The Relationship between Multidisciplinary Rounds and Patient and Provider Outcomes

2.50
Hdl Handle:
http://hdl.handle.net/10755/148531
Type:
Presentation
Title:
The Relationship between Multidisciplinary Rounds and Patient and Provider Outcomes
Abstract:
The Relationship between Multidisciplinary Rounds and Patient and Provider Outcomes
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Roche, Joan P., PhD, RN
P.I. Institution Name:University of Massachusetts Amherst
Title:Assistant Clinical Professor
Co-Authors:Tara M. Tehan, RN, MSN, MBA
[Scientific session research presentation] Purpose: Increasing multidisciplinary collaboration can create a safer hospital for patients and a better environment for the healthcare workers. The Institute of Medicine proposed several changes to transform the hospital work environment and to protect patient safety, including structured opportunities for physicians and nurses to collaborate in an interdisciplinary model. The purpose of this study is to compare patient and provider outcomes before and after the initiation of weekly nurse-coordinated multidisciplinary rounds in a large medical center. Theoretical Framework: This study is based on Donabedian's framework of Structure Process Outcomes. The researchers recognized that there were informal but inconsistent collaboration processes in place on this intermediate nursing unit. They hypothesized that a structure to facilitate consistent, regularly scheduled multidisciplinary dialogue processes on each patient would be associated with improved patient and provider outcomes. Methods: This is a pre and post test design. The staff nurses collaborated with Nurse Manager, University Faculty and CNS to initiate and coordinate weekly multidisciplinary rounds, run by the charge nurse. Stakeholder support was invited and pulmonary physicians, respiratory therapists, case managers, pulmonary nurses, social workers, chaplains, dieticians, PTs and OTs agreed to participate. Provider outcomes are perceptions of and satisfaction with collaboration (Baggs, 1994). Patient outcomes are length of stay , patient complaints and multidisciplinary consults. These measures are being compared prior to the rounds and at six months using the appropriate statistical tests. The study was approved by the IRB. Results: The multidisciplinary round process was developed over a three month planning period. Initial data was collected. There has been strong participation of all of the disciplines in these meetings. Post test data is currently being measured and findings and discussion of the results will be reported in the presentation. Conclusions and Implications: The conclusions and implications will be presented at the conference.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Relationship between Multidisciplinary Rounds and Patient and Provider Outcomesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/148531-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Relationship between Multidisciplinary Rounds and Patient and Provider Outcomes</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Roche, Joan P., PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Massachusetts Amherst</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Clinical Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jproche@nursing.umass.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Tara M. Tehan, RN, MSN, MBA</td></tr><tr><td colspan="2" class="item-abstract">[Scientific session research presentation] Purpose: Increasing multidisciplinary collaboration can create a safer hospital for patients and a better environment for the healthcare workers. The Institute of Medicine proposed several changes to transform the hospital work environment and to protect patient safety, including structured opportunities for physicians and nurses to collaborate in an interdisciplinary model. The purpose of this study is to compare patient and provider outcomes before and after the initiation of weekly nurse-coordinated multidisciplinary rounds in a large medical center. Theoretical Framework: This study is based on Donabedian's framework of Structure Process Outcomes. The researchers recognized that there were informal but inconsistent collaboration processes in place on this intermediate nursing unit. They hypothesized that a structure to facilitate consistent, regularly scheduled multidisciplinary dialogue processes on each patient would be associated with improved patient and provider outcomes. Methods: This is a pre and post test design. The staff nurses collaborated with Nurse Manager, University Faculty and CNS to initiate and coordinate weekly multidisciplinary rounds, run by the charge nurse. Stakeholder support was invited and pulmonary physicians, respiratory therapists, case managers, pulmonary nurses, social workers, chaplains, dieticians, PTs and OTs agreed to participate. Provider outcomes are perceptions of and satisfaction with collaboration (Baggs, 1994). Patient outcomes are length of stay , patient complaints and multidisciplinary consults. These measures are being compared prior to the rounds and at six months using the appropriate statistical tests. The study was approved by the IRB. Results: The multidisciplinary round process was developed over a three month planning period. Initial data was collected. There has been strong participation of all of the disciplines in these meetings. Post test data is currently being measured and findings and discussion of the results will be reported in the presentation. Conclusions and Implications: The conclusions and implications will be presented at the conference.</td></tr></table>en_GB
dc.date.available2011-10-26T09:46:33Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:46:33Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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