
categories on different units in the same hospital. The control group units utilized traditional
physician-centric rounding. Significant differences were found in each category between the
SIBR staff on the ACE unit and the control staff. Nurse job satisfaction is an important marker
of retention and recruitment, and improved communication may be an important aspect of
increasing this satisfaction. Furthermore, improved communication is key to maintaining a safe
hospital environment with quality patient care. Interdisciplinary team rounds that take place at
the bedside improve both nursing satisfaction and related communication markers of quality
and safety, and may help to achieve higher nurse retention and safer patient care. These results
point to the interconnectedness and dual benefit to both job satisfaction and patient quality of
care that can come from enhancements to team communication.
Keywords: interprofessional teams, patientand family-centered care, structured interdisciplinary
bedside rounds, ACE unit, health care teams
Abstract: Efficient, accurate, and timely communication is required for quality health care andis strongly linked to health care staff job satisfaction. Developing ways to improve communicationis key to increasing quality of care, and interdisciplinary care teams allow for improvedcommunication among health care professionals. This study examines the patient- and familycentereduse of structured interdisciplinary bedside rounds (SIBR) on an acute care for theelderly (ACE) unit in a 555-bed metropolitan community hospital. This mixed methods studysurveyed 24 nurses, therapists, patient care assistants, and social workers to measure perceptionsof teamwork, communication, understanding of the plan for the day, safety, efficiency, andjob satisfaction. A similar survey was administered to a control group of 38 of the same staffcategories on different units in the same hospital. The control group units utilized traditionalphysician-centric rounding. Significant differences were found in each category between theSIBR staff on the ACE unit and the control staff. Nurse job satisfaction is an important markerof retention and recruitment, and improved communication may be an important aspect ofincreasing this satisfaction. Furthermore, improved communication is key to maintaining a safehospital environment with quality patient care. Interdisciplinary team rounds that take place atthe bedside improve both nursing satisfaction and related communication markers of qualityand safety, and may help to achieve higher nurse retention and safer patient care. These results
point to the interconnectedness and dual benefit to both job satisfaction and patient quality of
care that can come from enhancements to team communication.
Keywords: interprofessional teams, patientand family-centered care, structured interdisciplinary
bedside rounds, ACE unit, health care teams
การแปล กรุณารอสักครู่..
