2.50
Hdl Handle:
http://hdl.handle.net/10755/164258
Category:
Abstract
Type:
Presentation
Title:
Fostering Clinical Improvement through Nursing Grand Rounds
Author(s):
Burnie, Jeannie; Parks, Lisa
Author Details:
Jeannie Burnie, BSN, RN, Tri health, Bethesda North, Cincinatti, Ohio, USA, email: nacnsorg@nacns.org; Lisa Parks, BSN, RN, Good Samaritan Hospital, Cincinatti, Ohio, USA
Abstract:
Purpose: Our multiple hospital system has incorporated Nursing Grand Rounds as a result of efforts made in the peer review process. Nursing Grand Rounds are presented informally but with professional integrity as education is provided in a new and creative way. Significance: Shared governances of the nursing process improvement council and administration support the implementation of Nursing Grand Rounds. Sentinel events and clinical quality data, drive topic selection. Design: A committee made up of educators, staff nurses and clinical quality specialists determine each quarterly topic. Once a topic is chosen, the current literature is reviewed to discover best practice and standard of care. Methods: Time for personal reflection and sharing of ideas occur through group interaction. This discussion exercises critical thinking skills that promote improved decision making at the bedside. Staff nurses are coached and involved in the presentation of case studies where pathophysiology, assessment skills and valid tools are shared to enhance the delivery of patient care. Treatment modalities are addressed to ensure nursing staff is familiar with current expectations. Findings: Policy and procedures are reviewed to increase the knowledge level of the foundation of nursing practice that supports patient safety. Common threads exist within all presentations and include not only critical thinking points, but legal and ethical considerations, chain of command processes, and documentation etiquette. Legal and ethical dilemmas are discussed to heighten awareness while the chain of command reinforces appropriate nursing intervention. Each Nursing Grand Rounds ends with examples of thorough nursing documentation. Conclusions: Participants evaluate each nursing grand rounds by using a Likert type evaluation of the objectives and the speakers. After each session the committee reviews the evaluations and makes decisions regarding changes to future offerings. Implications for Practice: The committee has offered four nursing grand round sessions. Topics that have been provided to date include heart failure, pain control using PCA pumps, palliative care concerns with dementia patients and the hidden risks of deep vein thrombosis. Our committee believes that this is a successful program and would like to present our concepts to allow others to implement a similar program.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2008
Conference Name:
Clinical Nurse Specialists: Leaders in Clinical Excellence
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Atlanta, Georgia, USA
Description:
Conference theme: Clinical Nurse Specialists: Leaders in Clinical Excellence, held March 5 - 8 at the Westin Peachtree Plaza in Atlanta, Georgia
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleFostering Clinical Improvement through Nursing Grand Roundsen_GB
dc.contributor.authorBurnie, Jeannieen_US
dc.contributor.authorParks, Lisaen_US
dc.author.detailsJeannie Burnie, BSN, RN, Tri health, Bethesda North, Cincinatti, Ohio, USA, email: nacnsorg@nacns.org; Lisa Parks, BSN, RN, Good Samaritan Hospital, Cincinatti, Ohio, USAen_US
dc.identifier.urihttp://hdl.handle.net/10755/164258-
dc.description.abstractPurpose: Our multiple hospital system has incorporated Nursing Grand Rounds as a result of efforts made in the peer review process. Nursing Grand Rounds are presented informally but with professional integrity as education is provided in a new and creative way. Significance: Shared governances of the nursing process improvement council and administration support the implementation of Nursing Grand Rounds. Sentinel events and clinical quality data, drive topic selection. Design: A committee made up of educators, staff nurses and clinical quality specialists determine each quarterly topic. Once a topic is chosen, the current literature is reviewed to discover best practice and standard of care. Methods: Time for personal reflection and sharing of ideas occur through group interaction. This discussion exercises critical thinking skills that promote improved decision making at the bedside. Staff nurses are coached and involved in the presentation of case studies where pathophysiology, assessment skills and valid tools are shared to enhance the delivery of patient care. Treatment modalities are addressed to ensure nursing staff is familiar with current expectations. Findings: Policy and procedures are reviewed to increase the knowledge level of the foundation of nursing practice that supports patient safety. Common threads exist within all presentations and include not only critical thinking points, but legal and ethical considerations, chain of command processes, and documentation etiquette. Legal and ethical dilemmas are discussed to heighten awareness while the chain of command reinforces appropriate nursing intervention. Each Nursing Grand Rounds ends with examples of thorough nursing documentation. Conclusions: Participants evaluate each nursing grand rounds by using a Likert type evaluation of the objectives and the speakers. After each session the committee reviews the evaluations and makes decisions regarding changes to future offerings. Implications for Practice: The committee has offered four nursing grand round sessions. Topics that have been provided to date include heart failure, pain control using PCA pumps, palliative care concerns with dementia patients and the hidden risks of deep vein thrombosis. Our committee believes that this is a successful program and would like to present our concepts to allow others to implement a similar program.en_GB
dc.date.available2011-10-27T11:44:58Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:44:58Z-
dc.conference.date2008en_US
dc.conference.nameClinical Nurse Specialists: Leaders in Clinical Excellenceen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationAtlanta, Georgia, USAen_US
dc.descriptionConference theme: Clinical Nurse Specialists: Leaders in Clinical Excellence, held March 5 - 8 at the Westin Peachtree Plaza in Atlanta, Georgiaen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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