RESUMO
This article describes the planning, implementation, and outcomes of 2 complementary quality initiatives, bedside handoff and nurse-initiated interdisciplinary bedside rounds, in a 24-bed medical/surgical intensive care unit. Systematic approaches such as Kotter's change model and unit-based champions were used to redesign care processes and standardize daily communication and workflows. Active partnership with the patient and the family during these changes promoted a strong intensive care unit culture of patient- and family-centered care.
Assuntos
Unidades de Terapia Intensiva/normas , Papel do Profissional de Enfermagem/psicologia , Transferência da Responsabilidade pelo Paciente/normas , Melhoria de Qualidade/normas , Humanos , Unidades de Terapia Intensiva/organização & administração , Comunicação Interdisciplinar , Inovação Organizacional , Avaliação de Resultados em Cuidados de Saúde , Equipe de Assistência ao Paciente/organização & administração , Transferência da Responsabilidade pelo Paciente/organização & administração , Assistência Centrada no PacienteRESUMO
Interdisciplinary bedside rounds serve as a key mechanism to coordinate patient-centered care. With a focus on optimizing rounds, an interdisciplinary team developed an enhanced, structured process, coined the care team visit. Key findings included improved nurse participation, increased staff collaboration, and decreased Foley catheter days. The process outlined can be used by health care professionals to improve the effectiveness of interdisciplinary bedside rounds.