Lieutenant Commander Dagoberto Salinas is an adult-gerontology clinical nurse specialist at U.S. Naval Hospital Jacksonville (NH JAX) in Jacksonville, FL, where Lieutenant Stephen Christopher Johnson (deceased) was a first-year medical resident. At the time of the grand rounds initiative, Commander Julie Anne Conrardy was program director for perioperative nurse training at NH JAX (she is currently quality manager for the operating room at Naval Medical Center San Diego) and Lieutenant Commander Tuesday Lynn Adams was an adult-gerontology clinical nurse specialist at U.S. Naval Medical Center Camp Lejeune in Jacksonville, NC (she is currently associate chief nurse of inpatient services at Captain James A. Lovell Federal Health Care Center, Great Lakes, IL). James Denning Brown is system director of clinical education at St. Vincent's Ascension in Jacksonville, FL. Contact author: Dagoberto Salinas,
Am J Nurs. 2019 Apr;119(4):41-48. doi: 10.1097/01.NAJ.0000554547.03020.a2.
: In 2017, Navy Nurse Corps executives launched a new nursing professional practice model that promotes operational readiness, professional development, and transformational leadership. This directive prompted nursing leadership at Naval Hospital Jacksonville (NH JAX) to conduct a needs assessment survey to determine what kind of educational initiative nursing staff members would most welcome in support of the goals of the new practice model. Survey respondents favored case studies presented in a nursing grand rounds format. Our change implementation team designed and executed the grand rounds program, offering lunchtime presentations every other month. Topics included a wide range of "high-risk/low-volume" procedures-those infrequently performed at participants' clinical sites. Ten months after the initiation of grand rounds, surveys were distributed to NH JAX participants to assess their perceptions of the value of the sessions in terms of professional development, interdisciplinary teamwork, and strengthened institutional partnerships.Of the 161 nursing grand rounds participants, 41 (25%) responded to the postimplementation survey. Responses indicated that participants valued nursing grand rounds in enhancing clinical knowledge (83% agreed), discussing research and evidence-based practices (71% agreed), supporting professional development (88% agreed), improving interdisciplinary teamwork (83% agreed), and solidifying interorganizational partnerships (73% agreed). This article presents the implementation of the NH JAX grand rounds program and demonstrates how nursing grand rounds can serve as an excellent forum in which to develop knowledge, showcase research and evidence-based practices, support professional growth, improve collaboration, and strengthen partnerships.
2017 年，海军护士团的高管推出了一项新的护理专业实践模式，旨在提高战备能力、促进专业发展和推动变革型领导力。这一指令促使杰克逊维尔海军医院（NH JAX）的护理领导层进行需求评估调查，以确定护理人员最欢迎哪种教育计划，以支持新实践模式的目标。调查对象赞成以护理大查房形式呈现的案例研究。我们的变革实施团队设计并执行了大查房项目，每两个月提供一次午餐时间的演示。主题包括广泛的“高风险/低量”程序——即参与者临床现场很少进行的程序。在大查房启动十个月后，向 NH JAX 参与者分发了调查问卷，以评估他们对这些会议在专业发展、跨学科团队合作和加强机构伙伴关系方面的价值的看法。在 161 名参加护理大查房的参与者中，有 41 人（25%）对实施后的调查做出了回应。调查结果表明，参与者认为护理大查房有助于提高临床知识（83%的人表示同意）、讨论研究和循证实践（71%的人表示同意）、支持专业发展（88%的人表示同意）、改善跨学科团队合作（83%的人表示同意）以及巩固组织间伙伴关系（73%的人表示同意）。本文介绍了 NH JAX 大查房项目的实施情况，并展示了护理大查房如何成为发展知识、展示研究和循证实践、支持专业成长、改善协作和加强伙伴关系的绝佳论坛。
