by Stephanie Chapman, MSN, RN-BC, NE-A
In the Spring of 2011, Dr. Timothy Blanchat attended the annual meeting in Dallas Texas for the Society of Hospital Medicine. Dr. Jason Stein a physician from Emory University Hospital presented a process he developed for Structured Interdisciplinary Bedside Rounds (SIBR). This process is a patient centered approach in which the care team collaborates at the bedside with the patient and family to address any concerns and discuss the plan of care. This process has been proven to improve patient satisfaction with nursing and physician care, decrease length of stay, decrease patient safety issues, and increase nurse satisfaction with nurse/physician communication.
Patients and nurses were surveyed to see if they were satisfied with the rounding process. Patient comments were positive:
1. “I didn’t realize there were so many people involved in my care”.
2. “I have an opportunity to ask questions”.
3. “I actually got to talked to my doctor”.
Nurses commented with some mixed reviews:
1. Nurses are better informed about the daily plan of care from all disciplines.
2. The nurse hears what the physician tells the patient.
3. Calls from nurses to physicians have decreased.
4. The rounds were time-consuming for the nurse.
Multidisciplinary/interdisciplinary Team Bedside Rounds continue daily on the medical unit. In true keeping with CVMC’s mission of providing quality care to the community, the medical unit healthcare professionals encourage a partnership with patients’ and families. It is through this partnership that patients, families, and nursing staff are provided with better communication regarding the plan of care and goals for each patient.