2.50
Hdl Handle:
http://hdl.handle.net/10755/183123
Category:
Abstract
Type:
Presentation
Title:
Longitudinal Study of Nurses' Perceptions of Partnership Rounding
Author(s):
Bachand, D.; Hyrkas, K.; Pretorius, J.; Wilson, L.; Burton, L.; Call, K.; Grant, B.; Stevenson, J.; Wilson, J.; Winship, B.
Author Details:
D. Bachand, Maine Medical Center, Portland, ME, email: Grantb@mmc.org; K. Hyrkas; J. Pretorius; L. Wilson; L. Burton; K. Call; B. Grant; J. Stevenson; J. Wilson; B. Winship
Abstract:
Purpose: The purpose of this research project was to improve communication amongst caregivers while implementing a standardized approach to hand off communication. This presentation describes the nurses' perceptions and experiences of the report prior to and following the change from taped report to partnership rounding. Methods: Pre and post test surveys were distributed to nurses at start (3/2008), and three and six months after the implementation of the rounding practice. Nurses were asked to rate their level of agreement on 25 statements regarding the bedside reports characterized by patient centeredness, privacy, intelligibility of speech, use of time and the nursing perspective. Mean scores were rated as high (total agreement) to low (total disagreement). Analytical methods for this study followed a repeated measure design, which tested the time-averaged differences between means and measured linearity of grouping factors. Reliable and valid instruments were used in the study. Findings: Results were compiled from 416 nurses on nine patient care units with a 47% response rate. 72% of all surveyed nurses reported giving report at the bedside on a daily basis upon end of the study. 56% of nurses stated that they learned about the process of bedside reporting through experience. The majority of nurses reported understanding the purpose of the report (M=1.28, SD=.625) and agreed that the report's main function is as an information exchange between the nurse and patient (N=276, 73.6%).
Nurses were most consistent with the notion that the bedside report promotes teamwork (M=1.59, SD=.844) and that they had received adequate education on how to conduct the report (M=1.64, SD=843). Response to issues of privacy and opinion on how the nurses' and patients' time is spent during the report were less favorable, for example citing that the patient is often away (M=1.79, SD=.792) and that topics discussed during the report are too personal (M=2.09, SD=.906). In evaluating mean change in perception of the nature of report across the three testing periods, there were statistically significant differences between nurses and their perceptions of patient centeredness and intelligibility of speech. These were linear relationships between testing period responses; however, inverse relationships were found in regard to intelligibility of speech due to wide variations in response. Upon initial testing, perceptions were most favorable. Favorable responses decreased slightly at 3 months and finally increased again at the 6 month testing period. Discussion: While it was possible for us to anecdotally observe differences among the nursing units in terms of the progress they made toward implementing a new practice, it was very beneficial for us to have standardized instruments with which to measure the differences. The surveys provided a systematic means by which to collect data that helped us to understand the challenges on each unit and also allowed us the opportunity to present findings to the units that helped to stimulate discussions related to barriers that were impeding progress toward full implementation of the new rounding practice.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2010
Conference Name:
7th Annual Florida Magnet Research Conference
Conference Host:
University of South Florida College of Nursing; Sigma Theta Tau International; Florida Organization of Nurse Executives
Conference Location:
Naples, Florida, USA
Description:
7th Annual Florida Magnet Research Conference - Theme: Research at the Point of Care. Held 11-13 February 2010 at the Naples Grande Beach Resort, Naples, Florida, USA.
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.titleLongitudinal Study of Nurses' Perceptions of Partnership Roundingen_GB
dc.contributor.authorBachand, D.en_US
dc.contributor.authorHyrkas, K.en_US
dc.contributor.authorPretorius, J.en_US
dc.contributor.authorWilson, L.en_US
dc.contributor.authorBurton, L.en_US
dc.contributor.authorCall, K.en_US
dc.contributor.authorGrant, B.en_US
dc.contributor.authorStevenson, J.en_US
dc.contributor.authorWilson, J.en_US
dc.contributor.authorWinship, B.en_US
dc.author.detailsD. Bachand, Maine Medical Center, Portland, ME, email: Grantb@mmc.org; K. Hyrkas; J. Pretorius; L. Wilson; L. Burton; K. Call; B. Grant; J. Stevenson; J. Wilson; B. Winshipen_US
dc.identifier.urihttp://hdl.handle.net/10755/183123-
dc.description.abstractPurpose: The purpose of this research project was to improve communication amongst caregivers while implementing a standardized approach to hand off communication. This presentation describes the nurses' perceptions and experiences of the report prior to and following the change from taped report to partnership rounding. Methods: Pre and post test surveys were distributed to nurses at start (3/2008), and three and six months after the implementation of the rounding practice. Nurses were asked to rate their level of agreement on 25 statements regarding the bedside reports characterized by patient centeredness, privacy, intelligibility of speech, use of time and the nursing perspective. Mean scores were rated as high (total agreement) to low (total disagreement). Analytical methods for this study followed a repeated measure design, which tested the time-averaged differences between means and measured linearity of grouping factors. Reliable and valid instruments were used in the study. Findings: Results were compiled from 416 nurses on nine patient care units with a 47% response rate. 72% of all surveyed nurses reported giving report at the bedside on a daily basis upon end of the study. 56% of nurses stated that they learned about the process of bedside reporting through experience. The majority of nurses reported understanding the purpose of the report (M=1.28, SD=.625) and agreed that the report's main function is as an information exchange between the nurse and patient (N=276, 73.6%).<br/>Nurses were most consistent with the notion that the bedside report promotes teamwork (M=1.59, SD=.844) and that they had received adequate education on how to conduct the report (M=1.64, SD=843). Response to issues of privacy and opinion on how the nurses' and patients' time is spent during the report were less favorable, for example citing that the patient is often away (M=1.79, SD=.792) and that topics discussed during the report are too personal (M=2.09, SD=.906). In evaluating mean change in perception of the nature of report across the three testing periods, there were statistically significant differences between nurses and their perceptions of patient centeredness and intelligibility of speech. These were linear relationships between testing period responses; however, inverse relationships were found in regard to intelligibility of speech due to wide variations in response. Upon initial testing, perceptions were most favorable. Favorable responses decreased slightly at 3 months and finally increased again at the 6 month testing period. Discussion: While it was possible for us to anecdotally observe differences among the nursing units in terms of the progress they made toward implementing a new practice, it was very beneficial for us to have standardized instruments with which to measure the differences. The surveys provided a systematic means by which to collect data that helped us to understand the challenges on each unit and also allowed us the opportunity to present findings to the units that helped to stimulate discussions related to barriers that were impeding progress toward full implementation of the new rounding practice.en_GB
dc.date.available2011-10-28T16:15:32Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T16:15:32Z-
dc.conference.date2010en_US
dc.conference.name7th Annual Florida Magnet Research Conferenceen_US
dc.conference.hostUniversity of South Florida College of Nursingen_US
dc.conference.hostSigma Theta Tau Internationalen_US
dc.conference.hostFlorida Organization of Nurse Executivesen_US
dc.conference.locationNaples, Florida, USAen_US
dc.description7th Annual Florida Magnet Research Conference - Theme: Research at the Point of Care. Held 11-13 February 2010 at the Naples Grande Beach Resort, Naples, Florida, USA.en_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.-
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