Young Eric, Paulk Jaime, Beck James, Anderson Mel, Burck McKenna, Jobman Luke, Stickrath Chad
Departments of Medicine (Drs Young, Beck, Anderson, and Stickrath), Organizational Improvement/Quality Management (Ms Paulk), and Nursing (Ms Burck and Mr Jobman), Veterans Affairs Eastern Colorado Healthcare System, Denver; University of Colorado School of Medicine, Denver (Drs Young, Beck, and Anderson); and University of Colorado School of Medicine, Colorado Springs Branch, Colorado Springs (Dr Stickrath).
J Nurs Care Qual. 2017 Jul/Sep;32(3):218-225. doi: 10.1097/NCQ.0000000000000233.
Interdisciplinary rounds provide a valuable venue for delivering patient-centered care but are difficult to implement due to time constraints and coordination challenges. In this article, we describe a unique model for fostering a culture of bedside interdisciplinary rounds through adjustment of the morning medication administration time, auditing physician communication with nurses, and displaying physician performance in public areas. Implementation of this model led to measurable improvements in physician-to-nurse communication on rounds, teamwork climate, and provider job satisfaction.
跨学科查房为提供以患者为中心的护理提供了一个有价值的场所，但由于时间限制和协调挑战，实施起来很困难。在本文中，我们描述了一种独特的模式，通过调整早晨给药时间、审核医生与护士的沟通以及在公共区域展示医生表现，来培养床边跨学科查房的文化。该模式的实施使查房时医生与护士的沟通、团队合作氛围以及医护人员的工作满意度都得到了显著改善。
