SHM Converge Scientific Abstract ePoster Gallery-Interprofessional Bedside Rounding Maintains Improved Nurse-Physician Communication and Satisfaction at Scale

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This study evaluated whether an interprofessional bedside rounding (IBR) model, previously successful in a pilot, could be expanded across an entire Division of Hospital Medicine at a large urban academic hospital.<br /><br />The intervention used EHR-based secure text notifications to alert bedside nurses when the medical team was rounding. During rounds, the team and nurse discussed nursing concerns, needed orders, and the day’s medical plan. The goal was to improve nurse-physician communication, teamwork, and satisfaction at scale.<br /><br />Participants from 11 hospital medicine teams, including attendings, residents, advanced practice clinicians, and bedside nurses, completed pre- and post-intervention surveys across 12 domains using a 5-point Likert scale. Survey items assessed communication, shared understanding of the care plan, unnecessary after-round communication, and selected Safety Attitudes Questionnaire items.<br /><br />Results showed a 42% post-survey response rate (44/104). Eleven of 12 domains trended toward improvement, and 10 of 12 improved significantly. Average scores improved from 3.2/5 before the intervention to 4.1/5 after. These findings suggest that expanding IBR to a broader, more diverse clinical setting maintained and even strengthened the communication and satisfaction benefits seen in the pilot.<br /><br />The authors concluded that at scale, interprofessional bedside rounding significantly improved nurse-physician communication and satisfaction across most measured domains. Limitations included the relatively low response rate and the fact that two nonsignificant survey questions were reverse-scored, which may have affected results. The next planned step is to assess whether the process can be sustained over time.

Asset Subtitle

Alyssa M. Yeager

Meta Tag

Author List Alan A. Kubey, Alyssa M. Yeager, Anh Nguyen, Gabrielle L. Mangan, Gina Urban, Jason C. Flynn, Joshua S. Bernard

Category Research

Concept Patient-Centered Multidisciplinary Bedside Rounding

Concept Physician-Nursing Communication

Concept Collaboration

Concept Shared Understanding

Concept Physician-Nurse Teamwork

Distinguished Non-Finalist

Presenter Organization Thomas Jefferson University Hospital

Presenting Author Alyssa M. Yeager

Track Quality Improvement

Keywords

interprofessional bedside rounding

nurse-physician communication

hospital medicine

teamwork

bedside nurses

EHR notifications

care plan coordination

survey improvement

patient care collaboration

healthcare satisfaction

Patient-Centered Multidisciplinary Bedside Rounding

Physician-Nursing Communication

Collaboration

Shared Understanding

Physician-Nurse Teamwork