SHM Converge Scientific Abstract ePoster Gallery-Interprofessional Bedside Rounding Improves Nurse-Physician Communication and Satisfaction

Pdf Summary

This project evaluated an updated interprofessional bedside rounds (IBR) model that used secure-text alerts from an electronic health record to notify nurses when medical teams were coming to bedside rounds. The goal was to improve communication and satisfaction among attendings, residents, advanced practice providers, and registered nurses on a general medicine unit at an academic hospital.<br /><br />A multidisciplinary committee set expectations and promoted the process through email, secure texting, and in-person communication. During rounds, the medical team would send a pre-populated text to the nurse, who could then raise concerns, clarify needed orders, and hear the plan for the day. The interaction was designed to take about one minute.<br /><br />Participants completed pre- and post-intervention surveys measuring communication satisfaction, knowledge of the medical plan, burden of unnecessary post-round messages/orders, and safety climate using a Likert scale. Matched pre-post survey analysis showed a 49% post-response rate (33 of 68). Average scores improved from 3.5/5 to 4.3/5. All twelve measured domains trended upward, and nine showed statistically significant improvement. There were also non-significant reductions in post-round messages from nurses to physicians and in post-round orders.<br /><br />Overall, the study found that secure-text-enabled interprofessional bedside rounding improved nurse-physician communication, teamwork, and satisfaction, while suggesting a possible reduction in disruptive follow-up communication. The authors note that the findings are limited by the low survey response rate and that broader implementation is ongoing.

Asset Subtitle

Joshua S. Bernard

Meta Tag

Author List Alan A. Kubey, Alyssa Yeager, Gabrielle L. Mangan, Gina Urban, Joshua S. Bernard, Kelly E Kennan

Category Innovations

Concept Patient-Centered Multidisciplinary Bedside Rounding

Concept Physician-Nursing Communication

Concept Secure Text Messaging

Concept Electronic Health Record

Concept Hospital Medicine Service

Distinguished Non-Finalist

Presenter Organization Thomas Jefferson University Hospital

Presenting Author Joshua S. Bernard

Track Communication

Keywords

interprofessional bedside rounds

secure text alerts

nurse physician communication

electronic health record

teamwork satisfaction

general medicine unit

hospital communication

bedside rounding

survey analysis

patient care coordination

Patient-Centered Multidisciplinary Bedside Rounding

Physician-Nursing Communication

Secure Text Messaging

Electronic Health Record

Hospital Medicine Service