Other Titles

Rapid Presentation Round

Abstract

Evidence supports interprofessional bedside rounding as a method to improve communication and patient outcomes in inpatient healthcare settings (Blakeney et al., 2021). Intensive care unit (ICU) nurses have an integral role to play in these rounds, as they influence patient care, safety, and satisfaction and often maintain the most current information about patient status and concerns. Surgical Trauma ICU nurses in a large level one trauma center attend daily physician-led multidisciplinary teaching rounds, but their role as a passive participant led to dissatisfaction and concerns that suboptimal interprofessional communication might negatively impact patient outcomes.

Based on the work of Amour and DeHart (2020), the ICU nursing leadership team distributed a survey to assess nurse perceptions of communication with resident and attending physicians in the unit. This stemmed from a listening session with hospital leadership where nurses expressed they felt as though their opinions and concerns are often not heard by the physician team. Fifty-five percent of staff nurses completed the survey, which identified opportunities to improve teamwork, communication, and feelings of inclusion and value. This evidence-based practice project aims to enable nurses to lead daily collaborative interprofessional team rounds resulting in improved nurse/physician communication and increased nurse satisfaction with care team outcomes. (Costanzo, et al, 2019).

In response to survey results and cooperation of the physician team, the ICU shifted interprofessional bedside rounds to a nurse-led model. The nursing and medical teams collaborated to create a script for nurses to use to lead interprofessional rounds, placing nurses at the center of patient care. The project remains in progress, and a post intervention survey will measure improvements in the nurse-physician communication dynamic and nurse satisfaction with their role in the care team. Gormley et al. (2019) found improvements in patient experience scores following implementation of nurse-led rounding, and those will also be evaluated.

Notes

Reference list included in attached slide deck.   Presenter notes available in slide deck.

Description

Nurses are essential at the bedside of critical care patients. Their participation in team rounding is crucial for comprehensive patient care. The Surgical Trauma ICU at a Level 1 teaching facility plans to shift interprofessional rounds to a nurse-led model to improve nurse-physician communication, patient outcome, and satisfaction.

Author Details

Katherine Vandyke Grose, MSN, RN, TCRN, CCRN; Melanie Louise Hoeve, BSN, RN, CCRN, TCRN, CNRN

Sigma Membership

Epsilon Zeta

Type

Presentation

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Other

Keywords:

Nurse-led Rounds, Patient Rounds, Interprofessional Relations, Multidisciplinary Care Team, Intensive Care Units

Conference Name

Creating Healthy Work Environments

Conference Host

Sigma Theta Tau International

Conference Location

Washington, DC, USA

Conference Year

2024

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Date of Issue

2026-02-13

Click on the above link to access the slide deck.

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Nurse-Led Rounds to Improve Communication and Nursing Satisfaction in the Surgical Trauma ICU

Washington, DC, USA

Evidence supports interprofessional bedside rounding as a method to improve communication and patient outcomes in inpatient healthcare settings (Blakeney et al., 2021). Intensive care unit (ICU) nurses have an integral role to play in these rounds, as they influence patient care, safety, and satisfaction and often maintain the most current information about patient status and concerns. Surgical Trauma ICU nurses in a large level one trauma center attend daily physician-led multidisciplinary teaching rounds, but their role as a passive participant led to dissatisfaction and concerns that suboptimal interprofessional communication might negatively impact patient outcomes.

Based on the work of Amour and DeHart (2020), the ICU nursing leadership team distributed a survey to assess nurse perceptions of communication with resident and attending physicians in the unit. This stemmed from a listening session with hospital leadership where nurses expressed they felt as though their opinions and concerns are often not heard by the physician team. Fifty-five percent of staff nurses completed the survey, which identified opportunities to improve teamwork, communication, and feelings of inclusion and value. This evidence-based practice project aims to enable nurses to lead daily collaborative interprofessional team rounds resulting in improved nurse/physician communication and increased nurse satisfaction with care team outcomes. (Costanzo, et al, 2019).

In response to survey results and cooperation of the physician team, the ICU shifted interprofessional bedside rounds to a nurse-led model. The nursing and medical teams collaborated to create a script for nurses to use to lead interprofessional rounds, placing nurses at the center of patient care. The project remains in progress, and a post intervention survey will measure improvements in the nurse-physician communication dynamic and nurse satisfaction with their role in the care team. Gormley et al. (2019) found improvements in patient experience scores following implementation of nurse-led rounding, and those will also be evaluated.