Facilitators and Barriers for Interprofessional Rounding: A Qualitative Study.

Area of Science:

• Healthcare Management
• Interprofessional Education
• Patient Safety

Background:

• Interprofessional patient-centered rounding is a collaborative approach to patient care.
• Effective implementation requires understanding team and environmental dynamics.

Purpose of the Study:

• To identify barriers and facilitators for interprofessional patient-centered rounding.
• To explore these factors across four acute care units in an urban hospital.

Main Methods:

• Qualitative descriptive study over 18 months.
• Data collected via participant observation, focused meetings, and exit interviews.
• Analysis involved transcription, coding, and discussion.

Main Results:

• Team factors: membership turnover, rounding structure, valuing interprofessional practice, and skill confidence.
• Environmental factors: alignment with hospital mission, time availability, team cohesion, and readiness for change.
• Facilitators and barriers often existed as opposing pairs.

Conclusions:

• Team member factors significantly impact interprofessional rounding success.
• Organizational context and structure are also critical.
• Knowledge of these factors can guide leaders in planning and implementation.