Abstract
The project addresses the pressing issue of poor interprofessional collaboration in skilled nursing facilities (SNFs) and its impact on care coordination. The practice-based question guiding the study is whether the implementation of a hybrid telehealth model of structured interprofessional bedside rounds (SIBR) impacts the relational coordination (RC) survey scores of nursing staff in SNFs. The project evaluates the impact of an innovative collaborative model on RC scores in two SNFs using a quantitative quasi-experimental before and after study design. Theoretical underpinnings are grounded in the dynamic theory of RC, providing a framework that aligns with purposeful interprofessional collaborative practice principles. The study identifies a knowledge gap and the need for evidence-based theories to guide strategies for effective care coordination and work collaboration across teams. Utilizing a paired t-test, the intervention's impact on nursing staff's scores were assessed, revealing a statistically significant increase from before to after implementation. The mean increase, supported by a 95% confidence interval and a Cohen’s d statistic indicating a medium effect size, leads to the rejection of the null evaluative outcome. Consequently, the study concludes that a hybrid telehealth model of SIBR positively impacts RC survey scores among nursing staff in SNFs. The findings highlight the potential of innovative and structured solutions in enhancing interprofessional collaboration, ultimately contributing to improved care coordination, patient satisfaction, staff satisfaction, and cost reduction in the SNF setting. The study's outcomes hold implications for healthcare policies, practices, and the ongoing discussion on innovative strategies for interprofessional collaboration in nursing care.
Notes
References: Abrahamson, K., Myers, J., & Nazir, A. (2017). Implementation of a person-centered medical care model in a skilled nursing facility: A pilot evaluation. Journal of the American Medical Directors Association, 18(6), 539–543.
https://doi.org/10.1016/j.jamda.2017.03.001
Brandeis. (2024). Relational model of change. Brandeis. https://heller.brandeis.edu/relational-coordination/about-rc/theory-
change.html
Follett, M. P. (2013). Freedom and co-ordination: Lectures in business organization (1st ed.). Routledge.
Gittell, J.H. (2013). Relational Coordination Survey. Brandeis University.
Gittell, J. H., & Ali, H. N. (2021). Relational analytics: Guidelines for analysis and action. Routledge.
Gonzalo, J. D., Himes, J., McGillen, B., Shifflet, V., & Lehman, E. (2016). Interprofessional collaborative care characteristics and the occurrence of bedside interprofessional rounds: A cross-sectional analysis. BioMed Central Health Services Research, 16(1). https://doi.org/10.1186/s12913-016-1714-x
Hesselink, G., Zegers, M., Vernooij-Dassen, M., Barach, P., Kalkman, C., Flink, M., Ön, G., Olsson, M., Bergenbrant, S., Orrego, C., Suñol, R., Toccafondi, G., Venneri, F., Dudzik-Urbaniak, E., Kutryba, B., Schoonhoven, L., & Wollersheim, H. (2014).
Improving patient discharge and reducing hospital readmissions by using intervention mapping. BioMed Central Health
Services Research, 14(1). https://doi.org/10.1186/1472-6963-14-389
Khan, A., Spector, N. D., Baird, J. D., Ashland, M., Starmer, A. J., Rosenbluth, G., Garcia, B. M., Litterer, K. P., Rogers, J. E., Dalal, A. K., Lipsitz, S., Yoon, C. S., Zigmont, K. R., Guiot, A., O’Toole, J. K., Patel, A., Bismilla, Z., Coffey, M., Langrish, K.,...Landrigan, C. P. (2018). Patient safety after implementation of a coproduced family centered communication programme: Multicenter before and after intervention study. British Medical Journal (Clinical research ed.), 363, k4764.
https://doi.org/10.1136/bmj.k4764
Valentine, M. A., Nembhard, I. M., & Edmondson, A. C. (2015). Measuring teamwork in health care settings: A review of survey instruments. Medical Care, 53(4), e16–e30. https://doi.org/10.1097/mlr.0b013e31827feef6
National Transitions of Care Coalition. (2021). Who is the national transitions of care coalition. https://www.ntocc.org
Verhaegh, K. J., Seller-Boersma, A., Simons, R., Steenbruggen, J., Geerlings, S. E., de Rooij, S. E., & Buurman, B. M. (2017). An exploratory study of healthcare professionals’ perceptions of interprofessional communication and collaboration. Journal of Interprofessional Care, 31(3), 397–400. https://doi.org/10.1080/13561820.2017.1289158
Sigma Membership
Chi Alpha at-Large
Type
Presentation
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Interprofessional initiatives, Workforce, Interprofessional/interdisciplinary, Skilled Nursing Facilities, SNFs
Recommended Citation
Flores, Soliel Marianne Diez; DeWitt, Joseann Helmes; Moshiri, Lisa; and Felicilda-Reynaldo, Faye, "Skilled Nursing Facility Interprofessional Bedside Rounds: Perspectives from Nurses" (2025). International Nursing Research Congress (INRC). 9.
https://www.sigmarepository.org/inrc/2025/presentations_2025/9
Conference Name
36th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Seattle, Washington, USA
Conference Year
2025
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.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Skilled Nursing Facility Interprofessional Bedside Rounds: Perspectives from Nurses
Seattle, Washington, USA
The project addresses the pressing issue of poor interprofessional collaboration in skilled nursing facilities (SNFs) and its impact on care coordination. The practice-based question guiding the study is whether the implementation of a hybrid telehealth model of structured interprofessional bedside rounds (SIBR) impacts the relational coordination (RC) survey scores of nursing staff in SNFs. The project evaluates the impact of an innovative collaborative model on RC scores in two SNFs using a quantitative quasi-experimental before and after study design. Theoretical underpinnings are grounded in the dynamic theory of RC, providing a framework that aligns with purposeful interprofessional collaborative practice principles. The study identifies a knowledge gap and the need for evidence-based theories to guide strategies for effective care coordination and work collaboration across teams. Utilizing a paired t-test, the intervention's impact on nursing staff's scores were assessed, revealing a statistically significant increase from before to after implementation. The mean increase, supported by a 95% confidence interval and a Cohen’s d statistic indicating a medium effect size, leads to the rejection of the null evaluative outcome. Consequently, the study concludes that a hybrid telehealth model of SIBR positively impacts RC survey scores among nursing staff in SNFs. The findings highlight the potential of innovative and structured solutions in enhancing interprofessional collaboration, ultimately contributing to improved care coordination, patient satisfaction, staff satisfaction, and cost reduction in the SNF setting. The study's outcomes hold implications for healthcare policies, practices, and the ongoing discussion on innovative strategies for interprofessional collaboration in nursing care.
Description
The findings highlight the potential of innovative and structured solutions in enhancing purposeful interprofessional collaboration, ultimately contributing to improved care coordination, patient satisfaction, staff satisfaction, and cost reduction in the Skilled Nursing Facility (SNF) setting.