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What's the impact of quality bundles at the bedside?
Catherine Whelchel1, Lisa Berg, Annette Brown
1Catherine Whelchel is a senior product manager in Spartanburg, S.C. At Eisenhower Medical Center in Rancho Mirage, Calif., Lisa Berg is clinical director of critical care and dialysis, and Annette Brown is director of clinical informatics. Debra Hurd is a nurse executive at Saint John's Hospital, HealthEast Care Systems, in Maplewood, Minn. Dianne Koepping is a senior clinical analyst in Westminster, Colo. Shalan Stroud is a clinical education specialist at Saint Luke's East Hospital in Lee's Summit, Mo.
Background:
Managing quality bundles can be challenging for clinical nurses. A study was undertaken to examine quality bundle volumes by patient and nursing perceptions in managing those volumes.
Methods:
Quantitative and qualitative data were collected from more than 400 patients and their clinical nurses in five hospitals to provide insight into bedside complexities related to quality bundles.
Quantitative Findings:
Patients were assigned up to six bundles; critical care patients had the most bundle assignments.
Qualitative Findings:
Nurses (N = 180) responded to a three-item survey about managing quality bundles. Although 39% of the respondents said they were always aware of the nursing interventions, only 16% responded that they could always complete them.
Discussion And Conclusions:
Strategies to effectively implement quality interventions are critical to nursing workflow and, ultimately, patient care. Workflow assessments, embedded reminders, checklists, and improved data transparency at the bedside are needed to improve quality bundle compliance.
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