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Perceptions of interdisciplinary rounding practices.

Genevieve Beaird1, Marianne Baernholdt2, Kenneth R White3

  • 1Virginia Commonwealth University, Richmond, Virginia.

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Practitioner insights reveal key facilitators and barriers to interdisciplinary rounding (IDR) success. Understanding these factors can improve collaborative, patient-centered care in hospitals.

Keywords:
interpersonal communicationinterprofessional practicerounding

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Area of Science:

  • Healthcare Management
  • Patient Care Improvement
  • Qualitative Research Methods

Background:

  • Interdisciplinary rounding (IDR) is a common intervention to enhance collaboration and patient-centered care in hospitals.
  • While IDR can improve practitioner satisfaction, its impact on patient outcomes is not consistently positive.
  • Understanding facilitators and barriers to IDR from the perspective of healthcare practitioners is crucial for successful implementation.

Purpose of the Study:

  • To explore practitioner perspectives on the facilitators, barriers, and outcomes of interdisciplinary rounding (IDR) practices.
  • To identify factors influencing the success of IDR at both individual and organizational levels.
  • To gather insights that can inform unit leadership and staff advocating for improved rounding practices.

Main Methods:

  • A quasi-qualitative study design was employed.
  • Four open-ended questions were distributed via email to 141 practitioners across fifteen units in two academic health centers where IDR was implemented.
  • Directed content analysis was used to identify key themes in practitioner responses, adhering to the Standards for Reporting Qualitative Research (SRQR) checklist.

Main Results:

  • Three primary themes emerged from the practitioner responses: (a) setting the stage for rounding, (b) the collaborative work of the interdisciplinary team, and (c) perceived benefits to patient care.
  • The data provided a nuanced view of the facilitators and barriers encountered during IDR.
  • Practitioner feedback highlighted specific aspects that contribute to or hinder effective IDR.

Conclusions:

  • The study offers valuable insights into the facilitators and barriers associated with interdisciplinary rounding in inpatient settings.
  • Findings can assist unit leaders and staff in advocating for and implementing more collaborative and patient-centered rounding practices.
  • Further research is recommended to explore the organizational role in fostering a healthy work environment and promoting patient-centered care through IDR.